Targeted Therapy for Breast Cancer Treatment


Authors : Bishal Saha; Dr. Divyendu Gautam

Volume/Issue : Volume 10 - 2025, Issue 4 - April


Google Scholar : https://tinyurl.com/3rvkxe8f

Scribd : https://tinyurl.com/35ed2k3j

DOI : https://doi.org/10.38124/ijisrt/25apr129

Google Scholar

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Note : Google Scholar may take 15 to 20 days to display the article.


Abstract : The treatment of breast cancer contains numerous successes yet it persists as a leading world-wide medical problem. Molecular targeted therapy represents an essential treatment strategy because it focuses therapy on three genetic markers particularly Human Epidermal Growth Factor Receptor 2 (HER2) and Hormone Receptors (HR) along with Breast Cancer Gene (BRCA) mutations. The treatment outcomes have significantly improved by HER2 inhibitors which include trastuzumab, pertuzumab, and trastuzumab emtansine (T-DM1). The therapy of breast cancer positive for hormone receptors becomes more effective through the use of CDK4/6 inhibitors and Mechanistic Target of Rapamycin (mTOR) inhibitors which control cell growth and defeat resistance to hormone therapy. The Poly (Adenosine Diphosphate-Ribose) Polymerase (PARP) inhibitors olaparib and talazoparib prove beneficial for triple-negative breast cancer patients who have BRCA mutations. The immune checkpoint inhibitor pembrolizumab together with other immunotherapies demonstrates great benefit specifically in triple-negative breast cancer when the disease progresses rapidly. Current treatment of breast cancer faces major hurdles because patients develop drug resistance and their tumors show variation between individuals while experiencing adverse side effects. Ongoing study on combination therapeutic approaches seeks to develop treatments which increase both treatment efficacy and patient survival rates.

Keywords : Breast Cancer; Molecular Targeted Therapy; Human Epidermal Growth Factor Receptor 2 (HER2) Inhibitors; Poly (Adenosine Diphosphate-Ribose) Polymerase (PARP) Inhibitors; Immunotherapy.

References :

  1. Higgins MJ, Baselga J. Targeted therapies for breast cancer. The Journal of clinical investigation. 2011 Oct 3;121(10):3797-803.
  2. Di Cosimo S, Baselga J. Targeted therapies in breast cancer: where are we now?. European Journal of Cancer. 2008 Dec 1;44(18):2781-90.
  3. Oh DY, Bang YJ. HER2-targeted therapies—a role beyond breast cancer. Nature reviews Clinical oncology. 2020 Jan;17(1):33-48.
  4. Zhu K, Wu Y, He P, Fan Y, Zhong X, Zheng H, Luo T. PI3K/AKT/mTOR-targeted therapy for breast cancer. Cells. 2022 Aug 12;11(16):2508.
  5. Lyons TG. Targeted therapies for triple-negative breast cancer. Current treatment options in oncology. 2019 Nov;20(11):82.
  6. Anders CK, Winer EP, Ford JM, Dent R, Silver DP, Sledge GW, Carey LA. Poly (ADP-Ribose) polymerase inhibition:“targeted” therapy for triple-negative breast cancer. Clinical Cancer Research. 2010 Oct 1;16(19):4702-10.
  7. Witkiewicz AK, Cox D, Knudsen ES. CDK4/6 inhibition provides a potent adjunct to Her2-targeted therapies in preclinical breast cancer models. Genes & cancer. 2014 Jul;5(7-8):261.
  8. Wagner AD, Thomssen C, Haerting J, Unverzagt S. Vascular‐endothelial‐growth‐factor (VEGF) targeting therapies for endocrine refractory or resistant metastatic breast cancer. Cochrane Database of Systematic Reviews. 2012(7).
  9. Alvarez RH, Valero V, Hortobagyi GN. Emerging targeted therapies for breast cancer. Journal of clinical oncology. 2010 Jul 10;28(20):3366-79.
  10. Yamamoto-Ibusuki M, Arnedos M, André F. Targeted therapies for ER+/HER2-metastatic breast cancer. BMC medicine. 2015 Dec;13:1-2.
  11. Tagliabue E, Balsari A, Campiglio M, Pupa SM. HER2 as a target for breast cancer therapy. Expert opinion on biological therapy. 2010 May 1;10(5):711-24.
  12. Jordan VC. Tamoxifen (ICI46, 474) as a targeted therapy to treat and prevent breast cancer. British journal of pharmacology. 2006 Jan;147(S1):S269-76.
  13. Ghosh J, Gupta S, Desai S, Shet T, Radhakrishnan S, Suryavanshi P, Parmar V, Jalali R, Goyal G, Hawaldar R, Patil A. Estrogen, progesterone and HER2 receptor expression in breast tumors of patients, and their usage of HER2-targeted therapy, in a tertiary care centre in India. Indian journal of cancer. 2011 Oct 1;48(4):391-6.
  14. Incorvati JA, Shah S, Mu Y, Lu J. Targeted therapy for HER2 positive breast cancer. Journal of hematology & oncology. 2013 Dec;6:1-9.
  15. Dent S, Oyan B, Honig A, Mano M, Howell S. HER2-targeted therapy in breast cancer: a systematic review of neoadjuvant trials. Cancer treatment reviews. 2013 Oct 1;39(6):622-31.
  16. Mercogliano MF, Bruni S, Mauro FL, Schillaci R. Emerging targeted therapies for HER2-positive breast cancer. Cancers. 2023 Mar 26;15(7):1987.
  17. Diaby V, Tawk R, Sanogo V, Xiao H, Montero AJ. A review of systematic reviews of the cost-effectiveness of hormone therapy, chemotherapy, and targeted therapy for breast cancer. Breast cancer research and treatment. 2015 May;151:27-40.
  18. Gampenrieder SP, Rinnerthaler G, Greil R. Neoadjuvant chemotherapy and targeted therapy in breast cancer: past, present, and future. Journal of oncology. 2013;2013(1):732047.
  19. Partridge AH, Rumble RB, Carey LA, Come SE, Davidson NE, Di Leo A, Gralow J, Hortobagyi GN, Moy B, Yee D, Brundage SB. Chemotherapy and targeted therapy for women with human epidermal growth factor receptor 2–negative (or unknown) advanced breast cancer: American Society of Clinical Oncology clinical practice guideline. Journal of clinical oncology. 2014 Oct 10;32(29):3307-29.
  20. Perez EA, Spano JP. Current and emerging targeted therapies for metastatic breast cancer. Cancer. 2012 Jun 15;118(12):3014-25.
  21. Neuman HB, Morrogh M, Gonen M, Van Zee KJ, Morrow M, King TA. Stage IV breast cancer in the era of targeted therapy: does surgery of the primary tumor matter?. Cancer: Interdisciplinary International Journal of the American Cancer Society. 2010 Mar 1;116(5):1226-33.
  22. W. Grunt T, L. Mariani G. Novel approaches for molecular targeted therapy of breast cancer: interfering with PI3K/AKT/mTOR signaling. Current cancer drug targets. 2013 Feb 1;13(2):188-204.
  23. Ju J, Zhu AJ, Yuan P. Progress in targeted therapy for breast cancer. Chronic diseases and translational medicine. 2018 Sep 1;4(03):164-75.

The treatment of breast cancer contains numerous successes yet it persists as a leading world-wide medical problem. Molecular targeted therapy represents an essential treatment strategy because it focuses therapy on three genetic markers particularly Human Epidermal Growth Factor Receptor 2 (HER2) and Hormone Receptors (HR) along with Breast Cancer Gene (BRCA) mutations. The treatment outcomes have significantly improved by HER2 inhibitors which include trastuzumab, pertuzumab, and trastuzumab emtansine (T-DM1). The therapy of breast cancer positive for hormone receptors becomes more effective through the use of CDK4/6 inhibitors and Mechanistic Target of Rapamycin (mTOR) inhibitors which control cell growth and defeat resistance to hormone therapy. The Poly (Adenosine Diphosphate-Ribose) Polymerase (PARP) inhibitors olaparib and talazoparib prove beneficial for triple-negative breast cancer patients who have BRCA mutations. The immune checkpoint inhibitor pembrolizumab together with other immunotherapies demonstrates great benefit specifically in triple-negative breast cancer when the disease progresses rapidly. Current treatment of breast cancer faces major hurdles because patients develop drug resistance and their tumors show variation between individuals while experiencing adverse side effects. Ongoing study on combination therapeutic approaches seeks to develop treatments which increase both treatment efficacy and patient survival rates.

Keywords : Breast Cancer; Molecular Targeted Therapy; Human Epidermal Growth Factor Receptor 2 (HER2) Inhibitors; Poly (Adenosine Diphosphate-Ribose) Polymerase (PARP) Inhibitors; Immunotherapy.

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe