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雄激素受体功能与乳腺癌各亚型的靶向治疗。

Androgen receptor function and targeted therapeutics across breast cancer subtypes.

机构信息

Cancer Research UK Cambridge Institute, Department of Oncology, Li Ka Shing Centre, University of Cambridge, Cambridge, CB2 0RE, UK.

Laboratory of Genitourinary Cancer Pathogenesis, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.

出版信息

Breast Cancer Res. 2022 Nov 14;24(1):79. doi: 10.1186/s13058-022-01574-4.

Abstract

Despite significant progress in breast cancer (BC) therapy, it is globally the most commonly diagnosed cancer and leads to the death of over 650,000 women annually. Androgen receptor (AR) is emerging as a potential new therapeutic target in BC. While the role of AR is well established in prostate cancer (PCa), its function in BC remains incompletely understood. Emerging data show that AR's role in BC is dependent on several factors including, but not limited to, disease subtype, tumour microenvironment, and levels of circulating oestrogens and androgens. While targeting AR in PCa is becoming increasingly effective, these advances have yet to make any significant impact on the care of BC patients. However, this approach is increasingly being evaluated in BC and it is clear that improvements in our understanding of AR's role in BC will increase the likelihood of success for AR-targeted therapies. This review summarizes our current understanding of the function of AR across BC subtypes. We highlight limitations in our current knowledge and demonstrate the importance of categorizing BC subtypes effectively, in relation to determining AR activity. Further, we describe the current state of the art regarding AR-targeted approaches for BC as monotherapy or in combination with radiotherapy.

摘要

尽管在乳腺癌 (BC) 治疗方面取得了重大进展,但它仍是全球最常见的癌症类型,每年导致超过 65 万名女性死亡。雄激素受体 (AR) 在 BC 中作为一种潜在的新治疗靶点正在出现。虽然 AR 在前列腺癌 (PCa) 中的作用已得到充分证实,但它在 BC 中的功能仍不完全清楚。新出现的数据表明,AR 在 BC 中的作用取决于多种因素,包括但不限于疾病亚型、肿瘤微环境以及循环雌激素和雄激素的水平。虽然针对 PCa 中的 AR 进行靶向治疗变得越来越有效,但这些进展尚未对 BC 患者的治疗产生任何重大影响。然而,这种方法在 BC 中越来越受到评估,很明显,对 AR 在 BC 中的作用的理解的提高将增加 AR 靶向治疗成功的可能性。这篇综述总结了我们目前对 AR 在各种 BC 亚型中的作用的理解。我们强调了我们当前知识的局限性,并展示了有效地对 BC 亚型进行分类与确定 AR 活性的重要性。此外,我们还描述了 AR 靶向治疗方法作为单一疗法或与放射疗法联合治疗 BC 的现状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9476/9664788/ca0b6e0af8f1/13058_2022_1574_Fig1_HTML.jpg

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