Novel therapeutic strategies in the treatment of triple-negative breast cancer

Author:

Oualla Karima1,El-Zawahry Heba M.2,Arun Banu3,Reuben James M.4,Woodward Wendy A.5,Gamal El-Din Heba6,Lim Bora7,Mellas Nawfel1,Ueno Naoto T.7,Fouad Tamer M.8

Affiliation:

1. Medical Oncology Department, Hassan II University Hospital, Fes, Morocco

2. Department of Medical Oncology, The National Cancer Institute, Cairo University, Cairo, Egypt

3. Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

4. Department of Hematopathology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

5. Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

6. Department of Surgical Oncology, The National Cancer Institute, Cairo University, Cairo, Egypt

7. Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, TX, USA

8. Department of Medical Oncology, The National Cancer Institute, Cairo University, Kasr El-Aini Road, Cairo, 11796, Egypt

Abstract

Triple-negative breast cancer (TNBC) is a heterogeneous subtype of breast cancer that is defined by negative estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2) status. Treating patients with TNBC remains clinically challenging, as patients are not candidates for endocrine or HER2-directed therapy. As a result, chemotherapy with traditional agents such as anthracyclines and taxanes remains the only available option with moderate success. Recent discoveries have revealed that TNBC is a heterogeneous disease at the clinical, histological and molecular levels. The use of biomarkers to identify distinct subsets of TNBC that derive the greatest benefit from presently approved as well as novel therapeutics has become the main focus of current research. The aim of this review is to explore the clinical and biological complexity of TNBC as well as identify novel therapeutic options that target the various molecular subsets of TNBC.

Publisher

SAGE Publications

Subject

Oncology

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