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乳腺癌免疫治疗:现状与新兴趋势

英文原题:Immunotherapy in breast cancer: current landscape and emerging trends.

PubMed 2025/05/22(内容时间) Exp Hematol Oncol Q1 · IF 17.5(JCR 2025)

研究概要

乳腺癌仍是全球最常见的恶性肿瘤之一,凸显出对创新治疗策略的迫切需求。

中文摘要

乳腺癌仍是全球最常见的恶性肿瘤之一,凸显开发创新治疗策略的迫切需求。免疫疗法已成为这一领域的变革性方向。在三阴性乳腺癌(TNBC)中,以PD-1/PD-L1免疫检查点抑制剂(ICI)联合化疗为基础的免疫治疗,在早期和晚期临床试验中均已证实有效。这些令人鼓舞的结果促成ICI获批用于TNBC,为治疗困难患者群体开辟新的治疗途径。此外,多项正在进行的试验积极研究免疫疗法联合方案的疗效,包括ICI联合化疗、靶向治疗和放疗,以及双特异性抗体、CAR-T细胞和癌症疫苗等新型策略,覆盖HR阳性/HER2阴性、HER2阳性等所有乳腺癌亚型。本综述全面介绍乳腺癌当前免疫治疗方法,重点阐述近期临床试验关键发现及这些进展对患者结局的潜在影响。

展开英文摘要原文

Breast cancer remains one of the most prevalent malignancies worldwide, underscoring an urgent need for innovative therapeutic strategies. Immunotherapy has emerged as a transformative frontier in this context. In triple-negative breast cancer (TNBC), the combination of immunotherapy based on PD-1/PD-L1 immune checkpoint inhibitors (ICIs) with chemotherapy has proven efficacious in both early and advanced clinical trials. These encouraging results have led to the approval of ICIs for TNBC, opening up new therapeutic avenues for challenging-to-treat patient populations. Furthermore, a multitude of ongoing trials are actively investigating the efficacy of immunotherapy-based combinations, including ICIs in conjunction with chemotherapy, targeted therapy and radiation therapy, as well as other novel strategies such as bispecific antibodies, CAR-T cells and cancer vaccines across all breast cancer subtypes, including HR-positive/HER2-negative and HER2-positive disease. This review provides a comprehensive overview of current immunotherapeutic approaches in breast cancer, highlighting pivotal findings from recent clinical trials and the potential impact of these advancements on patient outcomes.

论文信息

作者
Ran R、Chen X、Yang J、Xu B
第一作者单位
Cancer Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.China
通讯作者单位
Cancer Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. xubinghe@csco.org.cn.China
文献类型
综述
期刊
Experimental hematology & oncology2025 May 22
原文标识
PubMed 40405250 · DOI 10.1186/s40164-025-00667-y