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:Tumor-infiltrating lymphocyte therapy in triple-negative breast cancer: from mechanistic exploration to clinical translation.
乳腺癌是女性常见的恶性肿瘤,其中三阴性乳腺癌(TNBC)是一种预后较差的亚型。
乳腺癌是女性常见的恶性肿瘤,其中三阴性乳腺癌(TNBC)是预后较差的一种亚型。由于缺乏可靶向受体的表达,传统激素治疗和HER2靶向治疗对TNBC无效。此外,TNBC通常表现出更具侵袭性的生物学行为,复发和转移倾向高,进一步加剧了其不良预后。尽管化疗仍是主要治疗方式,但其疗效有限,患者容易产生耐药。因此,探索新的治疗策略和靶点对于改善TNBC患者的预后至关重要。TIL(肿瘤浸润淋巴细胞)(TILs)是TNBC有前景的预后和预测生物标志物。多项研究表明,早期TNBC中TILs数量较高与良好结局相关。此外,临床试验已证明TIL疗法在实体瘤中有效。本综述概述了目前对TIL在TNBC中作用的认识,阐明了TIL疗法的机制和临床疗效,并讨论了TILs未来的研究方向和挑战。
Breast cancer is a common malignancy among women, with triple-negative breast cancer (TNBC) representing a subtype with poor prognosis. Due to the lack of expression of targetable receptors, traditional hormone therapy and HER2-targeted therapy are ineffective against TNBC. Moreover, TNBC typically exhibits more aggressive biological behavior, with a high propensity for recurrence and metastasis, further exacerbating its poor prognosis. While chemotherapy remains the primary treatment modality, its efficacy is limited, and patients readily develop resistance. Consequently, exploring novel therapeutic strategies and targets is crucial for improving the prognosis of patients with TNBC. Tumor-infiltrating lymphocytes (TILs) are promising prognostic and predictive biomarkers of TNBC. Multiple studies have demonstrated that a higher number of TILs in early-stage TNBC is correlated with favorable outcomes. Furthermore, clinical trials have demonstrated that TIL therapy is effective in solid tumors. This review outlines the current understanding of the TIL role in TNBC, elucidates the mechanisms and clinical efficacy of TIL therapy, and discusses future research directions and challenges for TILs.
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