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靶向“别吃我”信号:乳腺癌免疫疗法

Targeting "don't eat me" signal: breast cancer immunotherapy.

作者信息

Gao Yue, Zhang Xiaoyan, Ding Mingqiang, Fu Zhenkun, Zhong Lei

机构信息

Department of Breast Surgery, Sixth Affiliated Hospital of Harbin Medical University, Harbin, China.

Department of Immunology, School of Basic Medical Sciences, Harbin Medical University, Harbin, China.

出版信息

Breast Cancer Res Treat. 2025 Jun;211(2):277-292. doi: 10.1007/s10549-025-07659-w. Epub 2025 Mar 18.

Abstract

PURPOSE

Breast cancer ranks as the most prevalent cancer type impacting women globally, both in terms of incidence and mortality rates, making it a major health concern for females. There's an urgent requirement to delve into new cancer treatment methods to improve patient survival rates.

METHODS

Immunotherapy has gained recognition as a promising area of research in the treatment of breast cancer, with targeted immune checkpoint therapies demonstrating the potential to yield sustained clinical responses and improve overall survival rates. Presently, the predominant immune checkpoints identified on breast cancer cells include CD47, CD24, PD-L1, MHC-I, and STC-1, among others. Nevertheless, the specific roles of these various immune checkpoints in breast carcinogenesis, metastasis, and immune evasion have yet to be comprehensively elucidated. We conducted a comprehensive review of the existing literature pertaining to breast cancer and immune checkpoint inhibitors, providing a summary of findings and an outlook on future research directions.

RESULTS

This article reviews the advancements in research concerning each immune checkpoint in breast cancer and their contributions to immune evasion, while also synthesizing immunotherapy strategies informed by these mechanisms. Furthermore, it anticipates future research priorities, thereby providing a theoretical foundation to guide immunotherapy as a potential interventional approach for breast cancer treatment.

CONCLUSION

Knowledge of immune checkpoints will drive the creation of novel cancer therapies, and future breast cancer research will increasingly emphasize personalized treatments tailored to patients' specific tumor characteristics.

摘要

目的

乳腺癌在发病率和死亡率方面均位居全球影响女性的最常见癌症类型之列,是女性主要的健康问题。迫切需要深入研究新的癌症治疗方法以提高患者生存率。

方法

免疫疗法已成为乳腺癌治疗中一个有前景的研究领域,靶向免疫检查点疗法显示出产生持续临床反应和提高总体生存率的潜力。目前,在乳腺癌细胞上鉴定出的主要免疫检查点包括CD47、CD24、PD-L1、MHC-I和STC-1等。然而,这些不同免疫检查点在乳腺癌发生、转移和免疫逃逸中的具体作用尚未得到全面阐明。我们对现有关于乳腺癌和免疫检查点抑制剂的文献进行了全面综述,提供了研究结果总结和未来研究方向展望。

结果

本文回顾了乳腺癌中各免疫检查点的研究进展及其对免疫逃逸的作用,同时综合了基于这些机制的免疫治疗策略。此外,还预测了未来的研究重点,从而为将免疫疗法作为乳腺癌潜在干预方法提供理论基础。

结论

对免疫检查点的了解将推动新型癌症疗法的产生,未来乳腺癌研究将越来越强调根据患者特定肿瘤特征进行个性化治疗。

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