‘Why is survival with triple negative breast cancer so low? insights and talking points from preclinical and clinical research’

三阴性乳腺癌 乳腺癌 医学 机制(生物学) 肿瘤科 抗药性 癌症 癌症研究 生物信息学 内科学 生物 微生物学 认识论 哲学
作者
Maria Ilenia Passalacqua,Graziella Rizzo,Mariacarmela Santarpía,Giuseppe Curigliano
出处
期刊:Expert Opinion on Investigational Drugs [Informa]
卷期号:31 (12): 1291-1310 被引量:2
标识
DOI:10.1080/13543784.2022.2159805
摘要

Triple negative breast cancer is typically related to poor prognosis, early metastasis, and high recurrence rate. Intrinsic and extrinsic biological features of TNBC and resistance mechanisms to conventional therapies can support its aggressive behavior, characterizing TNBC how extremely heterogeneous. Novel combination strategies are under investigation, including immunotherapeutic agents, anti-drug conjugates, PARP inhibitors, and various targeting agents, exploring, in the meanwhile, possible predictive biomarkers to correctly select patients for the optimal treatment for their specific subtype.This article examines the main malignity characteristics across different subtype, both histological and molecular, and the resistance mechanisms, both primary and acquired, to different drugs explored in the landscape of TNBC treatment, that lead TNBC to still has high mortality rate.The complexity of TNBC is not only the main reason of its aggressivity, but its heterogeneity should be exploited in terms of therapeutics opportunities, combining agents with different mechanism of action, after a correct selection by biologic or molecular biomarkers. The main goal is to understand what TNBC really is and to act selectively on its characteristics, with a personalized anticancer treatment.
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