Ying-Rui Ma, Bu-Fan Bai, Deng Liu, Rong Shi, Qian-Mei Zhou
Institute of Interdisciplinary Integrative Medicine Research, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Front Pharmacol. 2023 Jun 28;14:1199152. doi: 10.3389/fphar.2023.1199152. eCollection 2023.
Breast cancer has a high occurrence rate globally and its treatment has demonstrated clinical efficacy with the use of systemic chemotherapy and immune checkpoint blockade. Insufficient cytotoxic T lymphocyte infiltration and the accumulation of immunosuppressive cells within tumours are the primary factors responsible for the inadequate clinical effectiveness of breast cancer treatment. The stimulator of interferon genes (STING) represents a pivotal protein in the innate immune response. Upon activation, STING triggers the activation and enhancement of innate and adaptive immune functions, resulting in therapeutic benefits for malignant tumours. The STING signalling pathway in breast cancer is influenced by various factors such as deoxyribonucleic acid damage response, tumour immune microenvironment, and mitochondrial function. The use of STING agonists is gaining momentum in breast cancer research. This review provides a comprehensive overview of the cyclic guanosine monophosphate-adenosine monophosphate synthase-STING pathway, its agonists, and the latest findings related to their application in breast cancer.
乳腺癌在全球具有较高的发病率,其治疗通过全身化疗和免疫检查点阻断已显示出临床疗效。肿瘤内细胞毒性T淋巴细胞浸润不足和免疫抑制细胞的积累是导致乳腺癌治疗临床效果不佳的主要因素。干扰素基因刺激物(STING)是先天免疫反应中的关键蛋白。激活后,STING触发先天免疫和适应性免疫功能的激活与增强,从而为恶性肿瘤带来治疗益处。乳腺癌中的STING信号通路受多种因素影响,如脱氧核糖核酸损伤反应、肿瘤免疫微环境和线粒体功能。STING激动剂在乳腺癌研究中的应用正在兴起。本综述全面概述了环磷酸鸟苷-磷酸腺苷合酶-STING通路、其激动剂以及它们在乳腺癌应用中的最新研究结果。