Department of Biochemistry, J.N. Medical College, Aligarh Muslim University, Aligarh, 202002, India.
Department of Zoology, Aligarh Muslim University, Aligarh, India.
Mol Cell Biochem. 2024 Apr;479(4):895-913. doi: 10.1007/s11010-023-04772-6. Epub 2023 May 29.
Cancer is a group of diseases characterized by uncontrolled cellular growth, abnormal morphology, and altered proliferation. Cancerous cells lose their ability to act as anchors, allowing them to spread throughout the body and infiltrate nearby cells, tissues, and organs. If these cells are not identified and treated promptly, they will likely spread. Around 70% of female breast cancers are caused by a mutation in the BRCA gene, specifically BRCA1. The absence of progesterone, oestrogen and HER2 receptors (human epidermal growth factor) distinguishes the TNBC subtype of breast cancer. There were approximately 6,85,000 deaths worldwide and 2.3 million new breast cancer cases in women in 2020. Breast cancer is the most common cancer globally, affecting 7.8 million people at the end of 2020. Compared to other cancer types, breast cancer causes more women to lose disability-adjusted life years (DALYs). Worldwide, women can develop breast cancer at any age after puberty, but rates increase with age. The maintenance of mammary stem cell stemness is disrupted in TNBC, governed by signalling cascades controlling healthy mammary gland growth and development. Interpreting these essential cascades may facilitate an in-depth understanding of TNBC cancer and the search for an appropriate therapeutic target. Its treatment remains challenging because it lacks specific receptors, which renders hormone therapy and medications ineffective. In addition to radiotherapy, numerous recognized chemotherapeutic medicines are available as inhibitors of signalling pathways, while others are currently undergoing clinical trials. This article summarizes the vital druggable targets, therapeutic approaches, and strategies associated with TNBC.
癌症是一组以细胞生长失控、形态异常和增殖改变为特征的疾病。癌细胞失去了作为锚点的能力,使其能够扩散到全身并浸润附近的细胞、组织和器官。如果这些细胞没有被及时识别和治疗,它们很可能会扩散。大约 70%的女性乳腺癌是由 BRCA 基因突变引起的,特别是 BRCA1。孕激素、雌激素和 HER2 受体(人表皮生长因子)的缺失将乳腺癌的 TNBC 亚型区分开来。2020 年,全球约有 68.5 万人死于乳腺癌,新增 230 万女性乳腺癌病例。乳腺癌是全球最常见的癌症,2020 年底影响了 780 万人。与其他癌症类型相比,乳腺癌导致更多的女性失去残疾调整生命年(DALYs)。在全球范围内,女性在青春期后任何年龄都可能患上乳腺癌,但随着年龄的增长,发病率会上升。TNBC 中破坏了乳腺干细胞干性的维持,由控制健康乳腺生长和发育的信号级联来控制。解释这些基本级联可能有助于深入了解 TNBC 癌症,并寻找合适的治疗靶点。由于缺乏特定的受体,激素治疗和药物治疗无效,因此其治疗仍然具有挑战性。除了放射治疗外,还有许多被认可的化疗药物可用作信号通路抑制剂,而其他药物目前正在临床试验中。本文总结了 TNBC 的重要可药物靶标、治疗方法和策略。