A comprehensive review on targeted therapies for triple negative breast cancer: an evidence-based treatment guideline DOI Creative Commons

Hosny I. Emara,

Nageh K. Allam, R.A. Youness

et al.

Discover Oncology, Journal Year: 2025, Volume and Issue: 16(1)

Published: April 17, 2025

Abstract Triple-negative breast cancer (TNBC) is an aggressive malignancy characterized by limited therapeutic options and poor prognosis. Despite advancements in precision oncology, conventional chemotherapy remains the cornerstone of TNBC treatment, often accompanied debilitating side effects suboptimal outcomes. This review presents a comprehensive analysis clinical trials on targeted therapies, aiming to establish novel, evidence-based treatment strategy exclusively leveraging molecularly agents. By integrating patient-specific genetic profiles with responses observed across various trial phases, this approach seeks optimize efficacy while minimizing toxicity. The proposed therapy combinations hold significant potential revolutionize offering paradigm shift toward medicine improved patient

Language: Английский

Recent advances in targeted strategies for triple-negative breast cancer DOI Creative Commons
Shuangli Zhu, Yuze Wu, Bin Song

et al.

Journal of Hematology & Oncology, Journal Year: 2023, Volume and Issue: 16(1)

Published: Aug. 28, 2023

Triple-negative breast cancer (TNBC), a highly aggressive subtype of cancer, negatively expresses estrogen receptor, progesterone and the human epidermal growth factor receptor 2 (HER2). Although chemotherapy is main form treatment for patients with TNBC, effectiveness TNBC still limited. The search more effective therapies urgent. Multiple targeted therapeutic strategies have emerged according to specific molecules signaling pathways expressed in TNBC. These include PI3K/AKT/mTOR inhibitors, Notch poly ADP-ribose polymerase antibody-drug conjugates. Moreover, immune checkpoint example, pembrolizumab, atezolizumab, durvalumab, are widely explored clinic. We summarize recent advances therapy immunotherapy aim serving as reference development individualized future.

Language: Английский

Citations

113

Predictive, preventive, and personalized medicine in breast cancer: targeting the PI3K pathway DOI Creative Commons
Muhammad Tufail,

Jia-Ju Hu,

Jie Liang

et al.

Journal of Translational Medicine, Journal Year: 2024, Volume and Issue: 22(1)

Published: Jan. 3, 2024

Abstract Breast cancer (BC) is a multifaceted disease characterized by distinct molecular subtypes and varying responses to treatment. In BC, the phosphatidylinositol 3-kinase (PI3K) pathway has emerged as crucial contributor development, advancement, resistance This review article explores implications of PI3K in predictive, preventive, personalized medicine for BC. It emphasizes identification predictive biomarkers, such PIK3CA mutations, utility profiling guiding treatment decisions. The also discusses potential targeting preventive strategies customization therapy based on tumor stage, subtypes, genetic alterations. Overcoming inhibitors exploring combination therapies are addressed important considerations. While this field holds promise improving patient outcomes, further research clinical trials needed validate these approaches translate them into practice. Graphical

Language: Английский

Citations

25

Targeting triple negative breast cancer stem cells using nanocarriers DOI Creative Commons
Nagasen Dasari, Girijasankar Guntuku, Sai Kiran S. S. Pindiprolu

et al.

Discover Nano, Journal Year: 2024, Volume and Issue: 19(1)

Published: March 7, 2024

Abstract Breast cancer is a complex and heterogeneous disease, encompassing various subtypes characterized by distinct molecular features, clinical behaviors, treatment responses. Categorization of based on the presence or absence estrogen receptor (ER), progesterone (PR), human epidermal growth factor 2 (HER2), leading to such as luminal A, B, HER2-positive, triple-negative breast (TNBC). TNBC, comprising around 20% all cancers, lacks expression ER, PR, HER2 receptors, rendering it unresponsive targeted therapies presenting significant challenges in treatment. TNBC associated with aggressive behavior, high rates recurrence, resistance chemotherapy. Tumor initiation, progression, are attributed stem cells (BCSCs), which possess self-renewal, differentiation, tumorigenic potential. Surface markers, self-renewal pathways (Notch, Wnt, Hedgehog signaling), apoptotic protein (Bcl-2), angiogenesis inhibition (VEGF inhibitors), immune modulation (cytokines, checkpoint inhibitors) among key targets discussed this review. However, targeting BCSC subpopulation presents challenges, including off-target effects, low solubility, bioavailability anti-BCSC agents. Nanoparticle-based offer promising approach target cellular processes implicated survival BSCS TNBC. In review, we explore nanocarrier-based approaches for BCSCs aiming overcome these improve outcomes patients. These nanoparticle-based therapeutic strategies hold promise addressing gap delivering while minimizing systemic toxicity enhancing efficacy. Graphical abstract

Language: Английский

Citations

17

PIWI-interacting RNA-YBX1 inhibits proliferation and metastasis by the MAPK signaling pathway via YBX1 in triple-negative breast cancer DOI Creative Commons
Linyu Wu, Shanshan Huang, W. H. Tian

et al.

Cell Death Discovery, Journal Year: 2024, Volume and Issue: 10(1)

Published: Jan. 5, 2024

Abstract Breast cancer is the second leading cause of death in women worldwide, with triple-negative breast (TNBC) having worst prognosis. Although there are numerous studies on TNBC, no effective treatment for it, and it still a major problem today. Studies PIWI-interacting RNAs (piRNAs) increasing investigating mechanism piRNAs proliferation metastasis TNBC may lead to new potential targets. Here, we identified novel piRNA, piR-YBX1, which was downregulated compared matched normal tissue. Overexpression piR-YBX1 significantly inhibited proliferation, migration, invasion ability cells both vivo vitro. Mechanistically, could bind directly mRNA Y-box binding protein 1 ( YBX1 ) overexpression levels, while function be partly rescued by YBX1. In addition, RAF1 key molecule MAPK signaling pathway, p-MEK p-ERK1/2, can reverted conclusion, our findings discovered that piR-YBX1/YBX1/MAPK axis suppresses therefore has an therapeutic agent cancer.

Language: Английский

Citations

15

Recent trends and advances in novel formulations as an armament in Bcl-2/Bax targeted breast cancer DOI

Shaikh Samia,

Padakanti Sandeep Chary, Omar M. Khan

et al.

International Journal of Pharmaceutics, Journal Year: 2024, Volume and Issue: 653, P. 123889 - 123889

Published: Feb. 10, 2024

Language: Английский

Citations

15

METTL1-mediated tRNA m7G methylation and translational dysfunction restricts breast cancer tumorigenesis by fueling cell cycle blockade DOI Creative Commons
Dan Du, Mingxia Zhou,

Chenxi Ju

et al.

Journal of Experimental & Clinical Cancer Research, Journal Year: 2024, Volume and Issue: 43(1)

Published: May 31, 2024

RNA modifications of transfer RNAs (tRNAs) are critical for tRNA function. Growing evidence has revealed that related to various disease processes, including malignant tumors. However, the biological functions methyltransferase-like 1 (METTL1)-regulated m7G in breast cancer (BC) remain largely obscure. The role METTL1 BC progression were examined by cellular loss- and gain-of-function tests xenograft models both vitro vivo. To investigate change modification mRNA translation efficiency BC, m7G-methylated immunoprecipitation sequencing (m7G MeRIP-seq), Ribosome profiling (Ribo-seq), polysome-associated performed. Rescue assays conducted decipher underlying molecular mechanisms. methyltransferase complex components WD repeat domain 4 (WDR4) down-regulated tissues at protein levels. Functionally, inhibited cell proliferation, cycle progression, relying on its enzymatic activity. Mechanistically, increased levels 19 tRNAs modulate growth arrest DNA damage 45 alpha (GADD45A) retinoblastoma (RB1) a codon-dependent manner associated with m7G. Furthermore, vivo experiments showed overexpression enhanced anti-tumor effectiveness abemaciclib, cyclin-dependent kinases 6 (CDK4/6) inhibitor. Our study uncovered crucial tumor-suppressive METTL1-mediated promoting GADD45A RB1 mRNAs, selectively blocking G2/M phase cycle. These findings also provided promising strategy improving therapeutic benefits CDK4/6 inhibitors treatment patients.

Language: Английский

Citations

9

Co-delivery of fucoxanthin and Twist siRNA using hydroxyethyl starch-cholesterol self-assembled polymer nanoparticles for triple-negative breast cancer synergistic therapy DOI Creative Commons

Zeliang Wu,

Yuxiang Tang,

Yuanhui Liu

et al.

Journal of Advanced Research, Journal Year: 2024, Volume and Issue: unknown

Published: April 1, 2024

Triple-negative breast cancer (TNBC) represents the most aggressive subtype of with an extremely dismal prognosis and few treatment options. As a desmoplastic tumor, TNBC tumor cells are girdled by stroma composed cancer-associated fibroblasts (CAFs) their secreted stromal components. The rapidly proliferating cells, together stroma, exert additional solid tissue pressure on vasculature surrounding tissues, severely obstructing therapeutic agent from deep intratumoral penetration, resulting in metastasis resistance.

Language: Английский

Citations

8

Shikonin blocks CAF-induced TNBC metastasis by suppressing mitochondrial biogenesis through GSK-3β/NEDD4-1 mediated phosphorylation-dependent degradation of PGC-1α DOI Creative Commons
Shuangqin Fan,

Xiaomin Yan,

Xiaoxia Hu

et al.

Journal of Experimental & Clinical Cancer Research, Journal Year: 2024, Volume and Issue: 43(1)

Published: June 27, 2024

Abstract Background Triple-negative breast cancer (TNBC) is characterized by its high metastatic potential, which results in poor patient survival. Cancer-associated fibroblasts (CAFs) are crucial facilitating TNBC metastasis via induction of mitochondrial biogenesis. However, how to inhibit CAF-conferred biogenesis still needed explore. Methods We investigated using wound healing and cell invasion assays, 3D-culture, anoikis detection, NOD/SCID mice. Mitochondrial was detected MitoTracker green FM staining, quantification DNA levels, blue-native polyacrylamide gel electrophoresis. The expression, transcription, phosphorylation peroxisome-proliferator activated receptor coactivator 1α (PGC-1α) were western blotting, chromatin immunoprecipitation, dual-luciferase reporter assay, quantitative polymerase chain reaction, liquid chromatography-tandem mass spectrometry. prognostic role PGC-1α evaluated the Kaplan–Meier plotter database clinical tissue samples. Results demonstrated that indicated lymph node metastasis, tumor thrombus formation, survival patients, it induced CAFs, functioned as an inducer TNBC. Shikonin impeded CAF-induced nuclear localization, interaction with estrogen-related alpha (ERRα), thereby inhibiting PGC-1α/ERRα-targeted genes. Mechanistically, downregulation mediated synthase kinase 3β-induced at Thr295, associated neural precursor expressed developmentally downregulated 4e1 recognition subsequent degradation ubiquitin proteolysis. Mutation Thr295 negated suppressive effects shikonin on CAF-stimulated vitro vivo. Conclusions Our findings indicate a viable target for blocking disrupting biogenesis, merits potential treatment inhibitor through targeting PGC-1α.

Language: Английский

Citations

7

Molecular Changes in Breast Cancer Induced by Radiation Therapy DOI

Kim Sheva,

Sangita Roy Chowdhury,

Nataly Kravchenko‐Balasha

et al.

International Journal of Radiation Oncology*Biology*Physics, Journal Year: 2024, Volume and Issue: 120(2), P. 465 - 481

Published: March 18, 2024

Language: Английский

Citations

5

Next-generation biomarkers for prognostic and potential therapeutic enhancement in Triple negative breast cancer DOI

Risav Banerjee,

Indrajit Maitra,

T. Bhattacharya

et al.

Critical Reviews in Oncology/Hematology, Journal Year: 2024, Volume and Issue: 201, P. 104417 - 104417

Published: June 18, 2024

Language: Английский

Citations

5