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三阴性乳腺癌的最新治疗方法:从临床前研究到临床研究

Latest Therapeutical Approaches for Triple-Negative Breast Cancer: From Preclinical to Clinical Research.

作者信息

Pont Mariona, Marqués Marta, Sorolla Anabel

机构信息

Research Group of Cancer Biomarkers, Biomedical Research Institute of Lleida (IRBLleida), Av. Alcalde Rovira Roure, 80, 25198 Lleida, Spain.

Department of Medicine, University of Lleida, Av. Alcalde Rovira Roure, 80, 25198 Lleida, Spain.

出版信息

Int J Mol Sci. 2024 Dec 17;25(24):13518. doi: 10.3390/ijms252413518.

Abstract

Triple-negative breast cancer (TNBC) represents roughly one-sixth of all breast cancer patients, but accounts for 30-40% of breast cancer deaths. Due to the lack of typical biomarkers exploited clinically for breast cancer, it remains very difficult to treat. Moreover, its intrinsic high heterogeneity and proneness to become resistant to the drugs administered makes the treatment management very challenging for oncologists. Herein, we outline the different therapies used currently for TNBC and list the ongoing clinical trials to provide an overview of the most recent TNBC therapeutic landscape. In addition, we highlight the emerging therapies in the preclinical stage that hold the most promise, such as epigenetic modulators, CRISPR, miniproteins, radioconjugates, cancer vaccines, and PROTACs. Moreover, we navigate through the existing limitations and challenges which hamper the development of new and more effective treatments for TNBC. Lastly, we point to emerging new directions that may revolutionize future therapy for TNBC.

摘要

三阴性乳腺癌(TNBC)约占所有乳腺癌患者的六分之一,但却占乳腺癌死亡人数的30%-40%。由于缺乏临床上可利用的典型乳腺癌生物标志物,其治疗仍然非常困难。此外,其固有的高度异质性以及易于对所施用药物产生耐药性,这使得肿瘤学家对其治疗管理极具挑战性。在此,我们概述了目前用于TNBC的不同疗法,并列出了正在进行的临床试验,以提供最新的TNBC治疗格局概述。此外,我们强调了临床前阶段最有前景的新兴疗法,如表观遗传调节剂、CRISPR、微型蛋白、放射性缀合物、癌症疫苗和PROTAC。此外,我们梳理了阻碍TNBC新的更有效治疗方法开发的现有局限性和挑战。最后,我们指出了可能彻底改变TNBC未来治疗的新兴新方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e25/11676458/6772b5715adf/ijms-25-13518-g001.jpg

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