Challenges and Opportunities in Developing Targeted Therapies for Triple Negative Breast Cancer

Triple negative breast cancer (TNBC) is a heterogeneous group of breast cancers characterized by their lack of estrogen receptors, progesterone receptors, and the HER2 receptor. They are more aggressive than other breast cancer subtypes, with a higher mean tumor size, higher tumor grade, the worst f...

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Main Authors: Abygail G. Chapdelaine, Gongqin Sun
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/13/8/1207
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author Abygail G. Chapdelaine
Gongqin Sun
author_facet Abygail G. Chapdelaine
Gongqin Sun
author_sort Abygail G. Chapdelaine
collection DOAJ
description Triple negative breast cancer (TNBC) is a heterogeneous group of breast cancers characterized by their lack of estrogen receptors, progesterone receptors, and the HER2 receptor. They are more aggressive than other breast cancer subtypes, with a higher mean tumor size, higher tumor grade, the worst five-year overall survival, and the highest rates of recurrence and metastasis. Developing targeted therapies for TNBC has been a major challenge due to its heterogeneity, and its treatment still largely relies on surgery, radiation therapy, and chemotherapy. In this review article, we review the efforts in developing targeted therapies for TNBC, discuss insights gained from these efforts, and highlight potential opportunities going forward. Accumulating evidence supports TNBCs as multi-driver cancers, in which multiple oncogenic drivers promote cell proliferation and survival. In such multi-driver cancers, targeted therapies would require drug combinations that simultaneously block multiple oncogenic drivers. A strategy designed to generate mechanism-based combination targeted therapies for TNBC is discussed.
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spelling doaj.art-912ff21796cb459caf4cc9cc6661dce42023-11-19T00:23:44ZengMDPI AGBiomolecules2218-273X2023-08-01138120710.3390/biom13081207Challenges and Opportunities in Developing Targeted Therapies for Triple Negative Breast CancerAbygail G. Chapdelaine0Gongqin Sun1Department of Cell and Molecular Biology, University of Rhode Island, Kingston, RI 02881, USADepartment of Cell and Molecular Biology, University of Rhode Island, Kingston, RI 02881, USATriple negative breast cancer (TNBC) is a heterogeneous group of breast cancers characterized by their lack of estrogen receptors, progesterone receptors, and the HER2 receptor. They are more aggressive than other breast cancer subtypes, with a higher mean tumor size, higher tumor grade, the worst five-year overall survival, and the highest rates of recurrence and metastasis. Developing targeted therapies for TNBC has been a major challenge due to its heterogeneity, and its treatment still largely relies on surgery, radiation therapy, and chemotherapy. In this review article, we review the efforts in developing targeted therapies for TNBC, discuss insights gained from these efforts, and highlight potential opportunities going forward. Accumulating evidence supports TNBCs as multi-driver cancers, in which multiple oncogenic drivers promote cell proliferation and survival. In such multi-driver cancers, targeted therapies would require drug combinations that simultaneously block multiple oncogenic drivers. A strategy designed to generate mechanism-based combination targeted therapies for TNBC is discussed.https://www.mdpi.com/2218-273X/13/8/1207triple negative breast cancertargeted therapymulti-driver oncogenesiscombination targeted therapy
spellingShingle Abygail G. Chapdelaine
Gongqin Sun
Challenges and Opportunities in Developing Targeted Therapies for Triple Negative Breast Cancer
Biomolecules
triple negative breast cancer
targeted therapy
multi-driver oncogenesis
combination targeted therapy
title Challenges and Opportunities in Developing Targeted Therapies for Triple Negative Breast Cancer
title_full Challenges and Opportunities in Developing Targeted Therapies for Triple Negative Breast Cancer
title_fullStr Challenges and Opportunities in Developing Targeted Therapies for Triple Negative Breast Cancer
title_full_unstemmed Challenges and Opportunities in Developing Targeted Therapies for Triple Negative Breast Cancer
title_short Challenges and Opportunities in Developing Targeted Therapies for Triple Negative Breast Cancer
title_sort challenges and opportunities in developing targeted therapies for triple negative breast cancer
topic triple negative breast cancer
targeted therapy
multi-driver oncogenesis
combination targeted therapy
url https://www.mdpi.com/2218-273X/13/8/1207
work_keys_str_mv AT abygailgchapdelaine challengesandopportunitiesindevelopingtargetedtherapiesfortriplenegativebreastcancer
AT gongqinsun challengesandopportunitiesindevelopingtargetedtherapiesfortriplenegativebreastcancer