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三阴性乳腺癌个性化临床治疗的现状

Current landscape of personalized clinical treatments for triple-negative breast cancer.

作者信息

Zhang Jun, Xia Yu, Zhou Xiaomei, Yu Honghao, Tan Yufang, Du Yaying, Zhang Qi, Wu Yiping

机构信息

Department of Thyroid and Breast Surgery, Shenzhen Qianhai Shekou Free Trade Zone Hospital, Shenzhen, China.

Department of Gynecological Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Pharmacol. 2022 Sep 16;13:977660. doi: 10.3389/fphar.2022.977660. eCollection 2022.

Abstract

Triple-negative breast cancer (TNBC) is a highly malignant subtype of breast cancer (BC) with vicious behaviors. TNBC is usually associated with relatively poor clinical outcomes, earlier recurrence, and high propensity for visceral metastases than other BC types. TNBC has been increasingly recognized to constitute a very molecular heterogeneous subtype, which may offer additional therapeutic opportunities due to newly discovered cancer-causing drivers and targets. At present, there are multiple novel targeted therapeutic drugs in preclinical researches, clinical trial designs, and clinical practices, such as platinum drugs, poly ADP-ribose polymerase (PARP) inhibitors, immunocheckpoint inhibitors, androgen receptor inhibitors as well as PI3K/AKT/mTOR targeted inhibitors. These personalized, single, or combinational therapies based on molecular heterogeneity are currently showing positive results. The scope of this review is to highlight the latest knowledge about these potential TNBC therapeutic drugs, which will provide comprehensive insights into the personalized therapeutic strategies and options for combating TNBC.

摘要

三阴性乳腺癌(TNBC)是一种具有恶性行为的高度恶性乳腺癌(BC)亚型。与其他乳腺癌类型相比,TNBC通常与相对较差的临床结果、较早复发以及较高的内脏转移倾向相关。TNBC已越来越被认为是一种分子高度异质性的亚型,由于新发现的致癌驱动因素和靶点,这可能提供额外的治疗机会。目前,在临床前研究、临床试验设计和临床实践中有多种新型靶向治疗药物,如铂类药物、聚ADP-核糖聚合酶(PARP)抑制剂、免疫检查点抑制剂、雄激素受体抑制剂以及PI3K/AKT/mTOR靶向抑制剂。这些基于分子异质性的个性化、单一或联合疗法目前正显示出积极的效果。本综述的范围是突出关于这些潜在TNBC治疗药物的最新知识,这将为对抗TNBC的个性化治疗策略和选择提供全面的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ba6/9523914/7f29a31a81ad/fphar-13-977660-g001.jpg

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