“…However, the efficacy of Pt(II) drugs is often hampered by toxicity and acquired resistance. , The latter (defined as tumor relapse within 6 months of initial treatment) is particularly critical in TNBC where intrinsic tumor heterogeneity is associated with increased resistance and relapse, compared to other BC subtypes . These drawbacks of Pt(II)-based therapy have motivated the search for other metal-based drugs, including palladium [Pd(II)] complexes. − In particular, the Pd(II) dinuclear chelate with the biogenic polyamine spermine Pd 2 Spm (Spm, H 2 N(CH 2 ) 3 NH(CH 2 ) 4 NH(CH 2 ) 3 NH 2 ) exhibited promising in vitro antiproliferative, antimigratory, and antiangiogenic properties against the TNBC MDA-MB-231 cell line, along with effective responses in other cancer cell lines, e.g., leukemia, osteosarcoma, oral squamous cells, ovarian, and prostate carcinomas. − In addition, in vivo studies have shown a more favorable biodistribution profile of Pd(II) in healthy BALB/c mice compared to that of Pt(II), while exposure of a MDA-MB-231 cell-derived xenograft (CDX) mouse model to Pd 2 Spm resulted in the reduction of tumor size and cell proliferation rate, as well as lower systemic toxicity, compared to cDDP. , Pd 2 Spm also appears to be more selective for TNBC cells, having less deleterious effects on noncancerous breast cells, at least viewed under in vitro conditions . Metabolomics has been extensively highlighted as a valuable tool towards the understanding of the interplay between drugs and cellular metabolism in breast cancer .…”