PD-1/PD-L1免疫检查点抑制剂在三阴性乳腺癌治疗中的进展
Progress of PD-1/PD-L1 immune checkpoint inhibitors in the treatment of triple-negative breast cancer.
作者信息
Li Hongshu, Chang Ying, Jin Tiefeng, Zhang Meihua
机构信息
Department of Pathology and Cancer Research Center, Yanbian University Medical College, Gong Yuan Road No. 977, Yanji, 133002, P. R. China.
Key Laboratory of the Science and Technology Department of Jilin Province, Yanji, P. R. China.
出版信息
Cancer Cell Int. 2025 Apr 10;25(1):139. doi: 10.1186/s12935-025-03769-z.
Triple-negative breast cancer (TNBC) is a highly heterogeneous cancer with substantial recurrence potential. Currently, surgery and chemotherapy are the main treatments for this disease. However, chemotherapy is often limited by several factors, including low bioavailability, significant systemic toxicity, inadequate targeting, and multidrug resistance. Immune checkpoint inhibitors (ICIs), including those targeting programmed death protein-1 (PD-1) and its ligand (PD-L1), have been proven effective in the treatment of various tumours. In particular, in the treatment of TNBC with PD-1/PD-L1 inhibitors, both monotherapy and combination chemotherapy, as well as targeted drugs and other therapeutic strategies, have broad therapeutic prospects. In addition, these inhibitors can participate in the tumour immune microenvironment (TIME) through blocking PD-1/PD-L1 binding, which can improve immune efficacy. This article provides an overview of the use of PD-1/PD-L1 inhibitors in the treatment of TNBC and the progress of multiple therapeutic studies. To increase the survival of TNBC patients, relevant biomarkers for predicting the efficacy of PD-1/PD-L1 inhibitor therapy have been explored to identify new strategies for the treatment of TNBC.
三阴性乳腺癌(TNBC)是一种具有高度异质性且复发潜力较大的癌症。目前,手术和化疗是该疾病的主要治疗方法。然而,化疗常常受到多种因素的限制,包括生物利用度低、显著的全身毒性、靶向性不足以及多药耐药性。免疫检查点抑制剂(ICI),包括那些靶向程序性死亡蛋白-1(PD-1)及其配体(PD-L1)的抑制剂,已被证明在治疗多种肿瘤方面有效。特别是,在使用PD-1/PD-L1抑制剂治疗TNBC时,无论是单药治疗还是联合化疗,以及靶向药物和其他治疗策略,都具有广阔的治疗前景。此外,这些抑制剂可通过阻断PD-1/PD-L1结合参与肿瘤免疫微环境(TIME),从而提高免疫疗效。本文概述了PD-1/PD-L1抑制剂在TNBC治疗中的应用以及多项治疗研究的进展。为了提高TNBC患者的生存率,人们探索了用于预测PD-1/PD-L1抑制剂治疗疗效的相关生物标志物,以确定TNBC的新治疗策略。