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激素、靶向和联合疗法治疗乳腺癌:从人类到犬类。

Hormone, Targeted, and Combinational Therapies for Breast Cancers: From Humans to Dogs.

机构信息

Sustainable Swine Research Center, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan.

Animal Disease Diagnostic Center, College of Veterinary Medicine, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan.

出版信息

Int J Mol Sci. 2024 Jan 5;25(2):732. doi: 10.3390/ijms25020732.

Abstract

Breast cancer (BC) is the most frequent cancer in women. In female dogs, canine mammary gland tumor (CMT) is also the leading neoplasm. Comparative oncology indicates similar tumor behaviors between human BCs (HBCs) and CMTs. Therefore, this review summarizes the current research in hormone and targeted therapies and describes the future prospects for HBCs and CMTs. For hormone receptor-expressing BCs, the first medical intervention is hormone therapy. Monoclonal antibodies against Her2 are proposed for the treatment of Her2+ BCs. However, the major obstacle in hormone therapy or monoclonal antibodies is drug resistance. Therefore, increasing alternatives have been developed to overcome these difficulties. We systemically reviewed publications that reported inhibitors targeting certain molecules in BC cells. The various treatment choices for humans decrease mortality in females with BC. However, the development of hormone or targeted therapies in veterinary medicine is still limited. Even though some clinical trials have been proposed, severe side effects and insufficient case numbers might restrict further explorations. This difficulty highlights the urgent need to develop updated hormone/targeted therapy or novel immunotherapies. Therefore, exploring new therapies to provide more precise use in dogs with CMTs will be the focus of future research. Furthermore, due to the similarities shared by humans and dogs, well-planned prospective clinical trials on the use of combinational or novel immunotherapies in dogs with CMTs to obtain solid results for both humans and dogs can be reasonably anticipated in the future.

摘要

乳腺癌(BC)是女性最常见的癌症。在雌性犬中,犬乳腺肿瘤(CMT)也是主要的肿瘤。比较肿瘤学表明人类乳腺癌(HBC)和 CMT 之间存在相似的肿瘤行为。因此,本综述总结了激素和靶向治疗的当前研究,并描述了 HBC 和 CMT 的未来前景。对于激素受体表达的 BC,第一种医学干预是激素治疗。针对 Her2 的单克隆抗体被提议用于治疗 Her2+BC。然而,在激素治疗或单克隆抗体中主要的障碍是耐药性。因此,已经开发了更多的替代方法来克服这些困难。我们系统地回顾了报道针对 BC 细胞中某些分子的抑制剂的出版物。人类的各种治疗选择降低了患有 BC 的女性的死亡率。然而,兽医中激素或靶向治疗的发展仍然有限。尽管已经提出了一些临床试验,但严重的副作用和病例数量不足可能会限制进一步的探索。这种困难突出表明迫切需要开发更新的激素/靶向治疗或新型免疫疗法。因此,探索新的治疗方法以更精确地用于患有 CMT 的犬将是未来研究的重点。此外,由于人类和犬之间存在相似性,因此可以合理地预期未来在犬中使用组合或新型免疫疗法的激素/靶向治疗的前瞻性临床试验将为人类和犬提供可靠的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73fe/10815110/d4ade2fdaeec/ijms-25-00732-g001.jpg

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