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三阴性乳腺癌的免疫疗法:当前趋势与未来前景

Immunotherapy for triple-negative breast cancer: current trends and future prospects.

作者信息

Essalihi Amina, Bouchra Oumaima, Khadiri Khadija, Khadrouf Zineb, Karkouri Mehdi

机构信息

Laboratory of Cellular and Molecular Pathology, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco.

Laboratory of Immunology and Biodiversity, Faculty of Sciences, Aïn Chock, Hassan II University of Casablanca, Casablanca, Morocco.

出版信息

J Egypt Natl Canc Inst. 2025 Jun 17;37(1):51. doi: 10.1186/s43046-025-00295-x.

Abstract

Triple-negative breast cancer (TNBC) accounts for 10-20% of all breast cancers. These tumors are heterogeneous, highly aggressive, and associated with a poor prognosis and a high risk of recurrence. In both hematologic and solid malignancies, immune checkpoint inhibitors (ICIs) have demonstrated the ability to enhance long-term survival and sustain robust anti-tumor responses. Immunotherapy has also been introduced as a treatment option for TNBC, a subtype characterized by a high presence of intra-tumoral tumor-infiltrating lymphocytes (TILs) and stromal immune cells. This heightened immune activity within TNBC serves as a prognostic marker, indicating a potential for better responses to immunotherapy due to increased tumor immune infiltration. This review provides an overview of the current landscape of immunotherapy in TNBC, exploring its rationale and application across different disease stages. Trial registration NCT02555657.

摘要

三阴性乳腺癌(TNBC)占所有乳腺癌的10%-20%。这些肿瘤具有异质性,侵袭性强,预后差且复发风险高。在血液系统恶性肿瘤和实体恶性肿瘤中,免疫检查点抑制剂(ICIs)已显示出能够提高长期生存率并维持强大的抗肿瘤反应。免疫疗法也已被引入作为TNBC的一种治疗选择,TNBC是一种以肿瘤内肿瘤浸润淋巴细胞(TILs)和基质免疫细胞高度存在为特征的亚型。TNBC内这种增强的免疫活性作为一种预后标志物,表明由于肿瘤免疫浸润增加,对免疫疗法可能有更好的反应。本综述概述了TNBC免疫疗法的当前现状,探讨其原理以及在不同疾病阶段的应用。试验注册号:NCT02555657。

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