Breast Cancer : Targets and Therapy最新文献

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Immune and Metabolic Reprogramming Induced by Paclitaxel, Capecitabine and Eribulin in Breast Cancer: Insights into Therapeutic Targets. 紫杉醇、卡培他滨和爱瑞布林在乳腺癌中诱导的免疫和代谢重编程:治疗靶点的见解。
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S498070
Hua-Hsin Hsiao, Riya Patel, Pawel Kalinski, Kazuaki Takabe, Marc S Ernstoff, Spencer R Rosario, Shipra Gandhi
{"title":"Immune and Metabolic Reprogramming Induced by Paclitaxel, Capecitabine and Eribulin in Breast Cancer: Insights into Therapeutic Targets.","authors":"Hua-Hsin Hsiao, Riya Patel, Pawel Kalinski, Kazuaki Takabe, Marc S Ernstoff, Spencer R Rosario, Shipra Gandhi","doi":"10.2147/BCTT.S498070","DOIUrl":"10.2147/BCTT.S498070","url":null,"abstract":"<p><strong>Purpose: </strong>Chemotherapeutic agents are known to exert anti-tumor effects by not only invoking cytotoxic effects, but also by altering both the immune profile and metabolic milieu. These alterations to both the immune milieu and circulating metabolome may be leveraged for designing rationale drug combinations with immunotherapeutic agents, once chemotherapy fails.</p><p><strong>Patients and methods: </strong>Using publicly available transcriptomic data for breast cancer (BC) patients treated with neoadjuvant chemotherapy (GSE162187), we assessed transcriptional alterations that coincide with response to chemotherapy. To further study the metabolic and immune alterations associated with chemotherapeutic resistance, plasma samples from BC patients treated with eribulin, paclitaxel and capecitabine were obtained and assessed via Metabolomics and Luminex, at time of progression as compared to baseline.</p><p><strong>Results: </strong>Transcriptomics analysis revealed enrichment of amino acid and lipid metabolic pathways, as well as immune pathways including B cells, complement cascade and T cells, in patients resistant to chemotherapy. To validate these findings and assess the differences among different chemotherapies, plasma samples were obtained at baseline and disease progression. Increases in IL-18; IL-22, amylin and IL-6 were observed at the time of disease progression on eribulin, capecitabine and paclitaxel, respectively. Metabolically, increases in docosahexaenoic acid and decreases in sphingomyelins; increases in triacylglycerides and decreases in fatty acids, and decreases in glutamic acid, lipids and phosphatidylcholines were observed on disease progression on eribulin, capecitabine and paclitaxel, respectively.</p><p><strong>Conclusion: </strong>Distinct patterns of metabolic and immune dysregulation were associated with resistance to eribulin, capecitabine and paclitaxel. Varied immune and metabolic profiles were specific to each of the three chemotherapies, representing potential novel, and individualized, points of therapeutic leverage.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"359-372"},"PeriodicalIF":3.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12049113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unveiling the Landscape of PD-L1 Expression and Tumor-Infiltrating Lymphocyte Subtypes in Advanced Triple-Negative Breast Cancer in Brazil. 揭示巴西晚期三阴性乳腺癌中PD-L1表达和肿瘤浸润淋巴细胞亚型的格局
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S499373
Alexssandra Lima Siqueira Dos Santos, Jesse Lopes Da Silva, Lucas Zanetti De Albuquerque, Antônio Lucas Araújo Neto, Cecília Ferreira Da Silva, Luana Aguiar Mesquita Cerva, Isabele Avila Small, Fabiana Resende Rodrigues, Fabiane Carvalho De Macedo, Cicera Pimenta Marcelino, Paula de Mendonça Batista, Maria Aparecida do Carmo Rego, Maria Amélia Carlos Souto Maior Borba, Andreia Cristina De Melo
{"title":"Unveiling the Landscape of PD-L1 Expression and Tumor-Infiltrating Lymphocyte Subtypes in Advanced Triple-Negative Breast Cancer in Brazil.","authors":"Alexssandra Lima Siqueira Dos Santos, Jesse Lopes Da Silva, Lucas Zanetti De Albuquerque, Antônio Lucas Araújo Neto, Cecília Ferreira Da Silva, Luana Aguiar Mesquita Cerva, Isabele Avila Small, Fabiana Resende Rodrigues, Fabiane Carvalho De Macedo, Cicera Pimenta Marcelino, Paula de Mendonça Batista, Maria Aparecida do Carmo Rego, Maria Amélia Carlos Souto Maior Borba, Andreia Cristina De Melo","doi":"10.2147/BCTT.S499373","DOIUrl":"https://doi.org/10.2147/BCTT.S499373","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess the frequency and prognostic significance of programmed cell death ligand 1 (PD-L1) expression and tumor-infiltrating lymphocyte (TIL) subtypes in advanced triple-negative breast cancer (TNBC).</p><p><strong>Patients and methods: </strong>A database search was conducted to identify women with previously untreated locally recurrent inoperable or metastatic TNBC treated between January 2018 and December 2022. The inclusion criteria required formalin-fixed paraffin-embedded samples aged less than four years. PD-L1 expression was evaluated using the PD-L1 IHC 22C3 pharmDx assay, and the combined positive score (CPS) was calculated. TIL subtypes were assessed using immunohistochemical staining.</p><p><strong>Results: </strong>The study included 150 patients, with a median age of 51.5 years. The majority of patients were younger than 65 years, postmenopausal, non-white, and had metastatic TNBC. CPS≥10 was observed in 20.9% of cases, mainly in postmenopausal women. No significant differences were found in demographic characteristics and clinicopathological variables across PD-L1 subgroups. Tumors with PD-L1 CPS≥10 had higher expression of CD3+, CD4+, and CD8+ TIL subtypes. Most patients received first-line chemotherapy, with smaller proportions undergoing second, third, and fourth-line treatments. No statistically significant differences were observed in median progression-free survival (PFS) or overall survival (OS) across PD-L1 subgroups in this cohort of chemotherapy-treated patients.</p><p><strong>Conclusion: </strong>This study provides insights into the expression profiles of PD-L1 and TIL subtypes in advanced TNBC. The PD-L1 CPS status did not significantly affect survival outcomes, but variations in TIL subtype composition were observed based on PD-L1 CPS status.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"349-358"},"PeriodicalIF":3.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current Status of Breast Cancer Immunotherapy and Prognosis-Related Markers. 乳腺癌免疫治疗和预后相关标志物的现状。
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S506949
Yirong Xu, Bingchen Zhang, Hongyuan Wu, Yifen Wu
{"title":"Current Status of Breast Cancer Immunotherapy and Prognosis-Related Markers.","authors":"Yirong Xu, Bingchen Zhang, Hongyuan Wu, Yifen Wu","doi":"10.2147/BCTT.S506949","DOIUrl":"https://doi.org/10.2147/BCTT.S506949","url":null,"abstract":"<p><p>Breast cancer, being the most common type of cancer globally, stands out as the primary malignant tumor affecting females. With the advent of breast cancer immunotherapy, inhibitors targeting immune checkpoints such as anti-PD-1 (Programmed cell death protein 1) / PD-L1 (Programmed cell death-Ligand 1) and CTLA-4 (Cytotoxic T Lymphocyte-Associated Antigen-4) have demonstrated promising outcomes for breast cancer patients across all molecular subtypes, particularly those with advanced breast cancer and triple-negative breast cancer (TNBC). Our current focus lies in accurately predicting the prognosis of breast cancer patients and the effectiveness of immunotherapy. This article provides a review of emerging biomarkers for breast cancer, encompassing immune-related markers, metabolic indicators, and potential prognosis-related markers. The primary emphasis of the article is to review immune-related tumor biomarkers in breast cancer. Our goal is to summarize relevant studies capable of forecasting breast cancer prognosis and immunotherapy effectiveness. Lastly, we delve into the future directions of breast cancer immunotherapy development.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"339-348"},"PeriodicalIF":3.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HGH1 Promotes Breast Cancer Progression Through the PI3K/AKT/NF-κB Signaling Pathway: Potential Role for Prognosis and Targeted Therapy. HGH1通过PI3K/AKT/NF-κB信号通路促进乳腺癌进展:在预后和靶向治疗中的潜在作用
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-04-14 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S505492
Wenyu Hu, Dikun Si, Chenxi Liu, Danchen Tie, Dongdong Xu, Nanlin Li
{"title":"HGH1 Promotes Breast Cancer Progression Through the PI3K/AKT/NF-κB Signaling Pathway: Potential Role for Prognosis and Targeted Therapy.","authors":"Wenyu Hu, Dikun Si, Chenxi Liu, Danchen Tie, Dongdong Xu, Nanlin Li","doi":"10.2147/BCTT.S505492","DOIUrl":"https://doi.org/10.2147/BCTT.S505492","url":null,"abstract":"<p><strong>Introduction: </strong>Previous studies have shown that the HGH1 gene is associated with poor prognosis in a variety of cancers, but its specific function and molecular mechanism in the pathological process of breast cancer remain unclear.</p><p><strong>Methods: </strong>The relationship between expression of HGH1 and overall survival in BC patients was analyzed. Enrichment analysis of HGH1-related signaling pathways and immune infiltration was performed. BC cell lines with overexpression and knockdown of HGH1 gene were constructed to tested the proliferation, migration, invasion ability and cell apoptosis. Detected the expression of PI3K/AKT pathway in BC cells and treated it with PI3K inhibitor. The effect of HGH1 on breast cancer in vivo was observed by tumor xenograft experiment.</p><p><strong>Results: </strong>The expression of HGH1 is significantly increased in breast cancer and related to poor prognosis. The high expression of HGH1 is related to the PI3K-Akt signaling pathway, cell cycle, cell senescence, P53 signaling pathway. Overexpression of HGH1 promotes the proliferation, migration, and invasion, and inhibits apoptosis, while its knockdown yields opposite effects. HGH1 promoted the growth of BC cells by activating the PI3K/AKT/NF-κB signaling pathway, and the use of PI3K inhibitors could attenuate the promoting effect. In vivo experiments confirmed that HGH1 promoted breast cancer growth.</p><p><strong>Conclusion: </strong>HGH1 promotes the growth of BC cells by activating the PI3K/AKT/NF-κB signaling pathway. HGH1 may become a new indicator for evaluating the poor prognosis of BC patients and serve as a potential diagnostic biomarker and therapeutic target for breast cancer.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"325-337"},"PeriodicalIF":3.3,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploration of Traditional Chinese Medicine Comprehensive Treatment of Triple Negative Breast Cancer Based on Molecular Pathological Mechanism. 基于分子病理机制的三阴性乳腺癌中医综合治疗探索。
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-04-10 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S511059
Mingya Zhu, Yongqin Liu, Zhu Wen, Hao Tan, Siman Li, Xinkang Yu, Hongping Luo, Delin Li, Jinyan Wang, Fangyan Qin
{"title":"Exploration of Traditional Chinese Medicine Comprehensive Treatment of Triple Negative Breast Cancer Based on Molecular Pathological Mechanism.","authors":"Mingya Zhu, Yongqin Liu, Zhu Wen, Hao Tan, Siman Li, Xinkang Yu, Hongping Luo, Delin Li, Jinyan Wang, Fangyan Qin","doi":"10.2147/BCTT.S511059","DOIUrl":"https://doi.org/10.2147/BCTT.S511059","url":null,"abstract":"<p><p>Triple-negative breast cancer (TNBC) is recognized as the most aggressive subtype of breast cancer and is associated with poor prognosis. Clinically, TNBC is associated with significant invasiveness, high propensity for metastasis, frequent recurrence, and unfavorable outcomes. The absence of estrogen receptors, progesterone receptors, and human epidermal growth factor receptor 2 (HER2) in TNBC renders it unresponsive to endocrine therapies and treatments that target HER2. Consequently, the current therapeutic options are primarily confined to surgical intervention, adjuvant chemotherapy, and radiotherapy. Given the considerable heterogeneity of TNBC, targeted therapies have emerged as promising avenues for treatment. Furthermore, immunotherapy has demonstrated the potential to enhance overall survival and therapeutic response in patients with TNBC. Additionally, research indicates that traditional Chinese medicine (TCM) may yield beneficial effects in the management of this cancer subtype. This review aims to consolidate recent advancements in treatment strategies for TNBC, particularly those based on molecular subtypes.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"289-304"},"PeriodicalIF":3.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Comprehensive Analysis of Weighted Gene Co-Expression Network Analysis and Machine Learning Revealed Diagnostic Biomarkers for Breast Implant Illness Complicated with Breast Cancer. 加权基因共表达网络分析和机器学习的综合分析揭示了乳房植入疾病并发乳腺癌的诊断生物标志物。
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-04-10 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S507754
Zhenfeng Huang, Huibo Wang, Hui Pang, Mengyao Zeng, Guoqiang Zhang, Feng Liu
{"title":"The Comprehensive Analysis of Weighted Gene Co-Expression Network Analysis and Machine Learning Revealed Diagnostic Biomarkers for Breast Implant Illness Complicated with Breast Cancer.","authors":"Zhenfeng Huang, Huibo Wang, Hui Pang, Mengyao Zeng, Guoqiang Zhang, Feng Liu","doi":"10.2147/BCTT.S507754","DOIUrl":"https://doi.org/10.2147/BCTT.S507754","url":null,"abstract":"<p><strong>Purpose: </strong>An increasing number of breast cancer (BC) patients choose prosthesis implantation after mastectomy, and the occurrence of breast implant illness (BII) has received increasing attention and the underlying molecular mechanisms have not been clearly elucidated. This study aimed to identify the crosstalk genes between BII and BC and explored their clinical value and molecular mechanism initially.</p><p><strong>Methods: </strong>We retrieved the data from Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA), and identified the differentially expressed genes (DEG) as well as module genes using Limma and weighted gene co-expression network analysis (WGCNA). Enrichment analysis, the protein-protein interaction network (PPI), and machine learning algorithms were performed to explore the hub genes. We employed a nomogram and receiver operating characteristic curve to evaluate the diagnostic accuracy. Single-cell analysis disclosed variations in the expression of key genes across distinct cellular populations. The expression levels of the key genes were further confirmed in BC cell lines. Immunohistochemical analysis was utilized to examine protein levels from 25 patients with breast cancer undergoing prosthetic implant surgery. Ultimately, we deployed single-sample Gene Set Enrichment Analysis (ssGSEA) to scrutinize the immunological profiles between the normal and BC cohorts, as well as between the non-BII and BII groups.</p><p><strong>Results: </strong>WGCNA identified 1137 common genes, whereas DEG analysis found 541 overlapping genes in BII and BC. After constructing the PPI network, 17 key genes were selected, and three potential hub genes include KRT14, KIT, ALB were chosen for nomogram creation and diagnostic assessment through machine learning. The validation of these results was conducted by examining gene expression patterns in the validation dataset, breast cancer cell lines, and BII-BC patients. However, ssGSEA uncovered different immune cell infiltration patterns in BII and BC.</p><p><strong>Conclusion: </strong>We pinpointed shared three central genes include KRT14, KIT, ALB and molecular pathways common to BII and BC. Shedding light on the complex mechanisms underlying these conditions and suggesting potential targets for diagnostic and therapeutic strategies.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"305-324"},"PeriodicalIF":3.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shear Wave Elastography: A Non-Invasive Approach for Assessing TGF-β1/MAPK Signaling Molecules and EMT in Breast Cancer. 剪切波弹性成像:一种评估乳腺癌中TGF-β1/MAPK信号分子和EMT的无创方法。
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-03-26 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S498497
Sisi Huang, Bo Wang, Ying Jiang, Shiyu Li, Junkang Li, Zhili Wang
{"title":"Shear Wave Elastography: A Non-Invasive Approach for Assessing TGF-β1/MAPK Signaling Molecules and EMT in Breast Cancer.","authors":"Sisi Huang, Bo Wang, Ying Jiang, Shiyu Li, Junkang Li, Zhili Wang","doi":"10.2147/BCTT.S498497","DOIUrl":"10.2147/BCTT.S498497","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the relationship between Shear Wave Elastography (SWE), TGF-β1/MAPK signaling molecules, and epithelial-to-mesenchymal transition (EMT) in breast lesions, exploring the feasibility of SWE in early EMT identification for breast cancer.</p><p><strong>Methods: </strong>117 breast lesions in 107 patients from July to November 2023 were consecutively enrolled. SWE was performed preoperatively, and elastic parameters were documented. Immunohistochemistry (IHC) assessed the expression levels of TGF-β1, p38 MAPK, p-p38 MAPK, ERK1/2, p-ERK1/2, ERK5, p-ERK5, JNK, p-JNK, E-cadherin, β-catenin, N-cadherin, and Vimentin. Correlations between SWE parameters and biomarkers were analysed, and their diagnostic efficacy for axillary lymph node metastasis (LNM) was evaluated.</p><p><strong>Results: </strong>Among 117 breast lesions, 53 were classified as benign and 64 as malignant (25 exhibiting axillary LNM). Optimal SWE thresholds for distinguishing benign from malignant lesions were Emax = 106.7 kPa, Emean = 62.9 kPa, Emin = 22.5 kPa, Eratio = 3.4, and Esd = 21.2 kPa. For LNM prediction, cut-offs were Emax = 170.1 kPa, Emean = 118.5 kPa, and Eratio = 10.5. TGF-β1 and E-cadherin showed significant predictive value for LNM (AUCs: 0.774 and 0.704, respectively). E-cadherin negatively correlated with SWE parameters, while TGF-β1 and MAPK molecules (p38 MAPK, p-p38 MAPK) showed positive correlations. Lesions with \"stiff rim sign\" had significantly lower E-cadherin expression but elevated levels of TGF-β1 (<i>P</i><0.001). Additionally, Vimentin, p38 MAPK and p-p38 MAPK levels were higher in the occurrence of the \"stiff rim sign\" (<i>P</i> all <0.05).</p><p><strong>Conclusion: </strong>TGF-β1, p38 MAPK, and E-cadherin demonstrated strong diagnostic capabilities and correlated with SWE parameters. SWE offers a promising non-invasive approach for assessing prognosis by identifying EMT characteristics at an earlier stage in breast cancer.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"275-287"},"PeriodicalIF":3.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis, Prognosis, and Treatment of Triple-Negative Breast Cancer: A Review. 三阴性乳腺癌的诊断、预后和治疗:综述。
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-03-17 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S516542
Huan Jie, Wenhui Ma, Cong Huang
{"title":"Diagnosis, Prognosis, and Treatment of Triple-Negative Breast Cancer: A Review.","authors":"Huan Jie, Wenhui Ma, Cong Huang","doi":"10.2147/BCTT.S516542","DOIUrl":"10.2147/BCTT.S516542","url":null,"abstract":"<p><p>Triple-negative breast cancer (TNBC) has become the most aggressive and worst prognostic subtype of breast cancer due to the lack of estrogen receptor, progesterone receptor and HER2 expression. This article systematically reviews the progress in the diagnosis, prognosis and treatment of TNBC. In terms of diagnosis, imaging techniques (such as dynamic contrast-enhanced MRI and multimodality ultrasound) combined with histological and immunohistochemical detection (such as Ki-67, PD-L1 expression) can improve the early diagnosis rate; molecular markers (PIM-1, miR-522) and subtype classification (LAR, IM, BLIS, MES) provide the basis for accurate classification. Prognostic evaluation requires a combination of clinicopathologic features (tumor size, lymph node metastasis, tumor-to-stroma ratio), molecular characteristics (BRCA mutation, PD-L1 expression), and prognostic scoring systems. In treatment strategies, chemotherapy remains the basis, but efficacy and side effects need to be balanced; neoadjuvant chemotherapy can improve the pathological complete response rate, while molecular markers (such as circulating tumor cells) help predict efficacy. In terms of targeted therapy, PARP inhibitors are significantly effective in patients with BRCA mutations, and antibody drug conjugates (eg, sacituzumab govitecan) provide new options for chemoresistant patients. In immunotherapy, PD-1/PD-L1 inhibitors combined with chemotherapy significantly improved progression-free survival, especially for PD-L1-positive patients. Combined therapy, metabolic reprogramming, and individualized treatment strategies need to be further explored in the future to overcome the heterogeneity and treatment resistance of TNBC. This article emphasizes the key role of multidisciplinary collaboration and precision medicine in optimizing TNBC management and provides an important reference for clinical practice and research direction.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"265-274"},"PeriodicalIF":3.3,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genetic Alterations in HER2-Positive and Equivocal Breast Cancer by Immunohistochemistry. 免疫组织化学检测her2阳性和模棱两可乳腺癌的基因改变。
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S507189
Yi-Fang Tsai, Chih-Yi Hsu, Yun-Ning Chiu, Chi-Cheng Huang, Shih-Hsiang Chou, Yen-Shu Lin, Ta-Chung Chao, Chun-Yu Liu, Jen-Hwey Chiu, Ling-Ming Tseng
{"title":"Genetic Alterations in HER2-Positive and Equivocal Breast Cancer by Immunohistochemistry.","authors":"Yi-Fang Tsai, Chih-Yi Hsu, Yun-Ning Chiu, Chi-Cheng Huang, Shih-Hsiang Chou, Yen-Shu Lin, Ta-Chung Chao, Chun-Yu Liu, Jen-Hwey Chiu, Ling-Ming Tseng","doi":"10.2147/BCTT.S507189","DOIUrl":"10.2147/BCTT.S507189","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to identify genetic alterations in groups with different HER2 immunohistochemical (IHC) scores.</p><p><strong>Patients and methods: </strong>A total of 120 patients with HER2-positive breast cancers, including 89 cases with IHC 3+ tumors and 31 cases with IHC 2+ and positive for in situ hybridization (ISH) were enrolled. Molecular profiles were determined using Thermo Fisher TMO comprehensive assay on surgically removed tissues. All called variants were compared between IHC3+ and IHC2+/ISH+ groups by Fisher exact test.</p><p><strong>Results: </strong>There was a significantly higher sample frequency 94.4% (84/89) of <i>ERBB2</i> amplification in IHC3+ group than that in IHC2+/ISH+ group 45.2% (14/31). By contrast, there was a significantly lower sample frequency of <i>MYC</i>_AMP_CNA 10.1% (9/89) and <i>CCND3</i>_AMP_CNA 0% (0/89) in IHC3+ group than those in IHC2+/ISH+ group with sample frequency 25.8% (8/31), and 9.7% (3/31), respectively.</p><p><strong>Conclusion: </strong>We conclude that HER2 IHC3+ tumors have higher frequency of <i>ERBB2</i>_ AMP_CNA and lower frequency of <i>CCND3</i>_ AMP_CNA and <i>MYC</i>_AMP_CNA than IHC2+/ISH+ tumors. These results provide therapeutic strategies in treatment of HER2-positive breast cancer.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"253-263"},"PeriodicalIF":3.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-Guided Percutaneous Microwave Coagulation Studies on VX2 Rabbit Models for Breast Cancer Treatment and Ultrasound Imaging Assessment. 超声引导下经皮微波凝固治疗VX2兔乳腺癌模型的研究及超声成像评价。
IF 3.3 4区 医学
Breast Cancer : Targets and Therapy Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.2147/BCTT.S510928
Qi Gao, Hu Huang, Jin-Jun Shi, Ling Wang, Wei-Min Li
{"title":"Ultrasound-Guided Percutaneous Microwave Coagulation Studies on VX2 Rabbit Models for Breast Cancer Treatment and Ultrasound Imaging Assessment.","authors":"Qi Gao, Hu Huang, Jin-Jun Shi, Ling Wang, Wei-Min Li","doi":"10.2147/BCTT.S510928","DOIUrl":"https://doi.org/10.2147/BCTT.S510928","url":null,"abstract":"<p><strong>Background: </strong>The study aimed to explore the tissue morphology and hemodynamics of rabbit VX2 breast carcinoma by high-frequency ultrasound (US) and the effectiveness and safety of US-guided percutaneous microwave coagulation (PMC) therapy on rabbit VX2 breast tumors.</p><p><strong>Methods: </strong>Twenty VX2 tumor-bearing rabbits were assessed using color Doppler ultrasound for tumor growth characteristics including echo, size, blood supply and hemodynamic parameters once a week for six weeks. Subsequently, US-guided PMC was performed in randomly assigned ten VX2 tumor-bearing rabbits (the other ten as controls). US images after ablation were obtained and analyzed. Three rabbits with double VX2 tumors were used as pathological observation at weeks 0, 1, and 4 of ablation. The therapeutic efficacy was evaluated by tumor growth, physical examinations, survival time, survival rate and metastasis of tumors and histopathology.</p><p><strong>Results: </strong>Ultrasound monitoring indicated that the tumor growth rate was 463.09% at the 2<sup>nd</sup> to 3<sup>rd</sup> weeks, and PMC was performed during this period under real-time US guidance. After microwave ablation, some tumors were greatly reduced or undetectable at week 8. Moreover, no flow signals were detected by US. The survival rates at 2 and 3 months in the treatment group and control group were 100%, 70% and 10%, 0%, respectively, while the metastatic rates were 10%, 30% and 90%, 100%, respectively <i>(P</i><0.05).</p><p><strong>Conclusion: </strong>The proliferation and metastasis of rabbit VX2 breast carcinoma were monitored by US imaging, and US-guided percutaneous microwave ablation was proven to be a safe, effective and minimally invasive therapeutic option for treating breast cancer in rabbits, showing potential clinical applicability.</p>","PeriodicalId":9106,"journal":{"name":"Breast Cancer : Targets and Therapy","volume":"17 ","pages":"241-252"},"PeriodicalIF":3.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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