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新型乳腺癌免疫疗法:聚焦 2023 年研究发现。

Novel immunotherapies for breast cancer: Focus on 2023 findings.

机构信息

Department of Surgical Oncology, Hangzhou Cancer Hospital, Hangzhou, Zhejiang 310002, China.

Department of Colorectal Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310006, China.

出版信息

Int Immunopharmacol. 2024 Feb 15;128:111549. doi: 10.1016/j.intimp.2024.111549. Epub 2024 Jan 23.

Abstract

Immunotherapy has emerged as a revolutionary approach in cancer therapy, and recent advancements hold significant promise for breast cancer (BCa) management. Employing the patient's immune system to combat BCa has become a focal point in immunotherapeutic investigations. Strategies such as immune checkpoint inhibitors (ICIs), adoptive cell transfer (ACT), and targeting the tumor microenvironment (TME) have disclosed encouraging clinical outcomes. ICIs, particularly programmed cell death protein 1 (PD-1)/PD-L1 inhibitors, exhibit efficacy in specific BCa subtypes, including triple-negative BCa (TNBC) and human epidermal growth factor receptor 2 (HER2)-positive cancers. ACT approaches, including tumor-infiltrating lymphocytes (TILs) and chimeric antigen receptor (CAR) T-cell therapy, showed promising clinical outcomes in enhancing tumor recognition and elimination. Targeting the TME through immune agonists and oncolytic viruses signifies a burgeoning field of research. While challenges persist in patient selection, resistance mechanisms, and combination therapy optimization, these novel immunotherapies hold transformative potential for BCa treatment. Continued research and clinical trials are imperative to refine and implement these innovative approaches, paving the way for improved outcomes and revolutionizing the management of BCa. This review provides a concise overview of the latest immunotherapies (2023 studies) in BCa, highlighting their potential and current status.

摘要

免疫疗法已成为癌症治疗的一种革命性方法,最近的进展为乳腺癌 (BCa) 的管理带来了重大希望。利用患者的免疫系统来对抗 BCa 已成为免疫治疗研究的重点。免疫检查点抑制剂 (ICIs)、过继细胞转移 (ACT) 和靶向肿瘤微环境 (TME) 等策略已显示出令人鼓舞的临床结果。ICI,特别是程序性细胞死亡蛋白 1 (PD-1)/PD-L1 抑制剂,在某些 BCa 亚型中显示出疗效,包括三阴性乳腺癌 (TNBC) 和人表皮生长因子受体 2 (HER2) 阳性癌症。ACT 方法,包括肿瘤浸润淋巴细胞 (TIL) 和嵌合抗原受体 (CAR) T 细胞疗法,在增强肿瘤识别和消除方面显示出有前途的临床结果。通过免疫激动剂和溶瘤病毒靶向 TME 是一个新兴的研究领域。尽管在患者选择、耐药机制和联合治疗优化方面仍存在挑战,但这些新型免疫疗法为 BCa 治疗带来了变革性的潜力。继续进行研究和临床试验对于改进和实施这些创新方法至关重要,为改善结果和彻底改变 BCa 的管理铺平了道路。本综述简要概述了 BCa 中最新的免疫疗法 (2023 年研究),强调了它们的潜力和现状。

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