Yao Liqin, Chen Junfeng, Ma Wenxue
Department of Breast Surgical Oncology, The First Affiliated Hospital, Huzhou University School of Medicine, Huzhou, Zhejiang, China.
Department of Pathology and Clinical Laboratories, Tongxu County Hospital of Traditional Chinese Medicine, Kaifeng, Henan, China.
Front Oncol. 2023 Oct 24;13:1292211. doi: 10.3389/fonc.2023.1292211. eCollection 2023.
Breast cancer is a heterogeneous disease characterized by distinct molecular subtypes, varied prognoses, and differential treatment responses. Understanding the molecular landscape and identifying therapeutic targets, such as trophoblast cell-surface antigen 2 (TROP2), is vital. TROP2 is notably overexpressed in breast cancer, playing a significant role in tumor growth, invasion, metastasis, and treatment resistance. While significant progress has been made in targeting TROP2 in breast cancer, several challenges and knowledge gaps remain. These challenges include the heterogeneity of TROP2 expression within breast cancer subtypes, resistance to its targeted therapies, potential off-target effects, limited therapeutic agents, and identifying optimal combination treatments. Integrating findings from clinical trials into clinical practice further complicates the landscape. This review article delves deep into TROP2 in breast cancer, highlighting its expression patterns, clinical implications, and therapeutic advancements. By understanding the role of TROP2, we can pave the way for personalized treatments, and transform the landscape of breast cancer care.
乳腺癌是一种异质性疾病,其特征在于不同的分子亚型、不同的预后和不同的治疗反应。了解分子格局并确定治疗靶点,如滋养层细胞表面抗原2(TROP2),至关重要。TROP2在乳腺癌中明显过表达,在肿瘤生长、侵袭、转移和治疗耐药性中起重要作用。虽然在乳腺癌中靶向TROP2方面已取得重大进展,但仍存在一些挑战和知识空白。这些挑战包括乳腺癌亚型内TROP2表达的异质性、对其靶向治疗的耐药性、潜在的脱靶效应、有限的治疗药物以及确定最佳联合治疗方案。将临床试验结果整合到临床实践中使情况更加复杂。这篇综述文章深入探讨了乳腺癌中的TROP2,强调了其表达模式、临床意义和治疗进展。通过了解TROP2的作用,我们可以为个性化治疗铺平道路,并改变乳腺癌护理的格局。