三阴性乳腺癌辅助化疗预后生物标志物的研究进展

Progress in prognostic biomarkers for triple-negative breast cancer in patients undergoing adjuvant chemotherapy

  • 摘要: 三阴性乳腺癌(triple-negative breast cancer,TNBC)具有组织学分级高、临床分期晚、侵袭性强、易发生转移等特点。由于缺乏有效的治疗靶点,传统化疗仍是TNBC患者主要的治疗选择。作为高度异质性疾病,TNBC需要更为精确的预测生物标志物。组学技术的发展及临床试验的实施为辅助化疗预后生物标志物带来新的探索,涵盖基因、蛋白及微环境成分等不同维度,也包括多分子的联合分析应用。本文将对TNBC辅助化疗预后生物标志物及其潜在分子机制与未来发展方向进行综述。

     

    Abstract: Triple-negative breast cancer (TNBC) is characterized by high histological grade, advanced clinical stage, invasiveness, and high incidence of metastasis. Because of the lack of effective therapeutic targets, traditional chemotherapy remains the mainstay for treating patients with TNBC. As a highly heterogeneous disease, TNBC requires more accurate predictive biomarkers. The development of omics techniques and initiation of clinical trials have become avenues for exploration of new prognostic biomarkers of adjuvant chemotherapy, encompassing different elements such as genes, proteins, and components of the microenvironment, as well as the multi-molecule combined analysis. Thus, in this review, we summarize prognostic biomarkers for TNBC in patients undergoing adjuvant chemotherapy, potential molecular mechanisms, and directions for future development.

     

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