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乳腺癌免疫治疗的进展:机制、疗效及未来方向。

Advancements in Immunotherapy for Breast Cancer: Mechanisms, Efficacy, and Future Directions.

作者信息

Rai Archita, Deshpande Swati G, Vaidya Ashish, Shinde Raju K

机构信息

General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Oncology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 31;16(8):e68351. doi: 10.7759/cureus.68351. eCollection 2024 Aug.

Abstract

Breast cancer is a major global health challenge characterized by its diverse biological behavior and varying treatment responses. Traditional therapies, including surgery, radiation, chemotherapy, hormonal therapy, and targeted therapy, have significantly advanced breast cancer treatment but are often limited by issues such as resistance, side effects, and variable efficacy. Immunotherapy has emerged as a transformative approach, leveraging the body's immune system to target and eliminate cancer cells. This review provides a comprehensive overview of recent advancements in immunotherapy for breast cancer, detailing the mechanisms of various therapeutic strategies, including checkpoint inhibitors, monoclonal antibodies, cancer vaccines, adoptive cell therapy, and oncolytic virus therapy. We evaluate the efficacy of these approaches in different stages of breast cancer, highlighting successes and challenges encountered in clinical settings. The review also addresses the current limitations of immunotherapy, such as treatment-related adverse effects, resistance mechanisms, and issues of cost and accessibility. We discuss promising future directions, including emerging targets, combination therapies, and personalized medicine approaches. By integrating recent research and clinical trial data, this review aims to elucidate the potential of immunotherapy to revolutionize breast cancer treatment, offering insights into its future role in improving patient outcomes and shaping the landscape of oncological care.

摘要

乳腺癌是一项重大的全球健康挑战,其特点是具有多样的生物学行为和不同的治疗反应。传统疗法,包括手术、放疗、化疗、激素疗法和靶向疗法,显著推动了乳腺癌治疗的进展,但往往受到耐药性、副作用和疗效不一等问题的限制。免疫疗法已成为一种变革性方法,利用人体免疫系统来靶向和消除癌细胞。本综述全面概述了乳腺癌免疫疗法的最新进展,详细阐述了各种治疗策略的机制,包括检查点抑制剂、单克隆抗体、癌症疫苗、过继性细胞疗法和溶瘤病毒疗法。我们评估了这些方法在乳腺癌不同阶段的疗效,突出了临床环境中取得的成功和遇到的挑战。该综述还探讨了免疫疗法目前的局限性,如治疗相关的不良反应、耐药机制以及成本和可及性问题。我们讨论了有前景的未来方向,包括新出现的靶点、联合疗法和个性化医疗方法。通过整合近期的研究和临床试验数据,本综述旨在阐明免疫疗法彻底改变乳腺癌治疗的潜力,深入了解其在改善患者预后和塑造肿瘤护理格局方面的未来作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d6f/11443072/e0e4b08a91e3/cureus-0016-00000068351-i01.jpg

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