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乳腺癌的免疫治疗策略:临床更新。

Immunotherapeutic strategies in breast cancer: A clinical update.

机构信息

Department of Surgery, Breast Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Ludwig Center at Memorial Sloan Kettering Cancer Center, New York, New York, USA.

出版信息

J Surg Oncol. 2021 Mar;123(3):710-717. doi: 10.1002/jso.26287. Epub 2020 Nov 6.

DOI:10.1002/jso.26287
PMID:33155281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7889634/
Abstract

Immunotherapy has been incorporated into the standard of care for a wide range of malignancies. The study of tumor-infiltrating lymphocytes has emphasized the importance of the host antitumor immune response in the natural history of breast cancer. Recent clinical trials have used immunotherapeutic approaches to augment this response and improve outcomes for patients with breast cancer. Here, we review several current clinical trial data that indicate checkpoint blockade may mediate clinically significant responses.

摘要

免疫疗法已被纳入多种恶性肿瘤的标准治疗方案。肿瘤浸润淋巴细胞的研究强调了宿主抗肿瘤免疫反应在乳腺癌自然史中的重要性。最近的临床试验已经使用免疫治疗方法来增强这种反应,并改善乳腺癌患者的预后。在这里,我们回顾了几项当前的临床试验数据,这些数据表明检查点阻断可能介导临床显著的反应。

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Neoadjuvant atezolizumab in combination with sequential nab-paclitaxel and anthracycline-based chemotherapy versus placebo and chemotherapy in patients with early-stage triple-negative breast cancer (IMpassion031): a randomised, double-blind, phase 3 trial.早期三阴性乳腺癌患者新辅助阿替利珠单抗联合序贯纳武利尤单抗和基于蒽环类的化疗与安慰剂和化疗相比:一项随机、双盲、III 期试验(IMpassion031)。
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Comprehensive Profiling of Poor-Risk Paired Primary and Recurrent Triple-Negative Breast Cancers Reveals Immune Phenotype Shifts.全面分析贫困风险原发性和复发性三阴性乳腺癌配对样本揭示免疫表型转变。
Clin Cancer Res. 2020 Feb 1;26(3):657-668. doi: 10.1158/1078-0432.CCR-19-1773. Epub 2019 Oct 14.
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Expression of PD-1/PD-L1 in primary breast tumours and metastatic axillary lymph nodes and its correlation with clinicopathological parameters.PD-1/PD-L1 在原发性乳腺肿瘤和转移性腋窝淋巴结中的表达及其与临床病理参数的相关性。
Sci Rep. 2019 Oct 7;9(1):14356. doi: 10.1038/s41598-019-50898-3.
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Prognostic value of tumor-infiltrating lymphocytes in patients with early-stage triple-negative breast cancers (TNBC) who did not receive adjuvant chemotherapy.早期三阴性乳腺癌(TNBC)患者未接受辅助化疗时肿瘤浸润淋巴细胞的预后价值。
Ann Oncol. 2019 Dec 1;30(12):1941-1949. doi: 10.1093/annonc/mdz395.
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A randomised phase II study investigating durvalumab in addition to an anthracycline taxane-based neoadjuvant therapy in early triple-negative breast cancer: clinical results and biomarker analysis of GeparNuevo study.一项随机 II 期研究,旨在探讨在早期三阴性乳腺癌中,在蒽环类药物紫杉烷为基础的新辅助治疗中加入度伐利尤单抗的效果:GeparNuevo 研究的临床结果和生物标志物分析。
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