PMID- 32245065 OWN - NLM STAT- MEDLINE DCOM- 20201013 LR - 20201013 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 17 IP - 6 DP - 2020 Mar 20 TI - Triple-Negative Breast Cancer: A Review of Conventional and Advanced Therapeutic Strategies. LID - 10.3390/ijerph17062078 [doi] LID - 2078 AB - Triple-negative breast cancer (TNBC) cells are deficient in estrogen, progesterone and ERBB2 receptor expression, presenting a particularly challenging therapeutic target due to their highly invasive nature and relatively low response to therapeutics. There is an absence of specific treatment strategies for this tumor subgroup, and hence TNBC is managed with conventional therapeutics, often leading to systemic relapse. In terms of histology and transcription profile these cancers have similarities to BRCA-1-linked breast cancers, and it is hypothesized that BRCA1 pathway is non-functional in this type of breast cancer. In this review article, we discuss the different receptors expressed by TNBC as well as the diversity of different signaling pathways targeted by TNBC therapeutics, for example, Notch, Hedgehog, Wnt/b-Catenin as well as TGF-beta signaling pathways. Additionally, many epidermal growth factor receptor (EGFR), poly (ADP-ribose) polymerase (PARP) and mammalian target of rapamycin (mTOR) inhibitors effectively inhibit the TNBCs, but they face challenges of either resistance to drugs or relapse. The resistance of TNBC to conventional therapeutic agents has helped in the advancement of advanced TNBC therapeutic approaches including hyperthermia, photodynamic therapy, as well as nanomedicine-based targeted therapeutics of drugs, miRNA, siRNA, and aptamers, which will also be discussed. Artificial intelligence is another tool that is presented to enhance the diagnosis of TNBC. FAU - Medina, Mauricio A AU - Medina MA AUID- ORCID: 0000-0002-5068-7678 AD - Department of Nanoscience and Nanotechnology, CINVESTAV, Zacatenco, Avenida Instituto Politecnico Nacional 2508, Mexico City 07360, Mexico. FAU - Oza, Goldie AU - Oza G AUID- ORCID: 0000-0003-1051-0795 AD - Centro de Investigacion y Desarrollo Tecnologico en Electroquimica (CIDETEQ), Parque Tecnologico Queretaro s/n, Sanfandila. Pedro Escobedo, Queretaro 76703, Mexico. FAU - Sharma, Ashutosh AU - Sharma A AUID- ORCID: 0000-0002-9000-1378 AD - Tecnologico de Monterrey, School of Engineering and Sciences, Campus Queretaro, Av. Epigmenio Gonzalez No. 500, Fracc. San Pablo, Queretaro 76130, Mexico. FAU - Arriaga, L G AU - Arriaga LG AD - Centro de Investigacion y Desarrollo Tecnologico en Electroquimica (CIDETEQ), Parque Tecnologico Queretaro s/n, Sanfandila. Pedro Escobedo, Queretaro 76703, Mexico. FAU - Hernandez Hernandez, Jose Manuel AU - Hernandez Hernandez JM AD - Department of Cell Biology, CINVESTAV, Zacatenco, Avenida Instituto Politecnico Nacional 2508, Mexico City 07360, Mexico. FAU - Rotello, Vincent M AU - Rotello VM AUID- ORCID: 0000-0002-5184-5439 AD - Department of Chemistry, University of Massachusetts, 710 North Pleasant Street, Amherst, MA 01003, USA. FAU - Ramirez, Jose Tapia AU - Ramirez JT AUID- ORCID: 0000-0002-4641-7181 AD - Department of Genetics and Molecular Biology, CINVESTAV, Zacatenco, Avenida Instituto Politecnico Nacional 2508, Mexico City 07360, Mexico. LA - eng GR - EB022641/NH/NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20200320 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0 (Poly(ADP-ribose) Polymerase Inhibitors) RN - 0 (Receptors, Cell Surface) RN - EC 2.4.2.30 (Poly(ADP-ribose) Polymerases) SB - IM MH - *Artificial Intelligence MH - Female MH - Humans MH - Neoplasm Recurrence, Local MH - Poly(ADP-ribose) Polymerase Inhibitors MH - Poly(ADP-ribose) Polymerases MH - Receptors, Cell Surface MH - Signal Transduction MH - *Triple Negative Breast Neoplasms/diagnosis/metabolism/therapy PMC - PMC7143295 OTO - NOTNLM OT - artificial intelligence OT - immunotherapy OT - nanomedicine OT - theranostics OT - triple negative breast cancer COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2020/04/05 06:00 MHDA- 2020/10/21 06:00 PMCR- 2020/03/01 CRDT- 2020/04/05 06:00 PHST- 2020/01/27 00:00 [received] PHST- 2020/03/02 00:00 [revised] PHST- 2020/03/03 00:00 [accepted] PHST- 2020/04/05 06:00 [entrez] PHST- 2020/04/05 06:00 [pubmed] PHST- 2020/10/21 06:00 [medline] PHST- 2020/03/01 00:00 [pmc-release] AID - ijerph17062078 [pii] AID - ijerph-17-02078 [pii] AID - 10.3390/ijerph17062078 [doi] PST - epublish SO - Int J Environ Res Public Health. 2020 Mar 20;17(6):2078. doi: 10.3390/ijerph17062078.