三阴性乳腺癌中的化学免疫调节:最大化抗PD-1化学免疫治疗疗效的关键
Chemoimmunomodulation in triple negative breast cancer: a key to maximizing anti-PD-1 chemoimmunotherapeutic efficacy.
作者信息
Gbadamosi Mohammed O, Molchan Elizabeth, Makarem Mariana S, Coleman Kennedy L, Ohaegbulam Alyssa C, Streeks Kathleen H
机构信息
Department of Pharmacotherapy and Translational Research, College of Pharmacy, Gainesville, FL, USA.
Brain Tumor Immunotherapy Program, Preston A. Wells Jr. Center for Brain Tumor Therapy, University of Florida, Gainesville, FL, USA.
出版信息
Oncoimmunology. 2025 Dec;14(1):2527303. doi: 10.1080/2162402X.2025.2527303. Epub 2025 Jul 9.
Triple-negative breast cancer (TNBC) is among the aggressive subtype of breast cancer with a distinct lack of viable treatment strategies and poor clinical outcomes. Anti-PD-1 chemoimmunotherapy (CIT), which leverages the vast array of immunomodulatory effects induced by chemotherapeutic agents to potentiate anti-PD-1 blockade, has emerged as a promising standard-of-care treatment option. However, the clinical benefit from anti-PD-1 CIT has been limited and heterogeneous in advanced TNBC. One of the major reasons for these limitations is the lack of understanding regarding the immunomodulatory properties of chemotherapeutics with respect to individual patients. In this review, we discuss the immunomodulatory properties of first-line chemotherapeutic agents in TNBC and the potential benefits that optimizing chemoimmunomodulation offers toward maximizing CIT efficacy in TNBC.
三阴性乳腺癌(TNBC)是侵袭性较强的乳腺癌亚型之一,明显缺乏有效的治疗策略,临床预后较差。抗程序性死亡蛋白1(PD-1)化学免疫疗法(CIT)利用化疗药物诱导的多种免疫调节作用来增强抗PD-1阻断作用,已成为一种有前景的标准治疗选择。然而,抗PD-1 CIT在晚期TNBC中的临床获益有限且存在异质性。这些局限性的主要原因之一是缺乏对化疗药物针对个体患者免疫调节特性的了解。在本综述中,我们讨论了TNBC一线化疗药物的免疫调节特性,以及优化化学免疫调节对最大化TNBC中CIT疗效的潜在益处。