Ning Wen-Jing, Liu Xue, Zeng Hong-Ye, An Zhi-Qiang, Luo Wen-Xin, Xia Ning-Shao
State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics & National Institute of Diagnostics and Vaccine Development in Infectious Diseases, School of Public Health, Xiamen University, Xiamen, Fujian, China.
Texas Therapeutics Institute, Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Expert Opin Drug Deliv. 2022 Jul;19(7):815-832. doi: 10.1080/17425247.2022.2093853. Epub 2022 Jul 5.
Triple-negative breast cancer (TNBC) is a subtype of severely aggressive breast cancer that lacks the expression of oestrogen receptor (ER), progesterone receptor and human epidermal growth factor receptor 2 (HER2) and is highly metastatic and related to a poor prognosis. Current standard treatments are still limited to systemic chemotherapy, radiotherapy, and surgical resection. More effective treatments are urgently needed.
The immunogenicity of TNBC has provided opportunities for the development of targeted immunotherapy. In this review, we focus on the recent development in antibody-based drug modalities, including angiogenesis inhibitors, immune checkpoint inhibitors, antibody-drug conjugates, immunoconjugates, T cell-redirecting bispecific antibodies and CAR-T cells, and their mechanisms of action in TNBC.
At present, the treatment of TNBC is still a major challenge that needs to be addressed. Novel immunotherapies are promising opportunities for improving the management of this aggressive disease.
三阴性乳腺癌(TNBC)是一种侵袭性极强的乳腺癌亚型,缺乏雌激素受体(ER)、孕激素受体和人表皮生长因子受体2(HER2)的表达,具有高度转移性且预后较差。目前的标准治疗仍局限于全身化疗、放疗和手术切除。迫切需要更有效的治疗方法。
TNBC的免疫原性为靶向免疫治疗的发展提供了机会。在本综述中,我们重点关注基于抗体的药物模式的最新进展,包括血管生成抑制剂、免疫检查点抑制剂、抗体药物偶联物、免疫偶联物、T细胞重定向双特异性抗体和嵌合抗原受体T细胞(CAR-T细胞),以及它们在TNBC中的作用机制。
目前,TNBC的治疗仍然是一个需要解决的重大挑战。新型免疫疗法是改善这种侵袭性疾病治疗的有前景的机会。