Nakhjavani Maryam, Samarasinghe Rasika M, Shigdar Sarah
School of Medicine, Deakin University, Geelong, VIC 3220, Australia; Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, VIC 3220, Australia.
School of Medicine, Deakin University, Geelong, VIC 3220, Australia; Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University, Geelong, VIC 3220, Australia.
Drug Discov Today. 2022 May;27(5):1298-1314. doi: 10.1016/j.drudis.2022.01.010. Epub 2022 Jan 29.
The key challenges with the treatment of triple-negative breast cancer brain metastasis (TNBC-BM) are the lack of any targeted therapy and difficulties associated with drug delivery to the brain. These add to the high toxicity profile of existing treatments and the poor outcomes for patient. In this review, we introduce current drugs based on their molecular targets and look to improve brain drug delivery using more efficient and promising drug delivery systems. We describe ongoing clinical trials on druggable targets in TNBC-BM for a more targeted treatment and introduce the obstacles hindering drug delivery to the brain, bringing strategies and advancing knowledge for future steps in the treatment of patients with TNBC-BM.
三阴性乳腺癌脑转移(TNBC-BM)治疗面临的关键挑战在于缺乏任何靶向治疗手段以及与药物输送至脑部相关的困难。这些因素加剧了现有治疗的高毒性特征以及患者的不良预后。在本综述中,我们根据分子靶点介绍当前的药物,并期望利用更高效且有前景的药物递送系统来改善脑部药物递送。我们描述了针对TNBC-BM中可成药靶点的正在进行的临床试验,以实现更具针对性的治疗,并介绍了阻碍药物输送至脑部的障碍,为TNBC-BM患者治疗的未来步骤带来策略并推动相关知识发展。