Qian Jian, Xu Yunxia, Ling Xiaokai, Wang Fenhua
Thyroid and Breast Surgery, Hangzhou Linping District Maternal and Child Health Care Hospital, Hangzhou 311199, Zhejiang, China.
Galen Med J. 2023 Aug 20;12:e3021. doi: 10.31661/gmj.v12i0.3021. eCollection 2023.
Over the past few decades, significant progress has been made in the management of human epidermal growth factor receptor 2 (HER2)-positive breast cancer (BC) due to the development of targeted therapies. However, HER2-positive BC is an aggressive subtype, posing significant challenges, including treatment resistance and disease recurrence. Current standard treatment options for HER2-positive BC include combinations of chemotherapy drugs, targeted therapies such as trastuzumab and pertuzumab, and hormone therapies. However, some important limitations of these treatments, such as resistance and adverse effects, are reported. Also, we showed emerging therapeutic options, such as novel chemotherapy agents, antibody-drug conjugates, and immune checkpoint inhibitors, and discussed their mechanisms of action, potential benefits, and potential future directions in the field.
在过去几十年中,由于靶向治疗的发展,人类表皮生长因子受体2(HER2)阳性乳腺癌(BC)的管理取得了显著进展。然而,HER2阳性BC是一种侵袭性亚型,带来了重大挑战,包括治疗耐药性和疾病复发。HER2阳性BC目前的标准治疗方案包括化疗药物联合、曲妥珠单抗和帕妥珠单抗等靶向治疗以及激素治疗。然而,有报道称这些治疗存在一些重要局限性,如耐药性和不良反应。此外,我们展示了新兴的治疗选择,如新型化疗药物、抗体药物偶联物和免疫检查点抑制剂,并讨论了它们的作用机制、潜在益处以及该领域未来的潜在发展方向。