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乳腺癌免疫治疗的新时代:CAR-T 细胞治疗的挑战与应对策略

英文原题:The new era of immunotherapy for breast cancer: challenges and coping strategies of CAR-T cell therapy.

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The new era of immunotherapy for breast cancer: challenges and coping strategies of CAR-T cell therapy.

PubMed 2025/12/02(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

乳腺癌仍是全球女性中最常见的恶性肿瘤,发病率和死亡率持续居高不下。尽管现有治疗方式多样,但针对晚期、转移性及三阴性乳腺癌的系统治疗仍面临显著局限。近年来,CAR-T(CAR-T)细胞疗法在血液系统恶性肿瘤治疗中取得显著成功,为乳腺癌治疗提供了新思路。本文综述了CAR-T 细胞在乳腺癌治疗中的主要靶点及研究进展,同时分析了当前面临的挑战,如肿瘤微环境中的免疫抑制、抗原异质性、细胞归巢障碍以及CAR-T 细胞持久性有限等问题。此外,还讨论了应对这些挑战的策略。尽管CAR-T 细胞疗法用于乳腺癌仍处于初步探索阶段,但持续的技术进步和深入研究有望使其成为一种新的治疗选择,从而为患者带来新的希望。

展开英文摘要原文

Breast cancer remains the most prevalent malignant tumor among women globally, with persistently high incidence and mortality rates. Despite the diversity of existing treatment modalities, systemic therapies for advanced, metastatic, and triple-negative breast cancer continue to face significant limitations.

Recently, chimeric antigen receptor T (CAR-T) cell therapy has demonstrated considerable success in the treatment of hematological malignancies, offering a novel approach for breast cancer treatment. This paper reviews the primary targets and research advancements of CAR-T cells in breast cancer therapy, while also analyzing current challenges such as immunosuppression within the tumor microenvironment, antigen heterogeneity, obstacles in cell homing, and the limited durability of CAR-T cells.

Furthermore, strategies to address these challenges are discussed. Although CAR-T cell therapy for breast cancer is still in the nascent stages of exploration, ongoing technological advancements and in-depth research hold promise for its potential as a novel therapeutic option, thereby offering renewed hope to patients.

论文信息

作者
Wang Z、Miao L、Wang W
第一作者单位
Jining Medical University, Jining, China.China
通讯作者单位
Department of Thyroid and Breast Surgery, Jining No.1 People's Hospital, Jining, China.China
文献类型
综述
期刊
Frontiers in immunology2025
原文标识
PubMed 41409286 · DOI 10.3389/fimmu.2025.1698146