Li Ying, Zhan Zhijun, Yin Xuemin, Fu Shujun, Deng Xiyun
Key Laboratory of Model Animals and Stem Cell Biology in Hunan Province, Department of Pathophysiology, Hunan Normal University School of Medicine, Changsha, China.
Key Laboratory of Translational Cancer Stem Cell Research, Hunan Normal University, Changsha, China.
Front Oncol. 2021 Oct 28;11:731535. doi: 10.3389/fonc.2021.731535. eCollection 2021.
Triple-negative breast cancer (TNBC) is the most aggressive subtype of breast cancer, which is characterized by the absence of estrogen receptor (ER) and progesterone receptor (PR) expression and the absence of human epidermal growth factor receptor 2 (HER2) expression/amplification. Conventional chemotherapy is the mainstay of systemic treatment for TNBC. However, lack of molecular targeted therapies and poor prognosis of TNBC patients have prompted a great effort to discover effective targets for improving the clinical outcomes. For now, poly (ADP-ribose) polymerase (PARP) inhibitors (PARPi's) and immune checkpoint inhibitors have been approved for the treatment of TNBC. Moreover, agents that target signal transduction, angiogenesis, epigenetic modifications, and cell cycle are under active preclinical or clinical investigations. In this review, we highlight the current major developments in targeted therapies of TNBC, with some descriptions about their (dis)advantages and future perspectives.
三阴性乳腺癌(TNBC)是最具侵袭性的乳腺癌亚型,其特征是缺乏雌激素受体(ER)和孕激素受体(PR)表达,以及缺乏人表皮生长因子受体2(HER2)表达/扩增。传统化疗是TNBC全身治疗的主要手段。然而,TNBC缺乏分子靶向治疗且患者预后较差,这促使人们大力寻找改善临床结局的有效靶点。目前,聚(ADP-核糖)聚合酶(PARP)抑制剂(PARPi)和免疫检查点抑制剂已被批准用于治疗TNBC。此外,靶向信号转导、血管生成、表观遗传修饰和细胞周期的药物正处于积极的临床前或临床研究中。在本综述中,我们重点介绍了TNBC靶向治疗的当前主要进展,并对其优缺点和未来前景进行了一些描述。