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乳腺癌中的单克隆抗体:批判性评估。

Monoclonal antibodies in breast cancer: A critical appraisal.

作者信息

Behl Akanksha, Wani Zahoor A, Das Nagendra Nath, Parmar Virinder S, Len Christophe, Malhotra Shashwat, Chhillar Anil K

机构信息

Centre for Biotechnology, M.D. University, Rohtak, Haryana 124001, India.

Department of Biotechnology, University of Kashmir, Srinagar, Jammu and Kashmir 190006, India.

出版信息

Crit Rev Oncol Hematol. 2023 Mar;183:103915. doi: 10.1016/j.critrevonc.2023.103915. Epub 2023 Jan 23.

Abstract

In breast cancer, mAbs can play multifunctional roles like targeting cancer cells, sometimes directly attacking them, helping in locating and delivering therapeutic drugs to targets, inhibiting cell growth and blocking immune system inhibitors, etc. Monoclonal antibodies are also one of the important successful treatment strategies especially against HER2 but they have not been explored much for other types of breast cancers especially in triple negative breast cancers. Monoclonal antibodies impact the feasibility of antigen specificity, bispecific and trispecific mAbs have opened new doors for more targeted specific efficacy. Monoclonal antibodies can be used diversly and with efficacy as compared to other methods of treatment thus maining it a suitable candidate for breast cancer treatment. However, mAbs treatment also causes various side effects such as fever, trembling, fatigue, headache and muscle pain, nausea/vomiting, difficulty in breathing, rashes and bleeding. Understanding the pros and cons of this strategy, we have explored in this review, the current and future potential capabilities of monoclonal antibodies with respect to diagnosis and treatment of breast cancer. DATA AVAILABILITY: Not applicable.

摘要

在乳腺癌中,单克隆抗体可发挥多种功能,如靶向癌细胞,有时直接攻击癌细胞,帮助定位并将治疗药物递送至靶点,抑制细胞生长以及阻断免疫系统抑制剂等。单克隆抗体也是重要的成功治疗策略之一,尤其是针对人表皮生长因子受体2(HER2),但对于其他类型的乳腺癌,特别是三阴性乳腺癌,其研究尚不充分。单克隆抗体影响抗原特异性的可行性,双特异性和三特异性单克隆抗体为更具靶向性的特异性疗效打开了新的大门。与其他治疗方法相比,单克隆抗体具有多种用途且疗效显著,因此仍是乳腺癌治疗的合适候选方案。然而,单克隆抗体治疗也会引发各种副作用,如发热、颤抖、疲劳、头痛、肌肉疼痛、恶心/呕吐、呼吸困难、皮疹和出血等。了解该策略的利弊后,我们在本综述中探讨了单克隆抗体在乳腺癌诊断和治疗方面的当前及未来潜在能力。数据可用性:不适用。

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