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三阴性乳腺癌免疫治疗的现状与未来

Present and Future of Immunotherapy for Triple-Negative Breast Cancer.

作者信息

Sriramulu Sushmitha, Thoidingjam Shivani, Speers Corey, Nyati Shyam

机构信息

Department of Radiation Oncology, Henry Ford Cancer Institute, Henry Ford Health, Detroit, MI 48202, USA.

Department of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109, USA.

出版信息

Cancers (Basel). 2024 Sep 24;16(19):3250. doi: 10.3390/cancers16193250.


DOI:10.3390/cancers16193250
PMID:39409871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11475478/
Abstract

Triple-negative breast cancer (TNBC) lacks the expression of estrogen receptors (ERs), human epidermal growth factor receptor 2 (HER2), and progesterone receptors (PRs). TNBC has the poorest prognosis among breast cancer subtypes and is more likely to respond to immunotherapy due to its higher expression of PD-L1 and a greater percentage of tumor-infiltrating lymphocytes. Immunotherapy has revolutionized TNBC treatment, especially with the FDA's approval of pembrolizumab (Keytruda) combined with chemotherapy for advanced cases, opening new avenues for treating this deadly disease. Although immunotherapy can significantly improve patient outcomes in a subset of patients, achieving the desired response rate for all remains an unmet clinical goal. Strategies that enhance responses to immune checkpoint blockade, including combining immunotherapy with chemotherapy, molecularly targeted therapy, or radiotherapy, may improve response rates and clinical outcomes. In this review, we provide a short background on TNBC and immunotherapy and explore the different types of immunotherapy strategies that are currently being evaluated in TNBC. Additionally, we review why combination strategies may be beneficial, provide an overview of the combination strategies, and discuss the novel immunotherapeutic opportunities that may be approved in the near future for TNBC.

摘要

三阴性乳腺癌(TNBC)缺乏雌激素受体(ERs)、人表皮生长因子受体2(HER2)和孕激素受体(PRs)的表达。TNBC在乳腺癌亚型中预后最差,由于其PD-L1表达较高且肿瘤浸润淋巴细胞比例较大,更有可能对免疫疗法产生反应。免疫疗法彻底改变了TNBC的治疗方式,尤其是随着美国食品药品监督管理局(FDA)批准帕博利珠单抗(可瑞达)联合化疗用于晚期病例,为治疗这种致命疾病开辟了新途径。尽管免疫疗法可以显著改善一部分患者的治疗效果,但实现对所有患者的理想缓解率仍然是一个未满足的临床目标。增强对免疫检查点阻断反应的策略,包括将免疫疗法与化疗、分子靶向疗法或放疗相结合,可能会提高缓解率和临床疗效。在本综述中,我们提供了TNBC和免疫疗法的简短背景知识,并探讨了目前正在TNBC中评估的不同类型的免疫疗法策略。此外,我们回顾了联合策略为何可能有益,概述了联合策略,并讨论了可能在不久的将来被批准用于TNBC的新型免疫治疗机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf9/11475478/1c2057a8555e/cancers-16-03250-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf9/11475478/6d319ccefd01/cancers-16-03250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf9/11475478/401b28b1148c/cancers-16-03250-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf9/11475478/1c2057a8555e/cancers-16-03250-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf9/11475478/6d319ccefd01/cancers-16-03250-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf9/11475478/401b28b1148c/cancers-16-03250-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0cf9/11475478/1c2057a8555e/cancers-16-03250-g003.jpg

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引用本文的文献

[1]
Treatment Strategies for Cutaneous and Oral Mucosal Side Effects of Oncological Treatment in Breast Cancer: A Comprehensive Review.

Biomedicines. 2025-8-4

[2]
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Oncologist. 2025-5-8

[3]
Advancing Breast Cancer Treatment: The Role of Immunotherapy and Cancer Vaccines in Overcoming Therapeutic Challenges.

Vaccines (Basel). 2025-3-24

[4]
Druggable Molecular Networks in -Mutated Breast Cancer.

Biology (Basel). 2025-3-2

[5]
Development of a prognostic model based on four genes related to exhausted CD8+ T cell in triple-negative breast cancer patients: a comprehensive analysis integrating scRNA-seq and bulk RNA-seq.

Discov Oncol. 2025-2-3

[6]
Exploratory Research for HIF-1α Overexpression Tumor Antigen in the Activation of Dendritic Cells and the Potent Anti-Tumor Immune Response.

Cancer Manag Res. 2024-12-17

本文引用的文献

[1]
BUB1 Inhibition Sensitizes TNBC Cell Lines to Chemotherapy and Radiotherapy.

Biomolecules. 2024-5-25

[2]
BUB1 regulates non-homologous end joining pathway to mediate radioresistance in triple-negative breast cancer.

J Exp Clin Cancer Res. 2024-6-11

[3]
TROPION-Breast03: a randomized phase III global trial of datopotamab deruxtecan ± durvalumab in patients with triple-negative breast cancer and residual invasive disease at surgical resection after neoadjuvant therapy.

Ther Adv Med Oncol. 2024-4-29

[4]
Datopotamab Deruxtecan in Advanced or Metastatic HR+/HER2- and Triple-Negative Breast Cancer: Results From the Phase I TROPION-PanTumor01 Study.

J Clin Oncol. 2024-7-1

[5]
Long-term disease-free survival with chemotherapy and pembrolizumab in a patient with unmeasurable, advanced stage dedifferentiated endometrial carcinoma.

Gynecol Oncol Rep. 2024-3-27

[6]
HER2-low and tumor infiltrating lymphocytes in triple-negative breast cancer: Are they connected?

Breast Cancer Res. 2024-3-11

[7]
Final Results From the Randomized Phase III ASCENT Clinical Trial in Metastatic Triple-Negative Breast Cancer and Association of Outcomes by Human Epidermal Growth Factor Receptor 2 and Trophoblast Cell Surface Antigen 2 Expression.

J Clin Oncol. 2024-5-20

[8]
Artificial Intelligence for Precision Oncology of Triple-Negative Breast Cancer: Learning from Melanoma.

Cancers (Basel). 2024-2-6

[9]
Expression of the checkpoint kinase BUB1 is a predictor of response to cancer therapies.

Sci Rep. 2024-2-23

[10]
Small molecule agents for triple negative breast cancer: Current status and future prospects.

Transl Oncol. 2024-3

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