4.5 Review

Strategies for the treatment of breast cancer: from classical drugs to mathematical models

Journal

MATHEMATICAL BIOSCIENCES AND ENGINEERING
Volume 18, Issue 5, Pages 6328-6385

Publisher

AMER INST MATHEMATICAL SCIENCES-AIMS
DOI: 10.3934/mbe.2021316

Keywords

breast cancer; drug repurposing; immunotherapy; nanoparticles; mathematical models

Funding

  1. FEDER-Fundo Europeu de Desenvolimento Regional through the COMPETE 2020-Operational Programme for Competitiveness and Internationalization (POCI) , Portugal 2020
  2. Portuguese funds throughFCT-Fundacaopara a Ciencia e a Tecnologia [UIDB/4255/2020]
  3. FCT
  4. FEDER (European Union) [IF/00092/2014/CP1255/CT0004]

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Breast cancer, a common heterogeneous disease affecting women, can be treated with various strategies such as immunotherapy, nanoparticles, and drug reuse. These approaches can be applied alone or in combination to improve treatment outcomes.
Breast cancer is one of the most common cancers and generally affects women. It is a heterogeneous disease that presents different entities, different biological characteristics, and differentiated clinical behaviors. With this in mind, this literature review had as its main objective to analyze the path taken from the simple use of classical drugs to the application of mathematical models, which through the many ongoing studies, have been considered as one of the reliable strategies, explaining the reasons why chemotherapy is not always successful. Besides, the most commonly mentioned strategies are immunotherapy, which includes techniques and therapies such as the use of antibodies, cytokines, antitumor vaccines, oncolytic and genomic viruses, among others, and nanoparticles, including metallic, magnetic, polymeric, liposome, dendrimer, micelle, and others, as well as drug reuse, which is a process by which new therapeutic indications are found for existing and approved drugs. The most commonly used pharmacological categories are cardiac, antiparasitic, anthelmintic, antiviral, antibiotic, and others. For the efficient development of reused drugs, there must be a process of exchange of purposes, methods, and information already available, and for their better understanding, computational mathematical models are then used, of which the methods of blind search or screening, based on the target, knowledge, signature, pathway or network and the mechanism to which it is directed, stand out. To conclude it should be noted that these different strategies can be applied alone or in combination with each other always to improve breast cancer treatment.

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