Yida Wang1,#, Haiyue You2,#, Jingyi Gao3,#, Feng Zhang1, Xin Ning2, Xinfeng Yang2, Zhiwen Qian1, Ying Jiang2, Lu Liu2, Danping Wu2, Yanfang Gu1,2,*, Daozhen Chen1,2,*, Yan Zhang1,2,*
Oncology Research, Vol.34, No.9, 2026, DOI:10.32604/or.2026.085967
- 13 August 2026
Abstract Triple-negative breast cancer (TNBC) is characterized by marked metabolic plasticity, spatial heterogeneity, and therapy-induced adaptive remodeling. However, TNBC metabolism is often discussed as isolated pathways, making it difficult to link metabolic rewiring to immune exclusion, drug-tolerant persister cells, and treatment windows. Here, we propose a functional metabolic operating-state framework to organize recurrent adaptive programs in TNBC. Importantly, the S1–S5 framework is not a clinically validated subtype classification, but a set of coexisting and reversible operating states shaped by microenvironmental and therapeutic pressures. S1 represents a glycolysis–lactate/acidosis barrier; S2 denotes fatty acid oxidation (FAO)/oxidative phosphorylation (OXPHOS)-supported… More >
Graphic Abstract