三阴性乳腺癌的靶向治疗进展。
Advances in Targeted Therapies for Triple-Negative Breast Cancer.
机构信息
Division of Hematology/Oncology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, 2336 Santa Monica, Suite 304, Santa Monica, Los Angeles, CA, 90404, USA.
出版信息
Drugs. 2019 Jul;79(11):1217-1230. doi: 10.1007/s40265-019-01155-4.
While the outcomes for patients diagnosed with hormone receptor positive (HR+) and/or human epidermal growth factor receptor 2-positive (HER2+) breast cancers have continued to improve with the development of targeted therapies, the same cannot be said yet for those affected with triple-negative breast cancer (TNBC). Currently, the mainstay of treatment for the 10-15% of patients diagnosed with TNBC remains cytotoxic chemotherapy, but it is hoped that through an enhanced characterization of TNBC biology, this disease will be molecularly delineated into subgroups with targetable oncogenic drivers. This review will focus on recent therapeutic innovations for TNBC, including poly-ADP-ribosyl polymerase (PARP) inhibitors, phosphoinositide 3-kinase (PI3K) pathway inhibitors, immune checkpoint inhibitors, and cyclin-dependent kinase (CDK) inhibitors.
虽然随着靶向治疗的发展,激素受体阳性(HR+)和/或人表皮生长因子受体 2 阳性(HER2+)乳腺癌患者的预后持续改善,但三阴性乳腺癌(TNBC)患者的情况却并非如此。目前,诊断为 TNBC 的患者的主要治疗方法仍然是细胞毒性化疗,但人们希望通过对 TNBC 生物学的深入研究,将该疾病从分子水平上分为具有可靶向致癌驱动因素的亚组。本文将重点介绍 TNBC 的最新治疗进展,包括聚 ADP-核糖聚合酶(PARP)抑制剂、磷酸肌醇 3-激酶(PI3K)通路抑制剂、免疫检查点抑制剂和细胞周期蛋白依赖性激酶(CDK)抑制剂。