Ma Ke, Yin Meng, Chen Ke-Zheng, Qiao Sheng-Lin
Lab of Functional and Biomedical Nanomaterials, College of Materials Science and Engineering, Qingdao University of Science and Technology (QUST), Qingdao, 266042, P. R. China.
Chem Rec. 2025 Jan 2:e202400171. doi: 10.1002/tcr.202400171.
Triple-negative breast cancer (TNBC) represents a highly aggressive and prognostically unfavorable subtype of breast cancer, characterized by the absence of common hormone receptors, which renders conventional therapies largely ineffective. This review comprehensively examines the molecular and clinical characteristics of TNBC, underscoring the substantial challenges inherent in its treatment and the innovative potential of targeted nanoprobes in advancing both diagnostic and therapeutic paradigms. Through the modification of targeting molecules, nanoprobes can deliver therapeutic agents highly specific to TNBC cells, thus significantly improving the sensitivity of diagnostic modalities and the efficacy of therapeutic interventions. Our discussion systematically explores the application of various targeting molecules and their advantages and limitations. In addition, this review presents a series of multifunctional targeted nanoprobes that are designed to perform both diagnostic and therapeutic functions, thus providing a synergistic approach to the treatment of TNBC. These advanced nanoprobes enable precise tumor localization while monitoring the therapeutic response in real time, thus facilitating a more personalized and dynamic treatment regimen. The major obstacles encountered during clinical translation are discussed in detail. The use of targeted nanoprobes represents a major leap forward in personalized medicine for TNBC, and current research efforts will continue to refine these technologies to improve clinical applicability.
三阴性乳腺癌(TNBC)是一种侵袭性很强且预后不良的乳腺癌亚型,其特征是缺乏常见的激素受体,这使得传统疗法大多无效。本综述全面研究了TNBC的分子和临床特征,强调了其治疗中固有的重大挑战以及靶向纳米探针在推进诊断和治疗模式方面的创新潜力。通过修饰靶向分子,纳米探针可以递送对TNBC细胞具有高度特异性的治疗剂,从而显著提高诊断方法的灵敏度和治疗干预的疗效。我们的讨论系统地探讨了各种靶向分子的应用及其优缺点。此外,本综述介绍了一系列旨在同时执行诊断和治疗功能的多功能靶向纳米探针,从而为TNBC的治疗提供一种协同方法。这些先进的纳米探针能够实现肿瘤的精确定位,同时实时监测治疗反应,从而促进更个性化和动态的治疗方案。文中详细讨论了临床转化过程中遇到的主要障碍。靶向纳米探针的应用代表了TNBC个性化医疗的一大飞跃,当前的研究工作将继续完善这些技术,以提高临床适用性。