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免疫检查点调节剂、代谢重编程与三阴性乳腺癌细胞可塑性之间的串扰。

Crosstalk between Immune Checkpoint Modulators, Metabolic Reprogramming and Cellular Plasticity in Triple-Negative Breast Cancer.

机构信息

Fiona Elsey Cancer Research Institute, Ballarat, VIC 3350, Australia.

Department of Materials Science and Engineering, Monash University, Melbourne, VIC 3800, Australia.

出版信息

Curr Oncol. 2022 Sep 23;29(10):6847-6863. doi: 10.3390/curroncol29100540.

Abstract

Breast cancer is one of the major causes of mortality in women worldwide. Accounting for 15-20% of all breast cancer diagnoses, the triple-negative breast cancer (TNBC) subtype presents with an aggressive clinical course, heightened metastatic potential and the poorest short-term prognosis. TNBC does not respond to hormonal therapy, only partially responds to radio- and chemotherapy, and has limited targeted therapy options, thus underlining the critical need for better therapeutic treatments. Although immunotherapy based on immune checkpoint inhibition is emerging as a promising treatment option for TNBC patients, activation of cellular plasticity programs such as metabolic reprogramming (MR) and epithelial-to-mesenchymal transition (EMT) causes immunotherapy to fail. In this report, we review the role of MR and EMT in immune checkpoint dysregulation in TNBCs and specifically shed light on development of novel combination treatment modalities for this challenging disease. We highlight the clinical relevance of crosstalk between MR, EMT, and immune checkpoints in TNBCs.

摘要

乳腺癌是全球女性死亡的主要原因之一。三阴性乳腺癌(TNBC)占所有乳腺癌诊断的 15-20%,其临床表现具有侵袭性、转移潜能高、短期预后最差。TNBC 对激素治疗无反应,仅部分对放化疗有反应,且靶向治疗选择有限,因此迫切需要更好的治疗方法。尽管基于免疫检查点抑制的免疫疗法作为 TNBC 患者的一种有前途的治疗选择正在出现,但细胞可塑性程序(如代谢重编程(MR)和上皮-间充质转化(EMT)的激活导致免疫疗法失败。在本报告中,我们综述了 MR 和 EMT 在 TNBC 中免疫检查点失调中的作用,并特别探讨了针对这种挑战性疾病的新型联合治疗方法的开发。我们强调了 MR、EMT 和免疫检查点之间相互作用在 TNBC 中的临床相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbde/9601266/023085342c5c/curroncol-29-00540-g001.jpg

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