Cancer Treatment and Research Communications,
Journal Year:
2025,
Volume and Issue:
unknown, P. 100918 - 100918
Published: March 1, 2025
Breast
cancer
(BC)
is
one
of
the
leading
causes
cancer-related
deaths
among
women
worldwide.
Paclitaxel
(PTX),
a
chemotherapeutic
agent
derived
from
taxane
family,
commonly
used
in
treating
BC
due
to
its
ability
disrupt
microtubule
dynamics
and
induce
cell
death.
However,
resistance
PTX
presents
significant
challenge,
as
it
diminishes
drug's
effectiveness
can
lead
treatment
failure.
This
review
explores
mechanisms
by
which
exerts
effects
various
factors
contributing
resistance.
These
include
genetic
mutations
that
affect
tubulin
dynamics,
role
non-coding
RNAs,
molecular
pathways
involved
chemoresistance,
epigenetic
changes,
post-transcriptional
modifications,
increased
activity
ABC
transporters
promote
drug
efflux,
immunosuppressive
interactions
within
tumor
microenvironment,
mediated
autophagy.
also
strategies
overcome
resistance,
including
innovations,
combination
therapies,
nanotechnology-based
approaches.
may
improve
efficacy
enhance
outcomes
for
patients.
Journal of Hematology & Oncology,
Journal Year:
2022,
Volume and Issue:
15(1)
Published: April 12, 2022
Abstract
Triple-negative
breast
cancer
(TNBC)
is
a
subtype
of
human
with
one
the
worst
prognoses,
no
targeted
therapeutic
strategies
currently
available.
Regulated
cell
death
(RCD),
also
known
as
programmed
(PCD),
has
been
widely
reported
to
have
numerous
links
progression
and
therapy
many
types
cancer.
Of
note,
RCD
can
be
divided
into
different
subroutines,
including
autophagy-dependent
death,
apoptosis,
mitotic
catastrophe,
necroptosis,
ferroptosis,
pyroptosis
anoikis.
More
recently,
targeting
subroutines
small-molecule
compounds
emerging
promising
strategy,
which
rapidly
progressed
in
treatment
TNBC.
Therefore,
this
review,
we
focus
on
summarizing
molecular
mechanisms
above-mentioned
seven
major
related
TNBC
latest
progress
subroutines.
Moreover,
further
discuss
combined
drug
(e.g.,
narciclasine)
or
more
drugs
torin-1
chloroquine)
achieve
potential
by
regulating
importantly,
demonstrate
several
ONC201
NCT03733119)
clinical
trials.
Taken
together,
these
findings
will
provide
clue
illuminating
actionable
low-hanging-fruit
druggable
targets
candidate
for
RCD-related
therapies.
Graphical
abstract
International Journal of Molecular Sciences,
Journal Year:
2022,
Volume and Issue:
23(19), P. 11046 - 11046
Published: Sept. 20, 2022
Breast
cancer
is
the
second
leading
cause
of
death
for
women
worldwide.
While
monotherapy
(single
agent)
treatments
have
been
used
many
years,
they
are
not
always
effective,
and
patients
relapse
after
initial
treatment.
Moreover,
in
some
response
to
therapy
becomes
weaker,
or
resistance
develops
over
time.
This
especially
problematic
metastatic
breast
triple-negative
cancer.
Recently,
combination
therapies
(in
which
two
more
drugs
target
pathways)
emerged
as
promising
new
treatment
options.
Combination
often
effective
than
monotherapies
demonstrate
lower
levels
toxicity
during
long-term
In
this
review,
we
provide
a
comprehensive
overview
current
therapies,
including
molecular-targeted
therapy,
hormone
immunotherapy,
chemotherapy.
We
also
describe
molecular
basis
various
options
different
subtypes.
promising,
discuss
challenges.
Despite
these
challenges,
use
innovative
holds
great
promise
compared
with
traditional
monotherapies.
addition,
multidisciplinary
technologies
(such
nanotechnology
computer
technology)
has
potential
optimize
even
further.
Journal of Translational Medicine,
Journal Year:
2022,
Volume and Issue:
20(1)
Published: June 27, 2022
Abstract
Background
Triple
negative
breast
cancer
(TNBC)
is
an
aggressive
disease
characterized
by
high
risk
of
relapse
and
development
resistance
to
different
chemotherapy
agents.
Several
targeted
therapies
have
been
investigated
in
TNBC
with
modest
results
clinical
trials.
Among
these,
PI3K/AKT
inhibitors
evaluated
addition
standard
therapies,
yielding
conflicting
making
attempts
on
elucidating
inherent
mechanisms
great
interest.
Increasing
evidences
suggest
that
can
induce
autophagy
cancers.
Autophagy
represents
a
supposed
mechanism
drug-resistance
tumors,
like
TNBC.
We,
therefore,
if
two
inhibitors,
ipatasertib
taselisib,
could
models,
whether
chloroquine
(CQ),
well
known
inhibitor,
potentiate
taselisib
anti-cancer
effect
combination
conventional
chemotherapy.
Methods
The
induction
after
treatment
was
MDAMB231,
MDAM468,
MCF7,
SKBR3
MDAB361
cell
lines
assaying
LC3-I
conversion
LC3-II
through
immunoblotting
immunofluorescence.
Other
autophagy-markers
as
p62/SQSTM1
ATG5
were
immunoblotting.
Synergistic
antiproliferative
double
triple
combinations
ipatasertib/taselisib
plus
CQ
and/or
paclitaxel
SRB
assay
clonogenic
assay.
Anti-apoptotic
increased
cleaved-PARP
immunoblot
Annexin
V-
flow
cytometric
analysis.
In
vivo
experiments
performed
xenograft
model
MDAMB231
NOD/SCID
mice.
Results
Our
suggested
signaling
models.
This
particularly
evident
resistant
cells,
where
the
inhibition
potentiates
therapeutic
vitro
synergizing
taxane-based
Conclusion
These
data
authophagy
overcome
drug
evaluation
such
trials
warranted.
Journal of Food Biochemistry,
Journal Year:
2022,
Volume and Issue:
46(12)
Published: Sept. 19, 2022
Breast
cancer
(BC)
is
one
of
the
most
challenging
cancers
to
treat,
accounting
for
many
cancer-related
deaths.
Over
some
years,
chemotherapy,
hormone
treatment,
radiation,
and
surgeries
have
been
used
treat
cancer.
Unfortunately,
these
treatment
options
are
unsuccessful
due
crucial
adverse
reactions
multidrug
tolerance/resistance.
Although
it
clear
that
substances
in
nutraceuticals
category
a
lot
anti-cancer
activity,
using
supplementary
therapy
strategy,
this
case,
could
be
very
beneficial.
Nutraceuticals
therapeutic
agents,
which
nutrients
drug-like
characteristics
can
diseases.
Plant
categorized
into
polyphenols,
terpenoids,
vitamins,
alkaloids,
flavonoids
part
health
food
products,
great
potential
combating
BC.
reduce
BC's
severity,
limit
malignant
cell
growth,
modify
mechanisms.
acting
by
attenuating
Hedgehog,
Nuclear
factor
kappa-light-chain-enhancer
activated
B
cells
(NF-κB),
Notch,
Wnt/β-catenin
signaling
main
pathways
controlling
self-renewal
breast
stem
(BCSCs).
This
article
reviews
important
their
modes
action,
powerful
versus
Practical
applications
Nutraceuticals'
importance
control
diagnosis
undeniable
cannot
overlooked.
Natural
dietary
compounds
wide
range
uses
traditional
medicine.
In
addition,
natural
chemicals
enhance
effectiveness
other
medicines.
They
may
also
as
process
independently
because
capacity
affect
several
pathways.
study
highlights
variety
chemicals,
mechanisms
routes,
synergistic
effects,
future
potentials
all
examined.
Advanced Science,
Journal Year:
2023,
Volume and Issue:
10(17)
Published: April 25, 2023
Abstract
In
this
study,
it
is
found
that
the
lncRNA,
DNA
damage
inducible
transcript
4
antisense
RNA1
(DDIT4‐AS1),
highly
expressed
in
triple‐negative
breast
cancer
(TNBC)
cell
lines
and
tissues
due
to
H3K27
acetylation
promoter
region,
promotes
proliferation,
migration,
invasion
of
TNBC
cells
via
activating
autophagy.
Mechanistically,
shown
DDIT4‐AS1
induces
autophagy
by
stabilizing
DDIT4
mRNA
recruiting
RNA
binding
protein
AUF1
promoting
interaction
between
AUF1,
thereby
inhibiting
mTOR
signaling
pathway.
Furthermore,
silencing
enhances
sensitivity
chemotherapeutic
agents
such
as
paclitaxel
both
vitro
vivo.
Using
a
self‐activatable
siRNA/drug
core–shell
nanoparticle
system,
which
effectively
deliver
siRNA
tumor‐bearing
mice,
significantly
enhanced
antitumor
activity
achieved.
Importantly,
codelivery
nanoparticles
exert
stronger
effect
on
patient‐derived
organoids.
These
findings
indicate
lncRNA
DDIT4‐AS1‐mediated
activation
progression
chemoresistance
TNBC,
targeting
may
be
exploited
new
therapeutic
approach
enhancing
efficacy
chemotherapy
against
TNBC.
Cells,
Journal Year:
2023,
Volume and Issue:
12(8), P. 1156 - 1156
Published: April 14, 2023
Despite
an
increase
in
the
incidence
of
breast
cancer
worldwide,
overall
prognosis
has
been
consistently
improving
owing
to
development
multiple
targeted
therapies
and
novel
combination
regimens
including
endocrine
therapies,
aromatase
inhibitors,
Her2-targeted
cdk4/6
inhibitors.
Immunotherapy
is
also
being
actively
examined
for
some
subtypes.
This
positive
outlook
marred
by
resistance
or
reduced
efficacy
drug
combinations,
but
underlying
mechanisms
are
somewhat
unclear.
It
interesting
note
that
cells
quickly
adapt
evade
most
activating
autophagy,
a
catabolic
process
designed
recycle
damaged
cellular
components
provide
energy.
In
this
review,
we
discuss
role
autophagy
autophagy-associated
proteins
growth,
sensitivity,
tumor
dormancy,
stemness,
recurrence.
We
further
explore
how
intersects
reduces
radiotherapy,
chemotherapies
as
well
immunotherapy
via
modulating
various
intermediate
proteins,
miRs,
lncRNAs.
Lastly,
potential
application
inhibitors
bioactive
molecules
improve
anticancer
effects
drugs
circumventing
cytoprotective
discussed.
Oncogene,
Journal Year:
2024,
Volume and Issue:
43(11), P. 821 - 836
Published: Jan. 27, 2024
Abstract
Triple-negative
breast
cancer
(TNBC)
cells
are
in
a
more
hypoxic
and
starved
state
than
non-TNBC
cells,
which
makes
TNBC
always
maintain
high
autophagy
levels.
Emerging
evidence
has
demonstrated
that
circular
RNAs
(circRNAs)
involved
the
progress
of
tumorigenesis.
However,
regulation
functions
autophagy-induced
circRNAs
remain
unclear.
In
our
study,
autophagy-responsive
circRNA
candidates
under
amino
acid
were
identified
by
RNA
sequencing.
The
results
showed
circEGFR
expression
was
significantly
upregulated
autophagic
cells.
Knockdown
inhibited
derived
from
exosomes
induced
recipient
tumor
microenvironment.
vitro
vivo
functional
assays
as
an
oncogenic
TNBC.
Clinically,
positively
associated
with
lymph
node
metastasis.
CircEGFR
plasma-derived
patients
compared
healthy
people.
Mechanistically,
facilitated
translocation
Annexin
A2
(ANXA2)
toward
plasma
membrane
led
to
release
Transcription
Factor
EB
(a
transcription
factor
autophagy-related
proteins,
TFEB)
ANXA2-TFEB
complex,
causing
nuclear
TFEB,
thereby
promoting
Meanwhile,
acted
ceRNA
directly
binding
miR-224-5p
miR-224-5p,
weakened
suppressive
role
miR-224-5p/ATG13/ULK1
axis
on
autophagy.
Overall,
study
demonstrates
key
autophagy,
malignant
progression,
metastasis
These
indicate
is
potential
diagnosis
biomarker
therapeutic
target
for
Antioxidants,
Journal Year:
2021,
Volume and Issue:
10(7), P. 1138 - 1138
Published: July 19, 2021
Flavonoids
are
considered
as
pleiotropic,
safe,
and
readily
obtainable
molecules.
A
large
number
of
recent
studies
have
proposed
that
flavonoids
potential
in
the
treatment
tumors
by
modulation
autophagy.
In
many
cases,
suppress
cancer
stimulating
excessive
autophagy
or
impairing
flux
especially
apoptosis-resistant
cells.
However,
anti-cancer
activity
may
be
attenuated
due
to
simultaneous
induction
protective
Notably,
flavonoids-triggered
is
becoming
a
trend
for
preventing
clinical
setting
protecting
patients
from
conventional
therapeutic
side
effects
normal
tissues.
this
review,
focusing
on
underlying
autophagic
mechanisms
flavonoids,
we
hope
provide
new
perspective
application
therapy.
addition,
highlight
research
ideas
development
dosage
forms
improve
their
various
pharmacological
effects,
establishing
ideal
candidates
prevention
therapy
clinic.