Breast Medicine Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Evelyn H. Lauder Breast Center, Weill Cornell Medical College, New York, NY, USA.
Ann Surg Oncol. 2017 Oct;24(10):2876-2880. doi: 10.1245/s10434-017-5961-9. Epub 2017 Aug 1.
A growing body of literature supports the conclusion that the androgen receptor (AR) plays an important role in breast cancer pathogenesis and may prove to be a relevant therapeutic target for patients with AR-driven breast cancer. This has been most apparent in the subset of patients with triple-negative breast cancer (TNBC), in whom approximately 50% of tumors may have androgen dependence. Recent phase 2 clinical trials of agents that antagonize AR or reduce androgen production have shown clinical benefit and efficacy to varying degrees. This review highlights three of these recent trials of AR TNBC and acknowledge ongoing research in this exciting area.
越来越多的文献支持这样的结论,即雄激素受体 (AR) 在乳腺癌的发病机制中起着重要作用,并可能成为 AR 驱动的乳腺癌患者的一个相关治疗靶点。这在三阴性乳腺癌 (TNBC) 患者亚组中最为明显,其中约 50%的肿瘤可能存在雄激素依赖性。最近的 2 期临床试验表明,拮抗 AR 或减少雄激素生成的药物具有不同程度的临床获益和疗效。本综述重点介绍了这三项 AR-TNBC 的最新临床试验,并介绍了这一令人兴奋领域的正在进行的研究。