Department of Medicine, The University of Chicago Medicine, Chicago, IL.
Department of Medicine, The University of Chicago Medicine, Chicago, IL; Department of Medicine, The University of Chicago Comprehensive Cancer Center, Chicago, IL.
Clin Breast Cancer. 2024 Jun;24(4):263-270. doi: 10.1016/j.clbc.2024.03.001. Epub 2024 Mar 6.
Triple-negative breast cancer (TNBC) is an aggressive breast cancer subtype, generally associated with a high risk of recurrence and poor prognosis. Our understanding of the heterogeneity of TNBC has increased over the past decade, and with it a recognition that some TNBCs are immunogenically active. This finding has led to the investigation of immunotherapy-based approaches for treatment of both early and advanced-stage TNBC. In this review, we provide an overview of the biologic rationale for immunotherapy use in TNBC, and review data from seminal trials which have culminated in the approval of immunotherapy for both early and advanced TNBC. Identification of predictive biomarkers to aid in treatment selection, development of novel treatment combinations to combat resistance, and refinement of therapeutic targets enables continued improvement in outcomes with immunotherapy for TNBC.
三阴性乳腺癌(TNBC)是一种侵袭性乳腺癌亚型,通常与复发风险高和预后不良相关。在过去的十年中,我们对 TNBC 的异质性的理解有所增加,并且认识到一些 TNBC 具有免疫原性。这一发现促使我们研究基于免疫疗法的方法来治疗早期和晚期 TNBC。在这篇综述中,我们提供了 TNBC 使用免疫疗法的生物学原理概述,并回顾了导致免疫疗法获批用于早期和晚期 TNBC 的关键性试验数据。鉴定预测生物标志物以辅助治疗选择、开发新的治疗组合以对抗耐药性以及完善治疗靶点,这些都使 TNBC 的免疫治疗的疗效得以持续改善。