HER2阴性乳腺癌靶向治疗的新进展
New Advances in Targeted Therapy of HER2-Negative Breast Cancer.
作者信息
An Junsha, Peng Cheng, Xie Xiaofang, Peng Fu
机构信息
Key Laboratory of Drug-Targeting and Drug Delivery System of the Education Ministry and Sichuan Province, Sichuan Engineering Laboratory for Plant-Sourced Drug and Sichuan Research Center for Drug Precision Industrial Technology, West China School of Pharmacy, Sichuan University, Chengdu, China.
State Key Laboratory Southwestern Chinese Medicine Resources, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
出版信息
Front Oncol. 2022 Mar 4;12:828438. doi: 10.3389/fonc.2022.828438. eCollection 2022.
Breast cancer has an extremely high incidence in women, and its morbidity and mortality rank first among female tumors. With the increasing development of molecular biology and genomics, molecular targeted therapy has become one of the most active areas in breast cancer treatment research and has also achieved remarkable achievements. However, molecular targeted therapy is mainly aimed at HER2-positive breast cancer and has not yet achieved satisfactory curative effect on HER2-negative breast cancer. This article describes the potential targets that may be used for breast cancer treatment from the aspects of PI3K/AKT signaling pathway, DDR, angiogenesis, the cell cycle, breast cancer stem cells, , and explores possible inhibitors for the treatment of HER2-negative breast cancer, such as PI3K inhibitors, AKT inhibitors and m-TOR inhibitors that inhibit the PI3K/AKT signaling pathway, small molecule tyrosine kinase inhibitors that restrain angiogenesis, CDK inhibitors, aurora kinase inhibitors and HDAC inhibitors that block cell cycle, as well as the drugs targeting breast cancer stem cells which have been a hit, aiming to provide a new idea and strategy for the treatment of HER2-negative breast cancer.
乳腺癌在女性中的发病率极高,其发病率和死亡率在女性肿瘤中位居首位。随着分子生物学和基因组学的不断发展,分子靶向治疗已成为乳腺癌治疗研究中最活跃的领域之一,并且也取得了显著成就。然而,分子靶向治疗主要针对HER2阳性乳腺癌,对HER2阴性乳腺癌尚未取得令人满意的疗效。本文从PI3K/AKT信号通路、DNA损伤修复(DDR)、血管生成、细胞周期、乳腺癌干细胞等方面阐述了可能用于乳腺癌治疗的潜在靶点,并探索了治疗HER2阴性乳腺癌的可能抑制剂,如抑制PI3K/AKT信号通路的PI3K抑制剂、AKT抑制剂和m-TOR抑制剂,抑制血管生成的小分子酪氨酸激酶抑制剂,阻断细胞周期的CDK抑制剂、极光激酶抑制剂和HDAC抑制剂,以及已受到关注的靶向乳腺癌干细胞的药物,旨在为HER2阴性乳腺癌的治疗提供新的思路和策略。