Triple negative breast cancer (TNBC): Non-genetic tumor heterogeneity and immune microenvironment: Emerging treatment options.

Triple negative breast cancer (TNBC): Non-genetic tumor heterogeneity and immune microenvironment: Emerging treatment options.
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三阴性乳腺癌(TNBC):非遗传性肿瘤异质性与免疫微环境:新兴治疗方案

DOI:
10.1016/j.pharmthera.2022.108253
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发表时间:
2022-09
影响因子:
13.5
通讯作者:
Yang, Li
Yang, Li
中科院分区:
医学1区
文献类型:
--
作者:
So, Jae Young;Ohm, Joyce;Lipkowitz, Stan;Yang, Li

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三阴性乳腺癌(TNBC)是一种侵袭性亚型,其特征在于广泛的肿瘤内异质性,并且经常对治疗产生耐药性。肿瘤异质性和缺乏生物标志物被认为是导致治疗耐药性和复发的一些最困难的挑战。本文将总结目前TNBC的治疗,治疗耐药性和复发的研究,包括最近的单细胞测序数据。我们将讨论TNBC转录组和表观基因组的变化,并回顾调节免疫微环境的机制。最后,我们将提供患者分层的新视角,以及针对转录组失调和TNBC患者免疫微环境的治疗选择。
Triple-negative breast cancer (TNBC) is an aggressive subtype characterized by extensive intra-tumoral heterogeneity, and frequently develops resistance to therapies. Tumor heterogeneity and lack of biomarkers are thought to be some of the most difficult challenges driving therapeutic resistance and relapse. This review will summarize current therapy for TNBC, studies in treatment resistance and relapse, including data from recent single cell sequencing. We will discuss changes in both the transcriptome and epigenome of TNBC, and we will review mechanisms regulating the immune microenvironment. Lastly, we will provide new perspective in patient stratification, and treatment options targeting transcriptome dysregulation and the immune microenvironment of TNBC patients.
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