Cruz-Reyes Nicole, Radisky Derek C
Department of Cancer Biology, Mayo Clinic, Jacksonville, FL 32224, USA.
Cancers (Basel). 2023 Mar 18;15(6):1836. doi: 10.3390/cancers15061836.
Breast cancer is a significant cause of morbidity and mortality in women, with over two million new cases reported worldwide each year, the majority of which occur in post-menopausal women. Despite advances in early detection and treatment, approximately one-third of patients diagnosed with breast cancer will develop metastatic disease. The pathogenesis and progression of breast cancer are influenced by a variety of biological and social risk factors, including age, ethnicity, pregnancy status, diet, and genomic alterations. Recent advancements in breast cancer research have focused on harnessing the power of the patient's adaptive and innate immune systems for diagnostic and therapeutic purposes. The breast immune microenvironment plays a critical role in regulating tissue homeostasis and resistance to tumorigenesis. In this review, we explore the dynamic changes in the breast immune microenvironment that occur with age, how these changes impact breast cancer development and progression, and how targeted therapeutic interventions that leverage the immune system can be used to improve patient outcomes. Our review emphasizes the importance of understanding the complex interplay between aging, the immune system, and breast cancer, and highlights the potential of immune-based therapies in the fight against this devastating disease.
乳腺癌是女性发病和死亡的重要原因,全球每年报告的新病例超过200万,其中大多数发生在绝经后女性中。尽管早期检测和治疗取得了进展,但约三分之一被诊断为乳腺癌的患者会发展为转移性疾病。乳腺癌的发病机制和进展受到多种生物和社会风险因素的影响,包括年龄、种族、妊娠状态、饮食和基因组改变。乳腺癌研究的最新进展集中在利用患者的适应性和先天性免疫系统进行诊断和治疗。乳腺免疫微环境在调节组织稳态和抵抗肿瘤发生方面起着关键作用。在这篇综述中,我们探讨了随着年龄增长乳腺免疫微环境发生的动态变化,这些变化如何影响乳腺癌的发生和进展,以及如何利用靶向免疫系统的治疗干预措施来改善患者的预后。我们的综述强调了理解衰老、免疫系统和乳腺癌之间复杂相互作用的重要性,并突出了基于免疫的疗法在对抗这种毁灭性疾病中的潜力。