← 返回

免疫治疗及其在亚洲乳腺癌治疗中的种族特异性:一项叙述性综述

英文原题:Immunotherapy and its racial specificity for breast cancer treatment in Asia: a narrative review.

查看英文原题

Immunotherapy and its racial specificity for breast cancer treatment in Asia: a narrative review.

PubMed 2024/09/19(内容时间) Lancet Reg Health West Pac Q1 · IF 9.4(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

免疫治疗,包括免疫检查点抑制剂、过继细胞治疗、癌症疫苗及其他模式,代表了癌症治疗的重大进展。乳腺癌传统上被认为对免疫治疗不太敏感,但与传统治疗方案联合使用时已显示出对免疫治疗的应答。这些整合策略增强了免疫治疗的效果,为患者带来了希望。此外,由预测性生物标志物指导的精准治疗细化了乳腺癌免疫治疗的范围并拓宽了其优势。值得注意的是,必须认识到亚洲人群与欧洲和北美人群在乳腺癌流行病学、临床结局和分子特征方面存在差异。这些差异包括绝经前患者比例较高以及亚型分布和基因突变谱的差异,凸显了在免疫治疗中考虑种族特异性的重要性。亚洲的临床努力,在种族特异性研究、本土免疫治疗药物以及由预测性生物标志物指导的精准医学的支持下,提供了量身定制的治疗选择。本综述旨在概述乳腺癌免疫治疗,同时探讨种族特异性,以期为亚洲患者的应用提供参考。

展开英文摘要原文

Immunotherapy, including immune checkpoint inhibitors, adoptive cell therapy, cancer vaccines, and other modalities, represents a significant advancement in cancer treatment. Breast cancer, traditionally considered less amenable to immunotherapy, has demonstrated responsiveness to immunotherapy when combined with conventional treatment options. These integrative strategies enhance the effectiveness of immunotherapy, bringing hope to patients.

Furthermore, precision therapies guided by predictive biomarkers refine the scope of breast cancer immunotherapy and broaden its advantages.

Notably, it is essential to recognise the differences in breast cancer epidemiology, clinical outcomes, and molecular signatures between Asian populations and those in Europe and North America. These include a higher proportion of premenopausal patients and variation in subtype distribution and gene mutation profiles, underscoring the importance of considering racial specificity in immunotherapy.

Clinical efforts in Asia, supported by ethnicity-specific studies, indigenous immunotherapeutic agents, and precision medicine informed by predictive biomarkers, provide tailored treatment options. This review aims to present an overview of breast cancer immunotherapy while address the racial specificity to inform its application for Asian patients.

论文信息

作者
Xu RC、Zhang YW、Liu CC、Xu YY、Shao ZM、Yu KD
单位
Department of Breast Surgery, Fudan University Shanghai Cancer Center and Cancer Institute, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, PR China.China
文献类型
综述
期刊
The Lancet regional health. Western Pacific2025 Apr
原文标识
PubMed 40443538 · DOI 10.1016/j.lanwpc.2024.101180