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乳腺癌疫苗;全面且最新的综述。

Breast cancer vaccines; A comprehensive and updated review.

机构信息

Al al-Bayt University, P.O.BOX 130040, Mafraq 25113, Jordan.

Department of Chemistry, Prince Sattam Bin Abdulaziz University, College of Arts and Science, Wadi Al-Dawasir 11991, Saudi Arabia.

出版信息

Pathol Res Pract. 2023 Sep;249:154735. doi: 10.1016/j.prp.2023.154735. Epub 2023 Aug 4.

Abstract

According to the International Agency for Research on Cancer, breast cancer is more common than lung cancer globally. By 2040, mortality from breast cancer will rise by 50% and 40%, respectively. Despite advances in chemotherapy, endocrine therapy, and HER2-targeted therapy, breast cancer metastases and recurrences remain challenging to treat. Cancer vaccines are an effective treatment option because they stimulate a long-lasting immune response that will eliminate tumor cells. In studies on the breast cancer vaccine, no appreciable advantages were discovered. A recent study claims that immune checkpoint inhibitors or anti-HER2 monoclonal antibodies may be used in vaccinations. This vaccination strengthens the immune system to fight off breast cancer cells. Clinical trials have been conducted on DNA, dendritic cells, and peptide-based breast cancer vaccines. Studies on the breast cancer vaccine have employed subcutaneous, intramuscular, and intradermal injections. Clinical studies have shown that these efforts have not been successful. Several factors might have slowed the development of a breast cancer vaccine. The complexity of the immune system makes it challenging to create cancer vaccines. Given the heterogeneity of breast cancer, there may be a need for different vaccination strategies. Despite these obstacles, research into breast cancer vaccines continues. Effective methods for creating vaccines include immune checkpoint inhibition and anti-HER2 monoclonal antibodies. Research is also being done on specialized tumor vaccinations.

摘要

根据国际癌症研究机构的数据,乳腺癌在全球范围内比肺癌更为常见。到 2040 年,乳腺癌死亡率将分别上升 50%和 40%。尽管化疗、内分泌治疗和 HER2 靶向治疗取得了进展,但乳腺癌的转移和复发仍然难以治疗。癌症疫苗是一种有效的治疗选择,因为它们可以刺激持久的免疫反应,从而消除肿瘤细胞。在乳腺癌疫苗的研究中,没有发现明显的优势。最近的一项研究声称,免疫检查点抑制剂或抗 HER2 单克隆抗体可用于疫苗接种。这种疫苗增强了免疫系统,以抵御乳腺癌细胞。已经对 DNA、树突状细胞和基于肽的乳腺癌疫苗进行了临床试验。乳腺癌疫苗的研究采用了皮下、肌肉内和皮内注射。临床研究表明,这些努力都没有成功。有几个因素可能减缓了乳腺癌疫苗的发展。免疫系统的复杂性使得制造癌症疫苗具有挑战性。鉴于乳腺癌的异质性,可能需要不同的疫苗接种策略。尽管存在这些障碍,但对乳腺癌疫苗的研究仍在继续。创建疫苗的有效方法包括免疫检查点抑制和抗 HER2 单克隆抗体。也在对专门的肿瘤疫苗进行研究。

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