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新型和新兴的晚期乳腺癌靶向治疗方法。

New and Emerging Targeted Therapies for Advanced Breast Cancer.

机构信息

Department of Basic Science, College of Medicine, California Northstate University, Elk Grove, CA 95757, USA.

出版信息

Int J Mol Sci. 2022 Feb 18;23(4):2288. doi: 10.3390/ijms23042288.

Abstract

In the United States, breast cancer is among the most frequently diagnosed cancers in women. Breast cancer is classified into four major subtypes: human epidermal growth factor receptor 2 (HER2), Luminal-A, Luminal-B, and Basal-like or triple-negative, based on histopathological criteria including the expression of hormone receptors (estrogen receptor and/or progesterone receptor) and/or HER2. Primary breast cancer treatments can include surgery, radiation therapy, systemic chemotherapy, endocrine therapy, and/or targeted therapy. Endocrine therapy has been shown to be effective in hormone receptor-positive breast cancers and is a common choice for adjuvant therapy. However, due to the aggressive nature of triple-negative breast cancer, targeted therapy is becoming a noteworthy area of research in the search for non-endocrine-targets in breast cancer. In addition to HER2-targeted therapy, other emerging therapies include immunotherapy and targeted therapy against critical checkpoints and/or pathways in cell growth. This review summarizes novel targeted breast cancer treatments and explores the possible implications of combination therapy.

摘要

在美国,乳腺癌是女性最常见的癌症之一。根据组织病理学标准,包括激素受体(雌激素受体和/或孕激素受体)和/或 HER2 的表达,乳腺癌可分为四大主要亚型:人表皮生长因子受体 2(HER2)、Luminal-A、Luminal-B 和基底样或三阴性。原发性乳腺癌的治疗方法包括手术、放射治疗、全身化疗、内分泌治疗和/或靶向治疗。内分泌治疗已被证明对激素受体阳性乳腺癌有效,是辅助治疗的常见选择。然而,由于三阴性乳腺癌的侵袭性,靶向治疗已成为乳腺癌寻找非内分泌靶点的研究热点。除了针对 HER2 的治疗外,其他新兴疗法包括免疫疗法和针对细胞生长关键检查点和/或途径的靶向治疗。本文综述了新型靶向乳腺癌治疗方法,并探讨了联合治疗的可能意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c43f/8874375/16894318ecfd/ijms-23-02288-g001.jpg

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