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分子诊断时代的乳腺癌治疗进展

Advancing breast cancer therapy in the era of molecular diagnostics.

作者信息

Carnevale Maria Grazia, Colciago Riccardo Ray, De Santis Maria Carmen, Cortesi Laura, De Marco Cinzia, Marra Antonio, Vingiani Andrea, Nolè Franco, Curigliano Giuseppe, Pruneri Giancarlo, Llombart-Cussac Antonio, Di Cosimo Serena, Cortes Javier

机构信息

Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.

Bicocca University, Milano, Italy.

出版信息

Breast. 2025 May 8;82:104488. doi: 10.1016/j.breast.2025.104488.

DOI:10.1016/j.breast.2025.104488
PMID:40424679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12152912/
Abstract

Advances in cancer biology and drug development now enable treatments tailored to individual tumor profile. Targeting specific molecular alterations marked a significant step forward in cancer care, including breast cancer. Access to these therapies is improving thanks to the implementation of molecular tumor boards and efforts to provide molecular diagnostics at sustainable costs for all. In this context, we highlight recent progress in breast cancer therapy, focusing on biomarker-driven approaches, immunotherapy, and precision medicine paving the way for increasingly personalized and effective options.

摘要

癌症生物学和药物开发的进展如今使得能够根据个体肿瘤特征定制治疗方案。针对特定分子改变是癌症治疗(包括乳腺癌治疗)向前迈出的重要一步。由于分子肿瘤学委员会的设立以及为所有人提供可持续成本的分子诊断所做的努力,这些疗法的可及性正在改善。在此背景下,我们重点介绍乳腺癌治疗的最新进展,着重于生物标志物驱动的方法、免疫疗法以及为越来越个性化和有效的治疗选择铺平道路的精准医学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b538/12152912/c51c9f4c602c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b538/12152912/c51c9f4c602c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b538/12152912/c51c9f4c602c/gr1.jpg

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本文引用的文献

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Neoadjuvant Paclitaxel/Olaparib in Comparison to Paclitaxel/Carboplatin in Patients with HER2-Negative Breast Cancer and HRD-Long-term Survival of the GeparOLA Study.新辅助紫杉醇/奥拉帕利与紫杉醇/卡铂治疗HER2阴性乳腺癌及HRD患者的疗效比较——GeparOLA研究的长期生存结果
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Tucatinib and trastuzumab in HER2-mutated metastatic breast cancer: a phase 2 basket trial.图卡替尼与曲妥珠单抗治疗HER2突变转移性乳腺癌:一项2期篮子试验
Nat Med. 2025 Mar;31(3):909-916. doi: 10.1038/s41591-024-03462-0. Epub 2025 Jan 17.
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HER2DX genomic test in early-stage HER2-positive breast cancer.
早期HER2阳性乳腺癌的HER2DX基因检测
ESMO Open. 2024 Dec;9(12):103987. doi: 10.1016/j.esmoop.2024.103987. Epub 2024 Nov 16.
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Practical treatment strategies and novel therapies in the phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway in hormone receptor-positive/human epidermal growth factor receptor 2 (HER2)-negative (HR+/HER2-) advanced breast cancer.激素受体阳性/人表皮生长因子受体2阴性(HR+/HER2-)晚期乳腺癌中磷酸肌醇3激酶(PI3K)/蛋白激酶B(AKT)/雷帕霉素哺乳动物靶点(mTOR)通路的实用治疗策略和新型疗法
ESMO Open. 2024 Dec;9(12):103997. doi: 10.1016/j.esmoop.2024.103997. Epub 2024 Dec 13.
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Inavolisib-Based Therapy in -Mutated Advanced Breast Cancer.伊沙匹隆为基础的疗法治疗 - 突变型晚期乳腺癌。
N Engl J Med. 2024 Oct 31;391(17):1584-1596. doi: 10.1056/NEJMoa2404625.
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Molecular tumor board in patients with metastatic breast cancer.转移性乳腺癌患者的分子肿瘤学委员会
Breast Cancer Res Treat. 2025 Feb;210(1):45-55. doi: 10.1007/s10549-024-07535-z. Epub 2024 Oct 30.
7
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JCO Precis Oncol. 2024 Oct;8:e2400173. doi: 10.1200/PO.24.00173. Epub 2024 Oct 30.
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N Engl J Med. 2024 Nov 28;391(21):1981-1991. doi: 10.1056/NEJMoa2409932. Epub 2024 Sep 15.
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ESMO Open. 2024 Sep;9(9):103699. doi: 10.1016/j.esmoop.2024.103699. Epub 2024 Sep 9.
10
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