下一代肿瘤不可知靶点即将出现
Next-generation tumor-agnostic targets on the horizon.
肿瘤不可知药物开发将肿瘤学重新聚焦于共享的分子依赖性而非组织来源,从而能够针对跨肿瘤的罕见可操作驱动因素进行高效开发。
英文原题:Oncolytic viruses for triple negative breast cancer and beyond.
生物治疗被认为是一种替代疗法,能够对肿瘤产生与手术、放疗和化疗相同的效果。
生物治疗被认为是一种能够对肿瘤产生与手术、放疗和化疗相同效果的替代治疗方法。作为生物治疗的主要参与者,溶瘤病毒(OVs)引起了极大关注并取得了良好效果。具体而言,OVs 在头颈癌以及黑色素瘤中的成功应用,推动了其在三阴性乳腺癌(TNBC)中的研究。TNBC 是一种高危分子型乳腺癌,以侵袭性强、易复发和转移为特征。由于缺乏雌激素和孕激素受体,以及人表皮生长因子受体 2(HER2)未过表达或基因扩增,内分泌治疗和抗 HER-2 靶向治疗已被证明无效。尽管化疗在一些 TNBC 患者中显示出显著疗效,但耐药的发生和不良预后促使人们探索新的有效治疗方法。OVs 这一新兴概念为治疗 TNBC 提供了新平台。事实上,多项研究已证实 OVs 在 TNBC 中的治疗效果。大量研究也探讨了 OVs 在其他恶性肿瘤中的疗效,包括实体瘤临床试验,从而进一步证明溶瘤病毒治疗在 TNBC 中具有广阔的应用前景。本综述的主要重点是考察 OV 发挥抗肿瘤特性的机制,同时总结 OV 在 TNBC 治疗研究中的持续进展,以及由 OVs 和其他疗法组成的各种联合策略。我们还简要介绍了相关的具体临床试验,并讨论了新型OVs用于治疗其他恶性肿瘤的一些研究进展,从而证实OVs在治疗TNBC以及其他癌症方面具有显著的治疗潜力。
Biological therapy is considered an alternative treatment capable of eliciting the same effects on tumors as surgery, radiotherapy, and chemotherapy. As a major player in biological therapy, oncolytic viruses (OVs) have attracted great attention and achieved good results. Specifically, the successful application of OVs in head and neck cancer, as well as melanoma, promoted its research in triple negative breast cancer (TNBC). TNBC is a high-risk molecular type of breast cancer, characterized by strong invasion, easy recurrence, and metastasis. Due to the absence of estrogen and progesterone receptors, as well as the absence of overexpression or gene amplification of human epidermal growth factor receptor 2 (HER2), endocrine therapy and anti HER-2 targeted therapy have proven ineffective. Although chemotherapy has shown substantial efficacy in some TNBC patients, the occurrence of drug resistance and poor prognosis have prompted the exploration of new and effective treatment methods. The emerging concept of OVs provides a new platform to treat TNBC. Indeed, several studies have confirmed the therapeutic effects of OVs in TNBC. Numerous studies have also investigated the efficacy of OVs in other malignances, including solid tumor clinical trials, thus further demonstrating the promising application of oncolytic virotherapy for TNBC. The primary focus of the current review is the examination of OV mechanisms underlying their antitumor properties, while also summarizing the ongoing progress in OV research regarding TNBC treatment, as well as the various combinatorial strategies comprising OVs and other therapies. We also briefly introduce specific relevant clinical trials and discuss some of the progress in the research of novel OVs for the treatment of other malignancies, thereby affirming the significant therapeutic potential of OVs for the treatment of TNBC, as well as other cancers.
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