Editorial: Advancement of chemotherapy in breast cancer: predictive markers, resistance mechanism and therapeutic strategies - Report - MDSpire

Editorial: Advancement of chemotherapy in breast cancer: predictive markers, resistance mechanism and therapeutic strategies

  • By

  • Richard Beatson

  • Jinhai Deng

  • Teng Pan

  • Zhendong Shi

  • Ming Zhao

  • July 3, 2026

  • 0 min

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Clinical Report: Progress in Breast Cancer Chemotherapy: Predictive Biomarkers, Mechanisms of Resistance, and Treatment Approaches

Overview

This editorial summarizes advancements in breast cancer chemotherapy, focusing on predictive biomarkers, resistance mechanisms, and treatment strategies. Key findings include the efficacy of pentoxifylline and trimetazidine in reducing chemotherapy-induced neuropathy.

Background

Breast cancer remains the most commonly diagnosed cancer among women and a leading cause of cancer-related mortality. The evolution of chemotherapy has been critical in managing various breast cancer subtypes, particularly in high-risk and triple-negative cases. Understanding predictive biomarkers and resistance mechanisms is essential for treatment optimization.

Data Highlights

No specific numerical data presented in the editorial.

Key Findings

  • Pentoxifylline significantly reduced the incidence of grade 2 or higher peripheral sensory neuropathy in patients undergoing AC/T chemotherapy.
  • Trimetazidine decreased the incidence of grade 2–3 paclitaxel-induced peripheral neuropathy.
  • The Systemic Immune-Inflammation Index (SII) may serve as a prognostic tool for breast cancer incidence and mortality.
  • High biopsy-sTILs and Ki67 levels are predictive of pathological complete response in triple-negative breast cancer patients.

Clinical Implications

The findings highlight the potential of pentoxifylline and trimetazidine to reduce chemotherapy-related side effects.

Conclusion

This editorial summarizes advancements in breast cancer chemotherapy, focusing on predictive biomarkers and resistance mechanisms.

Related Resources & Content

  1. Frontiers in Oncology, 2026 -- Breast cancer chemotherapy in transition: predictive markers, resistance mechanisms, and new treatment approaches
  2. The ASCO Post, 2020 -- High-Risk, HER2-Positive Breast Cancer: Neoadjuvant and Adjuvant Treatment Options
  3. The ASCO Post, 2026 -- New Biomarker May Predict Chemotherapy Response in Patients With Triple-Negative Breast Cancer
  4. The ASCO Post — New Biomarker May Predict Chemotherapy Response in Patients With Triple-Negative Breast Cancer
  5. Updated treatment recommendations for systemic treatment: from the ESMO Metastatic Breast Cancer Living Guideline
  6. St. Gallen/Vienna 2025 Summary of Key Messages on Therapy in Early Breast Cancer
  7. Sentinel Lymph Node Biopsy in Early-Stage Breast Cancer: ASCO Guideline Update | Journal of Clinical Oncology
  8. Efficacy and safety of platinum-based, anthracycline-free neoadjuvant chemotherapy for triple-negative breast cancer: a systematic review and meta-analysis - PMC
  9. Clinical Benefit of Adjuvant Capecitabine According To Residual Cancer Burden in Patients With Triple-Negative Breast Cancer With Residual Disease Following Neoadjuvant Chemotherapy - ScienceDirect
  10. Understanding and overcoming multidrug resistance in cancer | Nature Reviews Clinical Oncology
  11. Antibody–drug conjugates in breast cancer: mechanisms of resistance and future therapeutic perspectives | npj Breast Cancer
  12. Imaging- and Tumor Biomarker–Based Multivariable Model for Early Prediction of Pathologic Complete Response to Neoadjuvant Systemic Therapy in Triple-Negative Breast Cancer | JCO Precision Oncology

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