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肿瘤微环境重塑:克服三阴性乳腺癌治疗耐药性及创新免疫工程的策略

Remodeling of tumour microenvironment: strategies to overcome therapeutic resistance and innovate immunoengineering in triple-negative breast cancer.

作者信息

Singh Desh Deepak, Haque Shafiul, Kim Youngsun, Han Ihn, Yadav Dharmendra Kumar

机构信息

Amity Institute of Biotechnology, Amity University Rajasthan, Jaipur, India.

Research and Scientific Studies Unit, College of Nursing and Allied Health Sciences, Jazan University, Jazan, Saudi Arabia.

出版信息

Front Immunol. 2024 Dec 10;15:1455211. doi: 10.3389/fimmu.2024.1455211. eCollection 2024.

Abstract

Triple-negative breast cancer (TNBC) stands as the most complex and daunting subtype of breast cancer affecting women globally. Regrettably, treatment options for TNBC remain limited due to its clinical complexity. However, immunotherapy has emerged as a promising avenue, showing success in developing effective therapies for advanced cases and improving patient outcomes. Improving TNBC treatments involves reducing side effects, minimizing systemic toxicity, and enhancing efficacy. Unlike traditional cancer immunotherapy, engineered nonmaterial's can precisely target TNBC, facilitating immune cell access, improving antigen presentation, and triggering lasting immune responses. Nanocarriers with enhanced sensitivity and specificity, specific cellular absorption, and low toxicity are gaining attention. Nanotechnology-driven immunoengineering strategies focus on targeted delivery systems using multifunctional molecules for precise tracking, diagnosis, and therapy in TNBC. This study delves into TNBC's tumour microenvironment (TME) remodeling, therapeutic resistance, and immunoengineering strategies using nanotechnology.

摘要

三阴性乳腺癌(TNBC)是全球影响女性的最复杂、最棘手的乳腺癌亚型。遗憾的是,由于其临床复杂性,TNBC的治疗选择仍然有限。然而,免疫疗法已成为一条有前景的途径,在开发针对晚期病例的有效疗法和改善患者预后方面取得了成功。改进TNBC治疗方法包括减少副作用、将全身毒性降至最低以及提高疗效。与传统的癌症免疫疗法不同,工程化非物质可以精确靶向TNBC,促进免疫细胞进入,改善抗原呈递,并引发持久的免疫反应。具有增强的敏感性和特异性、特定细胞吸收和低毒性的纳米载体正受到关注。纳米技术驱动的免疫工程策略专注于使用多功能分子的靶向递送系统,用于TNBC的精确跟踪、诊断和治疗。本研究深入探讨了TNBC的肿瘤微环境(TME)重塑、治疗抗性以及使用纳米技术的免疫工程策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2357/11666570/6d7eb1fa51a8/fimmu-15-1455211-g001.jpg

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