Schneble Erika, Jinga Dan-Corneliu, Peoples George
Department of General Surgery, San Antonio Military Medical Center, San Antonio, TX, USA.
Department of Oncology, Emergency University Hospital, Bucharest, Romania.
Maedica (Bucur). 2015 Jun;10(2):185-191.
Although unlikely to replace current standard of care therapies, immunotherapy is emerging as a critical component of breast cancer treatment. Despite initial setbacks, clinical benefit is now evident through immunomodulation and cancer vaccines. Over the past decade, passive immunotherapeutic strategies such as anti-HER2 monoclonal antibody (mAb) therapy have significantly improved the prognosis in HER2 overexpressing breast cancers. Novel active immunotherapeutic strategies include checkpoint blockade modifiers, also a mAb therapy. Although non-specific, checkpoint blockade modifiers show great promise in clinical trials. A form of active and specific immunotherapy, cancer vaccines may be used alone or in conjunction with these aforementioned mAb therapies. While there is significant initial promise, the complexities of the host immune system-tumor interaction and the vast array of potential immune targets require the field of cancer immunotherapy to be further developed. Here, we briefly discuss the field of breast immunotherapy to date and its implications for the future of breast cancer care.
尽管免疫疗法不太可能取代当前的标准护理疗法,但它正逐渐成为乳腺癌治疗的关键组成部分。尽管最初遭遇挫折,但通过免疫调节和癌症疫苗,临床益处现已显现。在过去十年中,诸如抗HER2单克隆抗体(mAb)疗法等被动免疫治疗策略显著改善了HER2过表达乳腺癌的预后。新型主动免疫治疗策略包括检查点阻断调节剂,这也是一种mAb疗法。尽管是非特异性的,但检查点阻断调节剂在临床试验中显示出巨大潜力。作为一种主动且特异性的免疫疗法形式,癌症疫苗可单独使用或与上述mAb疗法联合使用。虽然最初有很大的前景,但宿主免疫系统与肿瘤相互作用的复杂性以及大量潜在的免疫靶点要求癌症免疫治疗领域进一步发展。在此,我们简要讨论迄今为止的乳腺免疫治疗领域及其对未来乳腺癌护理的影响。