Weng Lijuan, Zhou Jianliang, Guo Shenchao, Xu Nong, Ma Ruishuang
Department of Medical Oncology, The First Affiliated Hospital of Zhejiang University, Hangzhou, China.
Department of Radiotherapy and Chemotherapy, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Cancer Cell Int. 2024 Mar 30;24(1):120. doi: 10.1186/s12935-024-03261-0.
Triple-negative breast cancer (TNBC) is widely recognized as the most aggressive form of breast cancer, occurring more frequently in younger patients and characterized by high heterogeneity, early distant metastases and poor prognosis. Multiple treatment options have failed to achieve the expected therapeutic effects due to the lack of clear molecular targets. Based on genomics, transcriptomics and metabolomics, the multi-omics analysis further clarifies TNBC subtyping, which provides a greater understanding of tumour heterogeneity and targeted therapy sensitivity. For instance, the luminal androgen receptor subtype (LAR) exhibits responsiveness to anti-AR therapy, and the basal-like immune-suppressed subtype (BLIS) tends to benefit from poly (ADP-ribose) polymerase inhibitors (PARPis) and anti-angiogenic therapy. The efficacy of multi-dimensional combination therapy holds immense importance in guiding personalized and precision medicine for TNBC. This review offers a systematic overview of recent FuDan TNBC molecular subtyping and its role in the instruction of clinical precision therapy.
三阴性乳腺癌(TNBC)被广泛认为是最具侵袭性的乳腺癌形式,在年轻患者中更常见,具有高度异质性、早期远处转移和预后不良的特点。由于缺乏明确的分子靶点,多种治疗方案未能达到预期的治疗效果。基于基因组学、转录组学和代谢组学的多组学分析进一步明确了TNBC的亚型,这有助于更深入地了解肿瘤异质性和靶向治疗敏感性。例如,腔面雄激素受体亚型(LAR)对抗雄激素治疗有反应,基底样免疫抑制亚型(BLIS)往往受益于聚(ADP-核糖)聚合酶抑制剂(PARPis)和抗血管生成治疗。多维联合治疗的疗效在指导TNBC的个性化和精准医学方面具有极其重要的意义。本综述系统概述了复旦大学TNBC分子亚型的最新研究及其在临床精准治疗指导中的作用。
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