UNVEILING INNOVATIONS: THE SPECTRUM OF DRUG DEVELOPMENT IN BREAST CANCER SUBTYPES

Main Article Content

Anum Zufiqar
Sameen Shahid
Afifa Afifa
Aneeqa Munawar
Sadia Hussain
Hafsa Butt
Hira Ahsaan Ullah
Mahnoor Yamin
Dr Maryam Zain

Keywords

Breast Cancer, Drug Development, Nanoparticles

Abstract

Recent years have seen several promising developments in improving our knowledge of molecular pathways of the development of cancer. These advancements have made it possible to identify potential novel objectives for cancer treatment. In Females, breast cancer (BC) is the most prevalent type of cancer. Growing comprehension of the physiological variability of BC has made it possible to create more specific and efficient treatment plans. In this review, we address the different newly developed innovative therapeutics for the main molecular subtypes of BC and provide an update on the current treatment approach. Included is a quick overview of the clinical development of immunological checkpoints, poly (ADP-ribose) polymerase inhibitors, protein kinase B inhibitors, AKT blockers, cyclin-dependent kinases 4 and 6, and, phosphatidylinositol 3-kinase for therapy of BC. Nevertheless, no specific medication has been authorized for the most severe subtype of triple-negative breast cancer. Therefore, we go over TNBC's heterogeneity and how molecular subtyping of TNBC could aid in developing new treatments for this most aggressive cancer of breast. The diagnosis and treatment of metastatic breast cancer are complicated by the heterogeneity of the tumor and a variety of physiological barriers that prevent drugs from reaching the metastatic areas. Few Nano formulated medications have been effectively introduced into clinical practice even though several have been developed and evaluated in preclinical trials as a means of overcoming these constraints. This review shows that, in comparison to traditional chemotherapy, Nano formulated albumin-bound paclitaxel has a better therapeutic index and significantly lower drug toxicity.

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References

1. Giaquinto AN, Sung H, Miller KD, Kramer JL, Newman LA, Minihan A, et al. Breast cancer statistics, 2022. 2022;72(6):524-41.
2. Tufail M, Wu CJJCCI. Cancer Statistics in Pakistan from 1994 to 2021: data from cancer registry. 2023;7:e2200142.
3. Riggio AI, Varley KE, Welm ALJBjoc. The lingering mysteries of metastatic recurrence in breast cancer. 2021;124(1):13-26.
4. Fischgrabe J, Wulfing PJCcp. Targeted therapies in breast cancer: established drugs and recent developments. 2008;3(2):85-98.
5. Ellsworth RE, Blackburn HL, Shriver CD, Soon-Shiong P, Ellsworth DL, editors. Molecular heterogeneity in breast cancer: State of the science and implications for patient care. Seminars in cell & developmental biology; 2017: Elsevier.
6. Baliu-Piqué M, Pandiella A, Ocana AJC. Breast cancer heterogeneity and response to novel therapeutics. 2020;12(11):3271.
7. Fu Z, Li S, Han S, Shi C, Zhang YJSt, therapy t. Antibody drug conjugate: the “biological missile” for targeted cancer therapy. 2022;7(1):93.
8. Yu J, Fang T, Yun C, Liu X, Cai XJFimb. Antibody-drug conjugates targeting the human epidermal growth factor receptor family in cancers. 2022;9:847835.
9. Hussain Z, Khan JA, Murtaza SJCRiEGE. Nanotechnology: An emerging therapeutic option for breast cancer. 2018;28(2).
10. Prados J, Melguizo C, Ortiz R, Velez C, J Alvarez P, L Arias J, et al. Doxorubicin-loaded nanoparticles: new advances in breast cancer therapy. 2012;12(9):1058-70.
11. Arshad A, Liaqat H. Relative worth of Estrogen and Progesterone receptors as indicators of prognosis in Breast Cancer.
12. Waks AG, Winer EPJJ. Breast cancer treatment. 2019;321(3):316-.
13. Hashmi AA, Aijaz S, Khan SM, Mahboob R, Irfan M, Zafar NI, et al. Prognostic parameters of luminal A and luminal B intrinsic breast cancer subtypes of Pakistani patients. 2018;16:1-6.
14. Tarantino P, Hamilton E, Tolaney SM, Cortes J, Morganti S, Ferraro E, et al. HER2-low breast cancer: pathological and clinical landscape. 2020;38(17):1951-62.
15. Ensenyat-Mendez M, Llinàs-Arias P, Orozco JI, Íñiguez-Muñoz S, Salomon MP, Sesé B, et al. Current triple-negative breast cancer subtypes: dissecting the most aggressive form of breast cancer. 2021;11:681476.
16. Malorni L, Shetty P, De Angelis C, Hilsenbeck S, Rimawi M, Elledge R, et al. Clinical and biologic features of triple-negative breast cancers in a large cohort of patients with long-term follow-up. 2012;136:795-804.
17. Lehmann BD, Jovanović B, Chen X, Estrada MV, Johnson KN, Shyr Y, et al. Refinement of triple-negative breast cancer molecular subtypes: implications for neoadjuvant chemotherapy selection. 2016;11(6):e0157368.
18. Zhao S, Ma D, Xiao Y, Li XM, Ma JL, Zhang H, et al. Molecular subtyping of triple‐negative breast cancers by immunohistochemistry: molecular basis and clinical relevance. 2020;25(10):e1481-e91.
19. Turner KM, Yeo SK, Holm TM, Shaughnessy E, Guan J-LJAJoP-CP. Heterogeneity within molecular subtypes of breast cancer. 2021;321(2):C343-C54.
20. Höller A, Nguyen-Sträuli BD, Frauchiger-Heuer H, Ring AJBCT, Therapy. Diagnostic and prognostic biomarkers of luminal breast cancer: Where are we now? 2023:525-40.
21. Reinert T, Barrios CHJTaimo. Optimal management of hormone receptor positive metastatic breast cancer in 2016. 2015;7(6):304-20.
22. Vanhaesebroeck B, Perry MW, Brown JR, André F, Okkenhaug KJNRDD. PI3K inhibitors are finally coming of age. 2021;20(10):741-69.
23. Xu H, Yu S, Liu Q, Yuan X, Mani S, Pestell RG, et al. Recent advances of highly selective CDK4/6 inhibitors in breast cancer. 2017;10(1):1-12.
24. Eckschlager T, Plch J, Stiborova M, Hrabeta JJIjoms. Histone deacetylase inhibitors as anticancer drugs. 2017;18(7):1414.
25. Wang Y, Jing F, Wang HJAit. Role of exemestane in the treatment of estrogen-receptor-positive breast cancer: a narrative review of recent evidence. 2022;39(2):862-91.
26. Zhang M, Jang H, Nussinov RJCS. PI3K inhibitors: review and new strategies. 2020;11(23):5855-65.
27. Markham AJD. Alpelisib: first global approval. 2019;79(11):1249-53.
28. Patel A, Unni N, Peng YJC. The changing paradigm for the treatment of HER2-positive breast cancer. 2020;12(8):2081.
29. Hayes DF, Thor AD, Dressler LG, Weaver D, Edgerton S, Cowan D, et al. HER2 and response to paclitaxel in node-positive breast cancer. 2007;357(15):1496-506.
30. Ferraro E, Drago JZ, Modi SJBCR. Implementing antibody-drug conjugates (ADCs) in HER2-positive breast cancer: state of the art and future directions. 2021;23(1):84.
31. Yao H, He G, Yan S, Chen C, Song L, Rosol TJ, et al. Triple-negative breast cancer: is there a treatment on the horizon? 2017;8(1):1913.
32. Lehmann BD, Bauer JA, Chen X, Sanders ME, Chakravarthy AB, Shyr Y, et al. Identification of human triple-negative breast cancer subtypes and preclinical models for selection of targeted therapies. 2011;121(7):2750-67.
33. McCann KE, Hurvitz SAJDic. Advances in the use of PARP inhibitor therapy for breast cancer. 2018;7.
34. Beniey M, Haque T, Hassan SJO. Translating the role of PARP inhibitors in triple-negative breast cancer. 2019;6(1-2):287.
35. Christenson JL, O'Neill KI, Williams MM, Spoelstra NS, Jones KL, Trahan GD, et al. Activity of combined androgen receptor antagonism and cell cycle inhibition in androgen receptor positive triple negative breast cancer. 2021;20(6):1062-71.
36. Simiczyjew A, Dratkiewicz E, Van Troys M, Ampe C, Styczeń I, Nowak DJC. Combination of EGFR inhibitor lapatinib and MET inhibitor foretinib inhibits migration of triple negative breast cancer cell lines. 2018;10(9):335.
37. Canonici A, Browne AL, Ibrahim MF, Fanning KP, Roche S, Conlon NT, et al. Combined targeting EGFR and SRC as a potential novel therapeutic approach for the treatment of triple negative breast cancer. 2020;12:1758835919897546.
38. Falagan-Lotsch P, Grzincic EM, Murphy CJJBc. New advances in nanotechnology-based diagnosis and therapeutics for breast cancer: an assessment of active-targeting inorganic nanoplatforms. 2017;28(1):135-52.
39. Fanciullino R, Ciccolini J, Milano GJCrioh. Challenges, expectations and limits for nanoparticles-based therapeutics in cancer: a focus on nano-albumin-bound drugs. 2013;88(3):504-13.
40. Awada A, Bondarenko I, Bonneterre J, Nowara E, Ferrero J, Bakshi A, et al. A randomized controlled phase II trial of a novel composition of paclitaxel embedded into neutral and cationic lipids targeting tumor endothelial cells in advanced triple-negative breast cancer (TNBC). 2014;25(4):824-31.
41. Marta T, Luca S, Serena M, Luisa F, Fabio CJJoN. What is the role of nanotechnology in diagnosis and treatment of metastatic breast cancer? Promising scenarios for the near future. 2016;2016.