Targeting breast cancer stem cells directly to treat refractory breast cancer.

Targeting breast cancer stem cells directly to treat refractory breast cancer.
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DOI:
10.3389/fonc.2023.981247
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发表时间:
2023
影响因子:
4.7
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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对于难治性乳腺癌(BC)患者,综合免疫疗法正在成为治疗的关键组成部分。然而,许多患者仍然对治疗无反应或在一段时间后复发。肿瘤微环境(TME)中的不同细胞和介质在BC的进展中起重要作用,而癌症干细胞(CSCs)被认为是复发的主要原因。它们的特征取决于它们与微环境的相互作用以及微环境中的诱发因素和要素。因此,调节BC的TME中的免疫系统的策略对于改善BC的当前治疗功效是必不可少的,所述策略旨在逆转其中的抑制性网络并根除残留的CSC。本文综述了乳腺癌免疫耐药性的发展,并讨论了直接调节免疫系统和靶向乳腺癌干细胞治疗乳腺癌的策略,包括免疫检查点阻断的免疫治疗。
For patients with refractory breast cancer (BC), integrative immunotherapies are emerging as a critical component of treatment. However, many patients remain unresponsive to treatment or relapse after a period. Different cells and mediators in the tumor microenvironment (TME) play important roles in the progression of BC, and cancer stem cells (CSCs) are deemed the main cause of relapse. Their characteristics depend on their interactions with their microenvironment as well as on the inducing factors and elements in this environment. Strategies to modulate the immune system in the TME of BC that are aimed at reversing the suppressive networks within it and eradicating residual CSCs are, thus, essential for improving the current therapeutic efficacy of BC. This review focuses on the development of immunoresistance in BCs and discusses the strategies that can modulate the immune system and target breast CSCs directly to treat BC including immunotherapy with immune checkpoint blockades.
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