Alaluf Emmanuelle, Shalamov Michal Mia, Sonnenblick Amir
Medical Oncology Clinic, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
Department of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Front Immunol. 2024 Feb 15;15:1287824. doi: 10.3389/fimmu.2024.1287824. eCollection 2024.
Impressive advances have been seen in cancer immunotherapy during the last years. Although breast cancer (BC) has been long considered as non-immunogenic, immunotherapy for the treatment of BC is now emerging as a new promising therapeutic approach with considerable potential. This is supported by a plethora of completed and ongoing preclinical and clinical studies in various types of immunotherapies. However, a significant gap between clinical oncology and basic cancer research impairs the understanding of cancer immunology and immunotherapy, hampering cancer therapy research and development. To exploit the accumulating available data in an optimal way, both fundamental mechanisms at play in BC immunotherapy and its clinical pitfalls must be integrated. Then, clinical trials must be critically designed with appropriate combinations of conventional and immunotherapeutic strategies. While there is room for major improvement, this updated review details the immunotherapeutic tools available to date, from bench to bedside, in the hope that this will lead to rethinking and optimizing standards of care for BC patients.
在过去几年中,癌症免疫疗法取得了令人瞩目的进展。尽管乳腺癌(BC)长期以来一直被认为是无免疫原性的,但用于治疗BC的免疫疗法如今正作为一种具有巨大潜力的新的有前景的治疗方法出现。各种类型免疫疗法中大量已完成和正在进行的临床前及临床研究都支持了这一点。然而,临床肿瘤学与基础癌症研究之间的巨大差距损害了对癌症免疫学和免疫疗法的理解,阻碍了癌症治疗的研究与开发。为了以最佳方式利用积累的现有数据,必须整合BC免疫疗法中起作用的基本机制及其临床缺陷。然后,必须精心设计临床试验,将传统策略与免疫治疗策略进行适当组合。尽管仍有很大的改进空间,但这篇更新的综述详细介绍了迄今为止从实验室到临床可用的免疫治疗工具,希望这将促使人们重新思考并优化BC患者的护理标准。