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乳腺癌靶向治疗的临床进展:综述

Clinical Progress of Targeted Therapy for Breast Cancer: A Comprehensive Review.

作者信息

Debnath Abhijit, Mazumder Rupa

机构信息

Noida Institute of Engineering and Technology (Pharmacy Institute), 19 Knowledge Park-II, Institutional Area, Greater Noida, 201306, Uttar Pradesh, India.

出版信息

Curr Cancer Drug Targets. 2025;25(6):555-573. doi: 10.2174/0115680096289260240311062343.

Abstract

The discovery of effective breast cancer therapy is both urgent and daunting, beset by a myriad of challenges that range from the disease's inherent heterogeneity to its complex molecular underpinnings. Drug resistance, the intricacies of the tumor microenvironment, and patient-specific variables further complicate this landscape. The stakes are even higher when dealing with subtypes like triple-negative breast cancer, which eludes targeted hormonal therapies due to its lack of estrogen, progesterone, and HER2 receptors. Strategies to overcome such challenges include combinations of drugs and identifying new drug targets. Developing new drugs based on such targets could be a better solution than relying on costly immunotherapy or combinational therapies. In this review, we have endeavored to comprehensively examine the proven therapeutic drug targets associated with breast cancer and elucidate their respective molecular mechanisms and current clinical status. This study aims to facilitate researchers in conducting a comparative analysis of different targets to select single and multi-targeted drug discovery approaches for breast cancer.

摘要

有效乳腺癌治疗方法的发现既紧迫又艰巨,面临着无数挑战,从疾病固有的异质性到其复杂的分子基础。耐药性、肿瘤微环境的复杂性以及患者特异性变量进一步使这一局面复杂化。在处理三阴性乳腺癌等亚型时,风险甚至更高,由于缺乏雌激素、孕激素和HER2受体,这类亚型无法采用靶向激素疗法。克服此类挑战的策略包括联合用药和确定新的药物靶点。基于此类靶点开发新药可能是比依赖昂贵的免疫疗法或联合疗法更好的解决方案。在本综述中,我们努力全面研究与乳腺癌相关的已证实的治疗性药物靶点,并阐明其各自的分子机制和当前临床状况。本研究旨在帮助研究人员对不同靶点进行比较分析,以选择用于乳腺癌的单靶点和多靶点药物发现方法。

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