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三阴性乳腺癌:特征、分类及当前治疗方法概述

Triple-negative breast cancer: A run-through of features, classification and current therapies.

作者信息

Manjunath Meghana, Choudhary Bibha

机构信息

Department of Biotechnology, Institute of Bioinformatics and Applied Biotechnology, Bengaluru, Karnataka 560100, India.

Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.

出版信息

Oncol Lett. 2021 Jul;22(1):512. doi: 10.3892/ol.2021.12773. Epub 2021 May 5.

Abstract

Breast cancer is the most prevalent cancer in women worldwide. Triple-negative breast cancer (TNBC) is characterized by the lack of expression of estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2. It is the most aggressive subtype of breast cancer and accounts for 12-20% of all breast cancer cases. TNBC is associated with younger age of onset, greater metastatic potential, higher incidence of relapse, and lower overall survival rates. Based on molecular phenotype, TNBC has been classified into six subtypes (BL1, BL2, M, MES, LAR, and IM). TNBC treatment is challenging due to its heterogeneity, highly invasive nature, and relatively poor therapeutics response. Chemotherapy and radiotherapy are conventional strategies for the treatment of TNBC. Recent research in TNBC and mechanistic understanding of disease pathogenesis using cutting-edge technologies has led to the unfolding of new lines of therapies that have been incorporated into clinical practice. Poly (ADP-ribose) polymerase and immune checkpoint inhibitors have made their way to the current TNBC treatment paradigm. This review focuses on the classification, features, and treatment progress in TNBC. Histological subtypes connected to recurrence, molecular classification of TNBC, targeted therapy for early and advanced TNBC, and advances in non-coding RNA in therapy are the key highlights in this review.

摘要

乳腺癌是全球女性中最常见的癌症。三阴性乳腺癌(TNBC)的特征是缺乏雌激素受体、孕激素受体和人表皮生长因子受体2的表达。它是乳腺癌中最具侵袭性的亚型,占所有乳腺癌病例的12%-20%。TNBC与发病年龄较轻、转移潜能较大、复发率较高以及总体生存率较低有关。基于分子表型,TNBC已被分为六种亚型(BL1、BL2、M、MES、LAR和IM)。由于TNBC的异质性、高度侵袭性和相对较差的治疗反应,其治疗具有挑战性。化疗和放疗是治疗TNBC的传统策略。最近对TNBC的研究以及使用前沿技术对疾病发病机制的机制理解,导致了已被纳入临床实践的新治疗方法的出现。聚(ADP-核糖)聚合酶和免疫检查点抑制剂已进入当前的TNBC治疗模式。本综述重点关注TNBC的分类、特征和治疗进展。与复发相关的组织学亚型、TNBC的分子分类、早期和晚期TNBC的靶向治疗以及治疗中非编码RNA的进展是本综述的关键亮点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2c6/8114477/287a08dad660/ol-22-01-12773-g00.jpg

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