Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Kolling Institute of Medical Research, St Leonards, NSW, Australia; Oral Pathology Department, Faculty of Dentistry, Tanta University, Tanta, Egypt.
Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia; Kolling Institute of Medical Research, St Leonards, NSW, Australia.
Pharmacol Res. 2022 Jan;175:106006. doi: 10.1016/j.phrs.2021.106006. Epub 2021 Nov 27.
Triple negative breast cancer (TNBC) is the most aggressive type of breast cancers which constitutes about 15% of all breast cancer cases and characterized by negative expression of hormonal receptors and human epidermal growth factor receptor 2 (HER2). Thus, endocrine and HER2 targeted therapies are not effective toward TNBCs, and they mainly rely on chemotherapy and surgery for treatment. Despite recent advances in chemotherapy, 40% of TNBC patients develop a metastatic relapse and recurrence. Therefore, understanding the molecular profile of TNBC is warranted to identify targets that can be selected for the development of a new and effective therapeutic approach. Autophagy is an internal defensive mechanism that allows the cells to survive under different stressors. It has been well known that autophagy exerts a crucial role in cancer progression. The critical role of autophagy in TNBC progression is emerging in recent years. This review will discuss autophagic pathway, how autophagy affects TNBC progression and recent therapeutic approaches that can target autophagy as a new treatment modality.
三阴性乳腺癌(TNBC)是最具侵袭性的乳腺癌类型,约占所有乳腺癌病例的 15%,其特征是激素受体和人表皮生长因子受体 2(HER2)表达阴性。因此,内分泌和 HER2 靶向治疗对 TNBC 无效,主要依靠化疗和手术治疗。尽管化疗最近取得了进展,但仍有 40%的 TNBC 患者发生转移复发。因此,了解 TNBC 的分子特征对于确定可用于开发新的有效治疗方法的靶点是必要的。自噬是一种内部防御机制,可使细胞在不同的应激源下存活。众所周知,自噬在癌症进展中起着至关重要的作用。近年来,自噬在 TNBC 进展中的关键作用逐渐显现。本文将讨论自噬途径,自噬如何影响 TNBC 的进展,以及最近可以将自噬作为一种新的治疗方式的治疗方法。