Table 1.
Genomic TNBC subtypes and potential therapeutic targets
Subtypes | Genetic abnormalities | Potential therapeutic target |
---|---|---|
BL1 | Cell cycle gene expression DNA repair gene (ATR–BRCA pathway) Proliferation genes |
PARP inhibitors Genotoxic agents |
BL2 | Growth factor signaling pathways (EGFR, MET, NGF, Wnt/β-catenin, IGF-1R) Glycolysis, gluconeogenesis Expression of myoepithelial markers |
mTOR inhibitors Growth-factor inhibitors |
Immunomodulatory | Immune cell processes (CTLA4, IL12, IL7 pathways, antigen processing/presentation) Gene signature for medullary BC (rare TNBC with a favorable prognosis) |
PD1/PDL1 inhibitors |
Mesenchymal-like | Cell motility Cell differentiation Growth factor signaling EMT |
mTOR inhibitors EMT-and CSC-targeted treatment |
Mesenchymal stem-like | Similar to M+ Low proliferation Angiogenesis genes |
PI3K inhibitors Antiangiogenic therapy Src antagonist |
Luminal androgen receptor | Androgen receptor gene Luminal gene expression pattern Molecular apocrine subtype |
Antiandrogen therapy |
Note: Data from Lehmann et al.25
Abbreviations: BC, breast cancer; BL, basal-like; CSC, cancer stem cells; DNA, deoxyribonucleic acid; EGFR, epidermal growth factor receptor; EMT, epithelial-mesenchymal-transition; IGF-1R, insulin-like growth factor I receptor; IL, interleukin; IM, immunomodulatory; LAR, luminal androgen receptor; M, mesenchymal-like; MET, hepatocyte growth factor; mTOR, mammalian target of rapamycin; MSL, mesenchymal stem-like; NGF, nerve growth factor; PARP, poly ADP ribose polymerase; PD1, programmed cell death 1; PDL1, programmed death-ligand 1; PI3K, phosphatidylinositol 3-kinase; TNBC, triple negative breast cancer.