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三阴性乳腺癌的进展与挑战:治疗与诊断策略的全面综述

Advancements and challenges in triple-negative breast cancer: a comprehensive review of therapeutic and diagnostic strategies.

作者信息

Xiong Nating, Wu Heming, Yu Zhikang

机构信息

Department of Blood Transfusion, Meizhou People's Hospital, Meizhou Academy of Medical Sciences, Meizhou, China.

Meizhou Municipal Engineering and Technology Research Centre for Molecular Diagnostics of Major Genetic Disorders, Meizhou People's Hospital, Meizhou, China.

出版信息

Front Oncol. 2024 May 28;14:1405491. doi: 10.3389/fonc.2024.1405491. eCollection 2024.

Abstract

Triple-negative breast cancer (TNBC) poses significant challenges in oncology due to its aggressive nature, limited treatment options, and poorer prognosis compared to other breast cancer subtypes. This comprehensive review examines the therapeutic and diagnostic landscape of TNBC, highlighting current strategies, emerging therapies, and future directions. Targeted therapies, including PARP inhibitors, immune checkpoint inhibitors, and EGFR inhibitors, hold promise for personalized treatment approaches. Challenges in identifying novel targets, exploring combination therapies, and developing predictive biomarkers must be addressed to optimize targeted therapy in TNBC. Immunotherapy represents a transformative approach in TNBC treatment, yet challenges in biomarker identification, combination strategies, and overcoming resistance persist. Precision medicine approaches offer opportunities for tailored treatment based on tumor biology, but integration of multi-omics data and clinical implementation present challenges requiring innovative solutions. Despite these challenges, ongoing research efforts and collaborative initiatives offer hope for improving outcomes and advancing treatment strategies in TNBC. By addressing the complexities of TNBC biology and developing effective therapeutic approaches, personalized treatments can be realized, ultimately enhancing the lives of TNBC patients. Continued research, clinical trials, and interdisciplinary collaborations are essential for realizing this vision and making meaningful progress in TNBC management.

摘要

三阴性乳腺癌(TNBC)因其侵袭性、治疗选择有限以及与其他乳腺癌亚型相比预后较差,在肿瘤学领域带来了重大挑战。本综述全面审视了TNBC的治疗和诊断现状,重点介绍了当前策略、新兴疗法及未来方向。靶向疗法,包括聚(ADP-核糖)聚合酶(PARP)抑制剂、免疫检查点抑制剂和表皮生长因子受体(EGFR)抑制剂,有望实现个性化治疗方案。为优化TNBC的靶向治疗,必须解决识别新靶点、探索联合疗法以及开发预测性生物标志物等挑战。免疫疗法是TNBC治疗中的一种变革性方法,但在生物标志物识别、联合策略以及克服耐药性方面仍存在挑战。精准医学方法为基于肿瘤生物学的个性化治疗提供了契机,但多组学数据的整合及临床应用面临挑战,需要创新解决方案。尽管存在这些挑战,但正在进行的研究工作和合作倡议为改善TNBC患者的治疗结果及推进治疗策略带来了希望。通过应对TNBC生物学的复杂性并开发有效的治疗方法,可以实现个性化治疗,最终改善TNBC患者的生活质量。持续的研究、临床试验和跨学科合作对于实现这一愿景并在TNBC管理方面取得有意义的进展至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bf8/11165151/2f9fcc50d496/fonc-14-1405491-g001.jpg

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