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乳腺癌及其治疗靶点:综合综述

英文原题:Breast cancer and its therapeutic targets: A comprehensive review.

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Breast cancer and its therapeutic targets: A comprehensive review.

PubMed 2023/11/02(内容时间) Chem Biol Drug Des Q3 · IF 3.3(JCR 2025)

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中文摘要

乳腺癌是一种常见且致命的疾病,因此始终需要研究以寻找有效的靶点和治疗方法。乳腺癌可以根据分子和组织学基础进行分类。根据特定生物标志物的存在,乳腺癌可分为ER(雌激素受体)阳性和ER阴性、HER2(人表皮生长因子受体2)阳性和HER2阴性亚型。靶向激素受体,如HER2、孕激素受体(PR)和ER,非常重要,在乳腺癌的发生和进展中起着至关重要的作用。内分泌治疗和HER2靶向药物是目前用于针对这些受体的靶向治疗的例子。在乳腺癌治疗中具有前景的新兴免疫基础药物包括免疫检查点抑制剂、癌症疫苗和过继性T细胞疗法。还探讨了免疫细胞和肿瘤微环境如何影响乳腺癌的发展和治疗反应。参与乳腺癌发生和进展的主要生化途径、信号级联和DNA修复机制包括PI3K/AKT/mTOR系统、MAPK途径等。多种靶向药物旨在抑制这些途径,然后递送这些药物以恢复正常的细胞功能。本综述旨在阐明乳腺癌的类型,并总结不同的治疗方法,这些方法可以靶向不同的途径,以实现个体化药物和更好的患者预后。

展开英文摘要原文

Breast cancer is a common and deadly disease, so there is a constant need for research to find efficient targets and therapeutic approaches. Breast cancer can be classified on a molecular and histological base. Breast cancer can be divided into ER (estrogen receptor)-positive and ER-negative, HER2 (human epidermal growth factor receptor2)-positive and HER2-negative subtypes based on the presence of specific biomarkers. Targeting hormone receptors, such as the HER2, progesterone receptor (PR), and ER, is very significant and plays a vital role in the onset and progression of breast cancer. Endocrine treatments and HER2-targeted drugs are examples of targeted therapies now being used against these receptors.

Emerging immune-based medicines with promising outcomes in the treatment of breast cancer include immune checkpoint inhibitors, cancer vaccines, and adoptive T-cell therapy. It is also explored how immune cells and the tumor microenvironment affect breast cancer development and treatment response. The major biochemical pathways, signaling cascades, and DNA repair mechanisms that are involved in the development and progression of breast cancer, include the PI3K/AKT/mTOR system, the MAPK pathway, and others.

These pathways are intended to be inhibited by a variety of targeted drugs, which are then delivered with the goal of restoring normal cellular function. This review aims to shed light on types of breast cancer with the summarization of different therapeutic approaches which can target different pathways for tailored medicines and better patient outcomes.

论文信息

作者
Singh A、Mishra R、Mazumder A
单位
Noida Institute of Engineering and Technology (Pharmacy Institute), Greater Noida, Uttar Pradesh, India.India
文献类型
综述
期刊
Chemical biology & drug design2024 Jan
原文标识
PubMed 37919259 · DOI 10.1111/cbdd.14384