Health Sciences Faculty, Universidad de Ciencias Aplicadas y Ambientales (U.D.C.A), Calle 222#55-37, Bogotá 111166, Colombia; Molecular Biology and Immunology Department, Fundación Instituto de Inmunología de Colombia (FIDIC), Carrera 50#26-20, Bogotá 111321, Colombia; PhD Programme in Biotechnology, Faculty of Sciences, Universidad Nacional de Colombia, Carrera 45#26-85, Bogotá 111321, Colombia.
Microbiology Department, Faculty of Medicine, Universidad Nacional de Colombia, Carrera 45#26-85, Bogotá 111321, Colombia.
Crit Rev Oncol Hematol. 2024 Jul;199:104389. doi: 10.1016/j.critrevonc.2024.104389. Epub 2024 May 10.
Breast cancer (BC) is currently the most common malignant tumour in women and one of the leading causes of their death around the world. New and increasingly personalised diagnostic and therapeutic tools have been introduced over the last few decades, along with significant advances regarding the study and knowledge related to BC. The tumour microenvironment (TME) refers to the tumour cell-associated cellular and molecular environment which can influence conditions affecting tumour development and progression. The TME is composed of immune cells, stromal cells, extracellular matrix (ECM) and signalling molecules secreted by these different cell types. Ever deeper understanding of TME composition changes during tumour development and progression will enable new and more innovative therapeutic strategies to become developed for targeting tumours during specific stages of its evolution. This review summarises the role of BC-related TME components and their influence on tumour progression and the development of resistance to therapy. In addition, an account on the modifications in BC-related TME components associated with therapy is given, and the completed or ongoing clinical trials related to this topic are presented.
乳腺癌(BC)是目前女性最常见的恶性肿瘤,也是全球女性死亡的主要原因之一。在过去几十年中,已经引入了新的、越来越个性化的诊断和治疗工具,并且在与 BC 相关的研究和知识方面也取得了重大进展。肿瘤微环境(TME)是指与肿瘤细胞相关的细胞和分子环境,它可以影响影响肿瘤发生和发展的条件。TME 由免疫细胞、基质细胞、细胞外基质(ECM)和这些不同细胞类型分泌的信号分子组成。对肿瘤发生和发展过程中 TME 组成变化的深入了解,将能够为针对肿瘤进化特定阶段的治疗提供新的、更具创新性的治疗策略。本文综述了与 BC 相关的 TME 成分及其对肿瘤进展和治疗耐药性发展的影响。此外,还介绍了与治疗相关的 BC 相关 TME 成分的变化,并介绍了相关的临床试验。