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铂类药物在三阴性乳腺癌中的作用。

Role of Platinums in Triple-Negative Breast Cancer.

机构信息

Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, 450 Brookline Ave YC-1275, Boston, MA, 02215, USA.

Medical Oncology, Johns Hopkins Sidney Kimmel Cancer Center at Sibley Memorial Hospital, Building B, First Floor, 5255 Loughboro Rd, NW, Washington, DC, 20016, USA.

出版信息

Curr Oncol Rep. 2021 Mar 22;23(5):50. doi: 10.1007/s11912-021-01041-x.


DOI:10.1007/s11912-021-01041-x
PMID:33754211
Abstract

PURPOSE OF REVIEW: Platinum compounds are used in the treatment of various types of cancer. Here, we review the current role of cisplatin and carboplatin in the treatment of early stage and advanced triple-negative breast cancer (TNBC), and the use of biomarkers in predicting response to platinum therapy. RECENT FINDINGS: Addition of carboplatin to a neoadjuvant chemotherapy regimen can result in improvement in the pathological complete response rates. The long-term benefit of the addition of carboplatin to standard chemotherapy regimens remains unproven. Single-agent platinum is an option in the treatment of advanced breast cancer. BRCA1/2 mutations predicted benefit from platinums in advanced, but not early stage breast cancer. There are yet no biomarkers to predict response to platinum in sporadic TNBC. Platinum compounds are an option in the treatment of TNBC. Identification of biomarkers to select tumors most likely to derive benefit from these agents is still needed. Ongoing trials are exploring the role of platinum in the adjuvant setting and in combination with other agents, including immune checkpoint inhibitors.

摘要

目的综述:铂类化合物被用于多种癌症的治疗。在这里,我们综述顺铂和卡铂在早期和晚期三阴性乳腺癌(TNBC)治疗中的作用,以及生物标志物在预测铂类治疗反应中的应用。 最近的发现:在新辅助化疗方案中加入卡铂可提高病理完全缓解率。卡铂加入标准化疗方案的长期获益尚未得到证实。单药铂类是晚期乳腺癌治疗的一种选择。BRCA1/2 突变预测晚期乳腺癌患者从铂类治疗中获益,但不预测早期乳腺癌。目前尚无预测铂类在散发性 TNBC 中反应的生物标志物。铂类化合物是 TNBC 治疗的一种选择。仍需要鉴定生物标志物来选择最有可能从这些药物中获益的肿瘤。正在进行的试验正在探索铂类在辅助治疗中的作用以及与其他药物(包括免疫检查点抑制剂)联合应用的作用。

相似文献

[1]
Role of Platinums in Triple-Negative Breast Cancer.

Curr Oncol Rep. 2021-3-22

[2]
Triple negative breast cancer and platinum-based systemic treatment: a meta-analysis and systematic review.

BMC Cancer. 2019-11-8

[3]
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Clin Adv Hematol Oncol. 2014-10

[4]
Neoadjuvant therapy for triple-negative breast cancer: potential predictive biomarkers of activity and efficacy of platinum chemotherapy, PARP- and immune-checkpoint-inhibitors.

Expert Opin Pharmacother. 2020-2-13

[5]
A meta-analysis of platinum-based neoadjuvant chemotherapy versus standard neoadjuvant chemotherapy for triple-negative breast cancer.

Future Oncol. 2019-7-11

[6]
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Breast. 2024-6

[7]
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Breast Cancer Res Treat. 2024-11

[8]
TBCRC009: A Multicenter Phase II Clinical Trial of Platinum Monotherapy With Biomarker Assessment in Metastatic Triple-Negative Breast Cancer.

J Clin Oncol. 2015-6-10

[9]
Homologous Recombination Deficiency (HRD) Score Predicts Response to Platinum-Containing Neoadjuvant Chemotherapy in Patients with Triple-Negative Breast Cancer.

Clin Cancer Res. 2016-8-1

[10]
Immune microenvironment, homologous recombination deficiency, and therapeutic response to neoadjuvant chemotherapy in triple-negative breast cancer: Japan Breast Cancer Research Group (JBCRG)22 TR.

BMC Med. 2022-4-25

引用本文的文献

[1]
circSCAP-encoded SCAP-129aa mediates platinum resistance in triple-negative breast cancer via the PI3K/AKT pathway.

Sci China Life Sci. 2025-8-28

[2]
Mitochondria-localized MBD2c facilitates mtDNA transcription and drug resistance.

Nat Chem Biol. 2025-6

[3]
The tumor suppressor SALL2 opposes chemotherapeutic resistance in breast cancer.

Mol Cell Biochem. 2025-5

[4]
Therapeutic dosing and targeting efficacy of Pt-Mal-LHRH towards triple negative breast cancer.

PLoS One. 2023

[5]
Triple Negative Breast Cancer Treatment Options and Limitations: Future Outlook.

Pharmaceutics. 2023-6-23

[6]
Overcoming the Challenges of Phytochemicals in Triple Negative Breast Cancer Therapy: The Path Forward.

Plants (Basel). 2023-6-16

[7]
Pd(II) and Pt(II) Trinuclear Chelates with Spermidine: Selective Anticancer Activity towards TNBC-Sensitive and -Resistant to Cisplatin.

Pharmaceutics. 2023-4-10

[8]
Studies on 1,4-Quinone Derivatives Exhibiting Anti-Leukemic Activity along with Anti-Colorectal and Anti-Breast Cancer Effects.

Molecules. 2022-12-22

[9]
Next-generation sequencing of homologous recombination genes could predict efficacy of platinum-based chemotherapy in non-small cell lung cancer.

Front Oncol. 2022-12-14

[10]
Carboplatin enhances lymphocyte-endothelial interactions to promote CD8 T cell trafficking into the ovarian tumor microenvironment.

Gynecol Oncol. 2023-1

本文引用的文献

[1]
Addition of the PARP inhibitor veliparib plus carboplatin or carboplatin alone to standard neoadjuvant chemotherapy in triple-negative breast cancer (BrighTNess): a randomised, phase 3 trial.

Lancet Oncol. 2018-2-28

[2]
Clinical development of platinum complexes in cancer therapy: an historical perspective and an update.

Eur J Cancer. 1998-9

[3]
Preclinical studies identifying carboplatin as a viable cisplatin alternative.

Cancer Treat Rev. 1985-9

[4]
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