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PARP抑制剂在乳腺癌中的应用:取得的进展与未来展望

PARP inhibition in breast cancer: progress made and future hopes.

作者信息

Tung Nadine, Garber Judy E

机构信息

Beth Israel Deaconess Medical Center, Boston, MA, USA.

Harvard Medical School, Boston, MA, USA.

出版信息

NPJ Breast Cancer. 2022 Apr 8;8(1):47. doi: 10.1038/s41523-022-00411-3.

DOI:10.1038/s41523-022-00411-3
PMID:35396508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8993852/
Abstract

PARP inhibitors have been approved for the treatment of metastatic breast cancer in germline mutation (gm) carriers. The recent OlympiA trial demonstrated improved progression-free and distant disease-free survival with adjuvant olaparib for gm carriers with HER2-negative high-risk early-stage breast cancer. The current article addresses some for the questions raised by OlympiA regarding how to incorporate PARP inhibitors into the treatment of early-stage breast cancer as well as future directions for PARP inhibitors in breast cancer treatment and prevention.

摘要

聚(ADP-核糖)聚合酶(PARP)抑制剂已被批准用于治疗携带种系突变(gm)的转移性乳腺癌。最近的OlympiA试验表明,对于HER2阴性的高危早期乳腺癌的gm携带者,辅助使用奥拉帕尼可改善无进展生存期和远处无病生存期。本文探讨了OlympiA试验提出的一些问题,涉及如何将PARP抑制剂纳入早期乳腺癌的治疗,以及PARP抑制剂在乳腺癌治疗和预防方面的未来发展方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/839f/8993852/255159d1ad11/41523_2022_411_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/839f/8993852/255159d1ad11/41523_2022_411_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/839f/8993852/255159d1ad11/41523_2022_411_Fig1_HTML.jpg

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N Engl J Med. 2021 Jun 24;384(25):2394-2405. doi: 10.1056/NEJMoa2105215. Epub 2021 Jun 3.
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Palbociclib for Residual High-Risk Invasive HR-Positive and HER2-Negative Early Breast Cancer-The Penelope-B Trial.帕博西尼用于残留高危侵袭性 HR 阳性和 HER2 阴性早期乳腺癌 - Penelope-B 试验。
J Clin Oncol. 2021 May 10;39(14):1518-1530. doi: 10.1200/JCO.20.03639. Epub 2021 Apr 1.
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Targeting immunosuppressive macrophages overcomes PARP inhibitor resistance in BRCA1-associated triple-negative breast cancer.
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Front Oncol. 2025 Jun 23;15:1507840. doi: 10.3389/fonc.2025.1507840. eCollection 2025.
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Interplay Between the Cytoskeleton and DNA Damage Response in Cancer Progression.细胞骨架与DNA损伤反应在癌症进展中的相互作用
Cancers (Basel). 2025 Apr 21;17(8):1378. doi: 10.3390/cancers17081378.
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Innovative nanodelivery systems for targeted breast cancer therapy: overcoming drug delivery challenges and exploring future perspectives.用于靶向乳腺癌治疗的创新纳米递送系统:克服药物递送挑战并探索未来前景。
Naunyn Schmiedebergs Arch Pharmacol. 2025 Mar 17. doi: 10.1007/s00210-025-04039-5.
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