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Title:
Characteristics of triple-negative breast cancer | Journal of Cancer Research and Clinical Oncology
Description:
Background Triple-negative breast cancers (TNBC) neither express hormone receptors, nor overexpress HER2. They are associated with poor prognosis, as defined by low five-year survival and high recurrence rates after adjuvant therapy. Overall, TNBC share striking similarities with basal-like breast cancers (BBC), so a number of studies considered them being the same. The purpose of this review is to summarise the latest findings on TNBC concerning its relation and delineation to BBC, discuss the developmental pathways involved and address clinical implications for this complex type of breast cancer. Methods The recent literature from PubMed and Medline databases was reviewed. Results Not all TNBC are of the intrinsic BBC subtype (nonbasal (NB)-TNBC), nor are all BBC triple-negative (non-triple-negative (NTN)-BBC). There is increasing evidence that a triple-negative, basal-like breast cancer (TNBBC) subtype develops mainly through a BRCA1-related pathway. Somatic mutations that contribute to NTN-BBC and NB-TNBC development are possibly not related to this pathway, but may occur randomly due to increased genomic instability in these tumours. Several therapeutic options exist for TNBBC, which exhibited promising results in recent clinical trials. Cytotoxic therapies, e.g. combined treatment with anthracyclines or taxanes, achieved good tumour regression rates in the neo-adjuvant setting, but also showed considerable recurrence during the first 5 years after therapy. Targeted therapy options involve PARP1 and EGFR inhibition, although both approaches still need further investigation. Conclusions TNBC and BBC are not the same disease entity. The TNBBC subtype shows the largest homogeneity in terms of tumour development, prognosis and clinical intervention options.
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Keywords {🔍}
breast, cancer, google, scholar, article, pubmed, cas, expression, tnbbc, tnbc, brca, triplenegative, tumours, basallike, tumour, parp, gene, subtype, subtypes, patients, therapy, egfr, prognosis, cells, survival, bbc, pathway, response, studies, receptor, res, similar, compared, cell, clin, clinical, growth, phenotype, cancers, therapeutic, treatment, found, inhibitors, oncol, results, mutations, dna, factor, agents, development,
Topics {✒️}
high/p27 low/p53+/glomeruloid-microvascular-proliferation+ gefitinib-resistant mda-mb-468 cells article download pdf brca1-deficient mammary tumors triple-negative breast cancers basal/myoepithelial mammary cells brca1-mutated cell lines dna double-strand break brca1-related breast cancers triple-negative breast cancer tumour-related death diminish brca1/2-mutated breast cancer node-negative breast cancer dna single-strand breaks triple-positive breast cancer hr-negative tumours clustered single-institution compilation compared prolong disease-free survival disease-free survival interval brca1-related breast cancer node-positive breast cancer hr-positive tumours clustered heavily pre-treated patients distant disease-free survival breast-cancer-specific survival anti-egfr antibody cetuximab newly diagnosed african-american y-box binding protein-1 early breast cancer cell-growth-activating pathways hr-positive/her2-negative increased proliferation activity pathologic complete response advanced breast cancer privacy choices/manage cookies poor disease-specific survival triple-negative group histo-morphological subdivision base excision repair brca1-related pathway leading tyrosine kinase activity egfr-positive breast tumours tjan-heijnen department stimulates tumour growth single-strand breaks histo-morphological characteristics metastatic colon cancer triple negative paradox triple-positive group promising therapeutic options
Questions {❓}
- Bertucci F, Finetti P, Cervera N, Esterni B, Hermitte F, Viens P, Birnbaum D (2008) How basal are triple-negative breast cancers?
- Burness ML, Grushko TA, Olopade OI (2010) Epidermal growth factor receptor in triple-negative and basal-like breast cancer: promising clinical target or only a marker?
- Inhibition of PARP1 leads to more single-strand breaks in all cells, so why is it a targeted therapy?
- It will address the following questions: What is the relation between the basal-like subtype and TNBC?
- Nishimura R, Arima N (2008) Is triple negative a prognostic factor in breast cancer?
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headline:Characteristics of triple-negative breast cancer
description:Triple-negative breast cancers (TNBC) neither express hormone receptors, nor overexpress HER2. They are associated with poor prognosis, as defined by low five-year survival and high recurrence rates after adjuvant therapy. Overall, TNBC share striking similarities with basal-like breast cancers (BBC), so a number of studies considered them being the same. The purpose of this review is to summarise the latest findings on TNBC concerning its relation and delineation to BBC, discuss the developmental pathways involved and address clinical implications for this complex type of breast cancer. The recent literature from PubMed and Medline databases was reviewed. Not all TNBC are of the intrinsic BBC subtype (nonbasal (NB)-TNBC), nor are all BBC triple-negative (non-triple-negative (NTN)-BBC). There is increasing evidence that a triple-negative, basal-like breast cancer (TNBBC) subtype develops mainly through a BRCA1-related pathway. Somatic mutations that contribute to NTN-BBC and NB-TNBC development are possibly not related to this pathway, but may occur randomly due to increased genomic instability in these tumours. Several therapeutic options exist for TNBBC, which exhibited promising results in recent clinical trials. Cytotoxic therapies, e.g. combined treatment with anthracyclines or taxanes, achieved good tumour regression rates in the neo-adjuvant setting, but also showed considerable recurrence during the first 5 years after therapy. Targeted therapy options involve PARP1 and EGFR inhibition, although both approaches still need further investigation. TNBC and BBC are not the same disease entity. The TNBBC subtype shows the largest homogeneity in terms of tumour development, prognosis and clinical intervention options.
datePublished:2010-11-11T00:00:00Z
dateModified:2010-11-11T00:00:00Z
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Triple-negative breast cancer (TNBC)
Basal-like breast cancer (BBC)
BRCA1
Adjuvant treatment
Patient outcome
Oncology
Cancer Research
Internal Medicine
Hematology
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headline:Characteristics of triple-negative breast cancer
description:Triple-negative breast cancers (TNBC) neither express hormone receptors, nor overexpress HER2. They are associated with poor prognosis, as defined by low five-year survival and high recurrence rates after adjuvant therapy. Overall, TNBC share striking similarities with basal-like breast cancers (BBC), so a number of studies considered them being the same. The purpose of this review is to summarise the latest findings on TNBC concerning its relation and delineation to BBC, discuss the developmental pathways involved and address clinical implications for this complex type of breast cancer. The recent literature from PubMed and Medline databases was reviewed. Not all TNBC are of the intrinsic BBC subtype (nonbasal (NB)-TNBC), nor are all BBC triple-negative (non-triple-negative (NTN)-BBC). There is increasing evidence that a triple-negative, basal-like breast cancer (TNBBC) subtype develops mainly through a BRCA1-related pathway. Somatic mutations that contribute to NTN-BBC and NB-TNBC development are possibly not related to this pathway, but may occur randomly due to increased genomic instability in these tumours. Several therapeutic options exist for TNBBC, which exhibited promising results in recent clinical trials. Cytotoxic therapies, e.g. combined treatment with anthracyclines or taxanes, achieved good tumour regression rates in the neo-adjuvant setting, but also showed considerable recurrence during the first 5 years after therapy. Targeted therapy options involve PARP1 and EGFR inhibition, although both approaches still need further investigation. TNBC and BBC are not the same disease entity. The TNBBC subtype shows the largest homogeneity in terms of tumour development, prognosis and clinical intervention options.
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Triple-negative breast cancer (TNBC)
Basal-like breast cancer (BBC)
BRCA1
Adjuvant treatment
Patient outcome
Oncology
Cancer Research
Internal Medicine
Hematology
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