# Trop2-Based Antibody–Drug Conjugates: Emerging Strategy and Progress in Triple-Negative Breast Cancer Therapy

**Authors:** Tong Li, Tao Zhang, Yongxia Dang, Yilin Lin, Xiaotong Li, Xiaoling Ling

PMC · DOI: 10.3390/curroncol33020092 · Current Oncology · 2026-02-03

## TL;DR

This paper reviews the progress of Trop2-targeted antibody-drug conjugates in treating triple-negative breast cancer, highlighting their potential as a precision medicine approach.

## Contribution

The paper provides a systematic review of clinical research on Trop2-targeted ADCs for TNBC, offering evidence-based insights for improved patient outcomes.

## Key findings

- Trop2 is overexpressed in 88% of TNBC cases and is linked to tumor aggression and poor prognosis.
- Trop2-targeted ADCs show significant clinical potential as a novel therapeutic strategy for TNBC.
- Trop2-targeted therapies are emerging as a cornerstone of precision medicine for solid tumors.

## Abstract

With the aim of providing evidence-based insights for improved prognosis in TNBC patients, this article conducts a systematic review of the clinical research progress of Trop2-targeted ADCs. Trop2-targeted therapies are set to become a cornerstone of precision medicine for solid tumors, thereby paving the way for superior treatment options for patients.

Triple-negative breast cancer (TNBC) accounts for 15–20% of invasive breast cancers and represents a highly heterogeneous, aggressive subtype with poor prognosis and limited treatment options, necessitating the identification of novel therapeutic targets to improve clinical outcomes. Trophoblast cell-surface antigen 2 (Trop2), a calcium signal transducer, is frequently overexpressed in TNBC (approximately 88% of cases) while exhibiting minimal expression in normal tissues. Its overexpression is significantly associated with tumor invasion, metastasis, and unfavorable prognosis. Antibody–drug conjugates (ADCs) targeting Trop2 have demonstrated significant clinical potential. This article systematically reviews the clinical research progress of Trop2-targeted ADCs, aiming to provide evidence-based insights for improving the prognosis of TNBC patients.

## Linked entities

- **Genes:** TACSTD2 (tumor associated calcium signal transducer 2) [NCBI Gene 4070]
- **Diseases:** triple-negative breast cancer (MONDO:0005494), breast cancer (MONDO:0004989)

## Full-text entities

- **Genes:** PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, HMGB1 (high mobility group box 1) [NCBI Gene 3146] {aka HMG-1, HMG1, HMG3, SBP-1}, ABCG2 (ATP binding cassette subfamily G member 2 (JR blood group)) [NCBI Gene 9429] {aka ABC15, ABCP, BCRP, BMDP, CD338, CDw338}, CD274 (CD274 molecule) [NCBI Gene 29126] {aka ADMIO5, B7-H, B7H1, PD-L1, PDCD1L1, PDCD1LG1}, AZIN2 (antizyme inhibitor 2) [NCBI Gene 113451] {aka ADC, AZIB1, ODC-p, ODC1L, ODCp}, IFNG (interferon gamma) [NCBI Gene 3458] {aka IFG, IFI, IMD69}, ABCB1 (ATP binding cassette subfamily B member 1) [NCBI Gene 5243] {aka ABC20, CD243, CLCS, ENPAT, GP170, MDR1}, PTK2B (protein tyrosine kinase 2 beta) [NCBI Gene 2185] {aka CADTK, CAKB, FADK2, FAK2, PKB, PTK}, PIK3R1 (phosphoinositide-3-kinase regulatory subunit 1) [NCBI Gene 5295] {aka AGM7, GRB1, IMD36, p85, p85-ALPHA, p85alpha}, ERBB3 (erb-b2 receptor tyrosine kinase 3) [NCBI Gene 2065] {aka ErbB-3, FERLK, HER3, LCCS2, MDA-BF-1, VSCN1}, CD86 (CD86 molecule) [NCBI Gene 942] {aka B7-2, B7.2, B70, BU63, CD28LG2, CD86 v6}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, CTSB (cathepsin B) [NCBI Gene 1508] {aka APPS, CPSB, KWE, RECEUP}, TOP1 (DNA topoisomerase I) [NCBI Gene 7150] {aka TOPI}, CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, CTNNB1 (catenin beta 1) [NCBI Gene 1499] {aka CTNNB, EVR7, MRD19, NEDSDV, armadillo}, TACSTD2 (tumor associated calcium signal transducer 2) [NCBI Gene 4070] {aka EGP-1, EGP1, GA733-1, GA7331, GP50, M1S1}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, VTCN1 (V-set domain containing T cell activation inhibitor 1) [NCBI Gene 79679] {aka B7-H4, B7H4, B7S1, B7X, B7h.5, PRO1291}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, SLC39A6 (solute carrier family 39 member 6) [NCBI Gene 25800] {aka LIV-1, LIV1, ZIP6}, PARP1 (poly(ADP-ribose) polymerase 1) [NCBI Gene 142] {aka ADPRT, ADPRT 1, ADPRT1, ARTD1, PARP, PARP-1}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, TG (thyroglobulin) [NCBI Gene 7038] {aka AITD3, TGN}, SLC46A3 (solute carrier family 46 member 3) [NCBI Gene 283537] {aka FKSG16}, NR4A1 (nuclear receptor subfamily 4 group A member 1) [NCBI Gene 3164] {aka GFRP1, HMR, N10, NAK-1, NGFIB, NP10}
- **Diseases:** TNBC (MESH:D064726), Breast Cancer (MESH:D001943), ILD (MESH:D017563), anemia (MESH:D000740), metastasis (MESH:D009362), neutropenia (MESH:D009503), hematologic toxicities (MESH:D006402), AEs (MESH:D064420), stomatitis (MESH:D013280), alopecia (MESH:D000505), nausea (MESH:D009325), ADCs (MESH:D009759), fatigue (MESH:D005221), diarrhea (MESH:D003967), ocular toxicity (MESH:D000081028), injury to (MESH:D014947), defects (MESH:D000013), Cancer (MESH:D009369)
- **Chemicals:** SG (MESH:C000608132), ATP (MESH:D000255), olaparib (MESH:C531550), DUR (MESH:C000613593), Gemcitabine (MESH:D000093542), camptothecin (MESH:D002166), DM4 (MESH:D008453), talazoparib (MESH:C586365), patritumab deruxtecan (MESH:C000710748), calcium (MESH:D002118), DXd (-), Carboplatin (MESH:D016190), capecitabine (MESH:D000069287), pembrolizumab (MESH:C582435), Val (MESH:D014633), atezolizumab (MESH:C000594389), vinorelbine (MESH:D000077235), glycine (MESH:D005998), trilaciclib (MESH:C000708352), KL-A167 (MESH:C087128), SN-38 (MESH:D000077146), PIP2 (MESH:D019269), Paclitaxel (MESH:D017239), trastuzumab (MESH:D000068878), alpelisib (MESH:C585539), eribulin (MESH:C490954)
- **Species:** Homo sapiens (human, species) [taxon 9606]
- **Mutations:** T256R
- **Cell lines:** SKB-264 — Homo sapiens (Human), Galactosemia, Finite cell line (CVCL_CX16)

## Full text

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## Figures

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## References

85 references — full list in the complete paper: https://tomesphere.com/paper/PMC12939079/full.md

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Source: https://tomesphere.com/paper/PMC12939079