Nurlaila Ika, Pambudi Sabar
From the Department of Vaccine and Drugs, The National Research and Innovation Agency (BRIN), Banten, Indonesia.
Saudi Med J. 2024 Apr;45(4):331-340. doi: 10.15537/smj.2024.45.4.20230492.
Although, from a therapeutic standpoint, breast cancer (BC) is considerably well-characterized, it still leaves puzzling spots. The Her-2+/PR+/ER+ BC can benefit from the mainstays of anticancer therapy and immunotherapy and overall have a better prognosis. Triple-negative BC, due to the concomitant absence of Her-2/PR/ER receptors, is more challenging and necessitates different strategies. It has been learned that the mainstay anti-BC therapies were initially designed to demolish as many cancer cells as they possibly could. However, the number of reports on the adverse effects of these mainstay therapies has recently been increasing. It underpins efforts to reshape such therapies into much better and safer forms over time. Moreover, some current findings on the molecular markers, which are target-potential, have also shifted the paradigm from radical-to-local-yet-precise-approach to meet the need for a therapy platform that is less cytotoxic to normal cells yet efficiently kills cancer cells.
尽管从治疗角度来看,乳腺癌(BC)已得到相当充分的表征,但仍存在一些令人困惑之处。人表皮生长因子受体2(Her-2)阳性/孕激素受体(PR)阳性/雌激素受体(ER)阳性的乳腺癌可从抗癌治疗和免疫治疗的主要手段中获益,总体预后较好。三阴性乳腺癌由于同时缺乏Her-2/PR/ER受体,更具挑战性,需要不同的治疗策略。据了解,主要的抗乳腺癌疗法最初旨在尽可能多地消灭癌细胞。然而,最近关于这些主要疗法不良反应的报道数量一直在增加。这促使人们努力随着时间的推移将这些疗法重塑为更好、更安全的形式。此外,目前一些关于具有潜在靶向性的分子标志物的研究结果,也将治疗模式从激进的全面治疗转变为局部但精确的治疗方法,以满足对一种对正常细胞细胞毒性较小但能有效杀死癌细胞的治疗平台的需求。