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三阴性乳腺癌的分子亚型与精准治疗

Molecular subtypes and precision treatment of triple-negative breast cancer.

作者信息

Zhao Shen, Zuo Wen-Jia, Shao Zhi-Ming, Jiang Yi-Zhou

机构信息

Department of Breast Surgery, Fudan University Shanghai Cancer Center, Shanghai 200032, China.

出版信息

Ann Transl Med. 2020 Apr;8(7):499. doi: 10.21037/atm.2020.03.194.

Abstract

Triple-negative breast cancer (TNBC) is the most aggressive breast cancer subtype. Despite the progress made in precision treatment of cancer patients, targeted treatment is still at its early stage in TNBC, and chemotherapy remains the standard treatment. With the advances in next generation sequencing technology, genomic and transcriptomic analyses have provided deeper insight into the inter-tumoral heterogeneity of TNBC. Much effort has been made to classify TNBCs into different molecular subtypes according to genetic aberrations and expression signatures and to uncover novel treatment targets. In this review, we summarized the current knowledge regarding the molecular classification of TNBC and explore the future paradigm for using molecular classification to guide the development of precision treatment and clinical practice.

摘要

三阴性乳腺癌(TNBC)是最具侵袭性的乳腺癌亚型。尽管在癌症患者的精准治疗方面取得了进展,但TNBC的靶向治疗仍处于早期阶段,化疗仍是标准治疗方法。随着下一代测序技术的进步,基因组和转录组分析为TNBC的肿瘤间异质性提供了更深入的见解。人们已经做出了很多努力,根据基因畸变和表达特征将TNBC分为不同的分子亚型,并发现新的治疗靶点。在这篇综述中,我们总结了关于TNBC分子分类的当前知识,并探索利用分子分类来指导精准治疗发展和临床实践的未来模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64ed/7210152/8d0ffdd5d359/atm-08-07-499-f1.jpg

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