PMID- 33384227 OWN - NLM STAT- MEDLINE DCOM- 20220119 LR - 20220119 IS - 1938-0666 (Electronic) IS - 1526-8209 (Linking) VI - 21 IP - 4 DP - 2021 Aug TI - Targeted Therapies for Breast Cancer Brain Metastases. PG - 263-270 LID - S1526-8209(20)30323-2 [pii] LID - 10.1016/j.clbc.2020.11.014 [doi] AB - The management of breast cancer, the most common cancer in the female population, has changed dramatically over years with the introduction of newer therapies. An increased incidence of brain metastases in recent years has created a challenge for oncologists because this population continues to have a poorer prognosis compared to metastatic breast cancer without central nervous system involvement. Historically, the exclusion of breast cancer patients with brain metastases from clinical trials has made treatment options even more limited. Nonetheless, more recently, this unmet need has been recognized by basic and clinical researchers and has led to the development of targeted therapies with better blood-brain barrier penetration and intracranial efficacy. Here we review targeted therapies directed at human epidermal growth factor receptor type 2 (HER2), vascular endothelial growth factor (VEGF), mammalian target of rapamycin (mTOR), epidermal growth factor receptor (EGFR), cyclin-dependent kinase 4 and 6 (CDK4/6) and poly(ADP-ribose) polymerase (PARP) for breast cancer patients with brain metastases. These therapies aim to be more efficacious and less toxic to represent a paradigm shift in the management of breast cancer brain metastases. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Cali Daylan, Ayse Ece AU - Cali Daylan AE AD - Department of Medicine, St Elizabeth's Medical Center, Boston, MA; Department of Medicine, Tufts University School of Medicine, Boston, MA. Electronic address: ayseececalidaylan@gmail.com. FAU - Leone, Jose Pablo AU - Leone JP AD - Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20201201 PL - United States TA - Clin Breast Cancer JT - Clinical breast cancer JID - 100898731 SB - IM MH - Brain Neoplasms/*secondary/*therapy MH - Breast Neoplasms/*pathology/*therapy MH - Female MH - Humans MH - *Molecular Targeted Therapy OTO - NOTNLM OT - Blood brain barrier OT - Central nervous system OT - Metastatic breast cancer EDAT- 2021/01/02 06:00 MHDA- 2022/01/20 06:00 CRDT- 2021/01/01 05:16 PHST- 2020/07/02 00:00 [received] PHST- 2020/10/17 00:00 [revised] PHST- 2020/11/24 00:00 [accepted] PHST- 2021/01/02 06:00 [pubmed] PHST- 2022/01/20 06:00 [medline] PHST- 2021/01/01 05:16 [entrez] AID - S1526-8209(20)30323-2 [pii] AID - 10.1016/j.clbc.2020.11.014 [doi] PST - ppublish SO - Clin Breast Cancer. 2021 Aug;21(4):263-270. doi: 10.1016/j.clbc.2020.11.014. Epub 2020 Dec 1.