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三阴性乳腺癌:精准医学时代的新治疗策略

Triple-negative breast cancer: new treatment strategies in the era of precision medicine.

作者信息

Wu Song-Yang, Wang Hai, Shao Zhi-Ming, Jiang Yi-Zhou

机构信息

Department of Breast Surgery, Fudan University Shanghai Cancer Center; Key Laboratory of Breast Cancer in Shanghai, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, China.

出版信息

Sci China Life Sci. 2021 Mar;64(3):372-388. doi: 10.1007/s11427-020-1714-8. Epub 2020 Aug 11.

Abstract

Triple-negative breast cancer (TNBC) remains the most aggressive cluster of all breast cancers, which is due to its rapid progression, high probabilities of early recurrence, and distant metastasis resistant to standard treatment. Following the advances in cancer genomics and transcriptomics that can illustrate the comprehensive profiling of this heterogeneous disease, it is now possible to identify different subclasses of TNBC according to both intrinsic signals and extrinsic microenvironment, which have a huge influence on predicting response to established therapies and picking up novel therapeutic targets for each cluster. In this review, we summarize basic characteristics and critical subtyping systems of TNBC, and particularly discuss newly found prospective targets and relevant medications, which were proved promising in clinical trials, thus shedding light on the future development of precision treatment strategies.

摘要

三阴性乳腺癌(TNBC)仍然是所有乳腺癌中最具侵袭性的类型,这是由于其进展迅速、早期复发概率高以及对标准治疗耐药的远处转移。随着癌症基因组学和转录组学的进展,能够阐明这种异质性疾病的全面概况,现在可以根据内在信号和外在微环境识别TNBC的不同亚类,这对预测既定疗法的反应以及为每个亚类寻找新的治疗靶点有巨大影响。在这篇综述中,我们总结了TNBC的基本特征和关键分型系统,特别讨论了新发现的有前景的靶点和相关药物,这些在临床试验中已被证明有前景,从而为精准治疗策略的未来发展提供了思路。

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