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TNBC与乳腺纤维腺瘤患者多模态超声图像特征及临床鉴别诊断价值
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作者 沈自芳 周敏 张欢欢 《中南医学科学杂志》 2025年第5期906-909,共4页
目的探讨三阴性乳腺癌(TNBC)与乳腺纤维腺瘤患者常规超声、剪切波弹性成像(SWE)特征及临床鉴别诊断价值。方法选取本院治疗的TNBC患者62例为TNBC组,同时选取乳腺纤维腺瘤患者80例为纤维腺瘤组。比较两组常规超声、SWE参数,以及常规超声... 目的探讨三阴性乳腺癌(TNBC)与乳腺纤维腺瘤患者常规超声、剪切波弹性成像(SWE)特征及临床鉴别诊断价值。方法选取本院治疗的TNBC患者62例为TNBC组,同时选取乳腺纤维腺瘤患者80例为纤维腺瘤组。比较两组常规超声、SWE参数,以及常规超声联合SWE诊断TNBC的价值。结果TNBC组肿块形状不规则比例高于纤维腺瘤组(P<0.05),而边缘光整比例低于纤维腺瘤组(P<0.05)。TNBC组最大弹性模量(E_(max))、最小弹性模量(E_(min))、平均弹性模量(E_(mean))值高于纤维腺瘤组(P<0.05)。E_(max)、E_(min)、E_(mean)诊断TNBC的ROC曲线AUC值分别为0.852、0.806、0.825(P<0.05)。常规超声联合SWE诊断TNBC的灵敏度和阴性预测值高于常规超声(P<0.05),而特异度低于常规超声(P<0.05)。结论TNBC与乳腺纤维腺瘤患者常规超声及SWE参数有明显差异;常规超声联合SWE对TNBC具有较好的诊断价值。 展开更多
关键词 三阴性乳腺癌 乳腺纤维腺瘤 常规超声 剪切波弹性成像
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Tumor-targeted self-assembled micelles reducing PD-L1 expression combined with ICIs to enhance chemo-immunotherapy of TNBC 被引量:1
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作者 Hongda Zhu Kai Ma +11 位作者 Rui Ruan Chaobo Yang Aqin Yan Jing Li Qi Yu Hongmei Sun Mingxing Liu Hongmei Zheng Jing Gao Xiaofang Guan Zhu Dai Yao Sun 《Chinese Chemical Letters》 SCIE CAS CSCD 2024年第2期305-310,共6页
Immune checkpoint inhibitors(ICIs)therapy targeting programmed cell death ligand 1(PD-L1)and programmed death protein 1(PD-1)had exhibited significant clinical benefits for cancer treatment such as triple negative bre... Immune checkpoint inhibitors(ICIs)therapy targeting programmed cell death ligand 1(PD-L1)and programmed death protein 1(PD-1)had exhibited significant clinical benefits for cancer treatment such as triple negative breast cancer(TNBC).However,the relatively low anti-tumor immune response rate and ICIs drug resistance highlight the necessity of developing ICIs combination therapy strategies to improve the anti-tumor effect of immunotherapy.Herein,the immunomodulator epigallocatechin gallate palmitate(PEGCG)and the immunoadjuvant metformin(MET)self-assembled into tumor-targeted micelles via hydrogen bond and electrostatic interaction,which encapsulated the therapeutic agents doxorubicin(DOX)-loaded PEGCG-MET micelles(PMD)and combined with ICIs(anti-PD-1 antibody)as therapeutic strategy to reduce the endogenous expression of PD-L1 and improve the tumor immunosuppressive microenvironment.The results presented that PMD integrated chemotherapy and immunotherapy to enhance antitumor efficacy in vitro and in vivo,compared with DOX or anti-PD-1 antibody for the therapy of TNBC.PMD micelles might be a potential candidate,which could remedy the shortcomings of antibody-based ICIs and provide synergistic effect to enhance the antitumor effects of ICIs in tumor therapy. 展开更多
关键词 Immunotherapy Tumor-targeted Self-assembled micelles Metformin Reducing PD-L1 expression tnbc
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三阴性乳腺癌(TNBC)组织中CCR4和CCR7的表达及意义 被引量:4
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作者 陈祥锦 张茂泉 +3 位作者 张惠灏 朱有志 吴坤琳 张德杰 《复旦学报(医学版)》 CAS CSCD 北大核心 2012年第6期580-584,共5页
目的探讨三阴性乳腺癌(triple-negative breast cancer,TNBC)组织中CC族趋化因子受体4(ccchemokine receptor 4,CCR4)和CCR7的表达意义及其与临床病理特征和预后之间的相关性。方法应用免疫组织化学染色SP法检测TNBC、HER-2过表达型乳... 目的探讨三阴性乳腺癌(triple-negative breast cancer,TNBC)组织中CC族趋化因子受体4(ccchemokine receptor 4,CCR4)和CCR7的表达意义及其与临床病理特征和预后之间的相关性。方法应用免疫组织化学染色SP法检测TNBC、HER-2过表达型乳腺癌、TNBC癌旁组织及乳腺良性肿瘤(3组,各38例)和管腔型乳腺癌组织(40例)中CCR4和CCR7的表达。结果在TNBC组织中,CCR4和CCR7的表达率分别为47.4%(18/38)和50%(19/38),与非TNBC组相比,差异有统计学意义(P值分别为0.001和0.004)。CCR4表达与TNBC肿瘤直径(P=0.023)、腋窝淋巴结转移(P=0.006)、肿瘤分期(P=0.016)和远处转移(P=0.028)相关。Kaplan-Meier生存分析显示CCR4表达与TNBC患者总生存率(overall survival,OS)相关(P=0.018)。CCR7表达和TNBC患者的腋窝淋巴结转移相关(P=0.038),而与TNBC患者无病生存率(disease freesurvival,DFS)和OS无关。多因素分析显示腋窝淋巴结转移是TNBC患者DFS的独立预测因素(P=0.025),而CCR4是TNBC患者OS的独立预测因素(P=0.022)。结论 TNBC中CCR4和CCR7的表达与腋窝淋巴结转移相关;CCR4可作为TNBC患者预后的独立预测指标。 展开更多
关键词 乳腺癌 三阴性乳腺癌(tnbc) CC族趋化因子受体4(CCR4) CC族趋化因子受体7(CCR7) 预后
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阳和汤加红景天联合紫杉醇对晚期TNBC患者的疗效影响
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作者 吴依芬 王刚 +4 位作者 张汉文 李浩 叶兆康 赖庆君 张曼曼 《影像研究与医学应用》 2018年第13期251-253,共3页
目的:观察阳和汤加红景天联合紫杉醇治疗对TNBC患者的生存影响及不良反应。方法:初次复发的TNBC患者50名随机分为治疗组(A组,25人)和对照组(B组,25人)。A组每个周期服用阳和汤加红景天方每天1剂,一共服用10天,加紫杉醇175mg/m^2,Q21化疗... 目的:观察阳和汤加红景天联合紫杉醇治疗对TNBC患者的生存影响及不良反应。方法:初次复发的TNBC患者50名随机分为治疗组(A组,25人)和对照组(B组,25人)。A组每个周期服用阳和汤加红景天方每天1剂,一共服用10天,加紫杉醇175mg/m^2,Q21化疗,直至疾病进展或无法耐受;B组紫杉醇175mg/m^2,Q21化疗,直至疾病进展或无法耐受。每两个周期评估疾病控制率(DCR),随访比较两组生存情况并观察药物不良反应。结果:第2周期时A组DCR稍优于B组(44%VS 32%);第4周期时A组DCR显著优于B组(64%VS 36%,P<0.05);第6周期时A组DCR显著优于B组(76%VS 40%,P<0.05)。A组平均疾病无进展生存期(PFS)为5.53个月[95%可信区间(Confidence Interval,CI):4.33~8.12],优于B组的3.67个月(95%CI为3.24~3.89)(P<0.01)。患者未出现严重药物不良反应。结论:阳和汤加红景天联合紫杉醇治疗晚期TNBC优于紫杉醇单药化疗,疗效更好,耐受性更好,副作用更小。 展开更多
关键词 阳和汤加红景天 紫杉醇 晚期tnbc
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TNBC原发灶与腋淋巴结转移灶中ER、PR、Her-2的表达变化与预后的相关性 被引量:4
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作者 周秋锋 岳双磊 +4 位作者 吴红梅 齐蕾 杨春 孙文广 王立峰 《实用肿瘤学杂志》 CAS 2013年第1期54-59,共6页
目的探讨雌激素受体、孕激素受体、人表皮生长因子受体-2在三阴性乳腺癌原发灶和腋淋巴结转移灶中表达有无差异及其与患者预后的相关性。方法运用免疫组化法分别检测45例TN—Bc原发灶及腋淋巴结转移灶中ER、PR、Her-2的表达,用Kaplan—... 目的探讨雌激素受体、孕激素受体、人表皮生长因子受体-2在三阴性乳腺癌原发灶和腋淋巴结转移灶中表达有无差异及其与患者预后的相关性。方法运用免疫组化法分别检测45例TN—Bc原发灶及腋淋巴结转移灶中ER、PR、Her-2的表达,用Kaplan—Meier生存曲线分析TNBC腋淋巴结转移灶中这些指标的变化与生存时间的关系。结果与TNBC原发灶相比,腋淋巴结转移灶中ER、PR、Her-2仍表达阴性的患者占48.9%,而至少有一项指标表达阳性的患者占51.1%,即与原发灶表达不一致,差异具有统计学意义,且这种表达差异与生存时间存在相关性(P=0.013)。腋淋巴结转移灶免疫组化表达与原发灶一致组的生存时间要短于不一致组(P=0.010),用LogRank法检验具有统计学意义(P=0.048)。结论ER、PR、Her-2在TNBC原发灶和腋淋巴结转移灶中的表达存在不一致现象,且这种不一致现象与生存时间具有相关性。 展开更多
关键词 三阴性乳腺癌 淋巴结转移 预后
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调控TNBC转移的miRNAs-mRNAs网络及其预后预测价值 被引量:1
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作者 赖明芬 梅家转 +2 位作者 朱俊林 黄甘萍 芦青青 《实用癌症杂志》 2020年第9期1539-1545,共7页
目的探讨促进三阴性乳腺癌(TNBC)发生侵袭转移的microRNAs(miRNAs)及其调控的mRNAs网络,确定影响TNBC无远处转移生存期(DMFS)的目标mRNAs。方法利用生信技术筛选TNBC转移灶与原发灶之间表达差异的miRNAs及预测miRNAs-mRNAs调控网络。对... 目的探讨促进三阴性乳腺癌(TNBC)发生侵袭转移的microRNAs(miRNAs)及其调控的mRNAs网络,确定影响TNBC无远处转移生存期(DMFS)的目标mRNAs。方法利用生信技术筛选TNBC转移灶与原发灶之间表达差异的miRNAs及预测miRNAs-mRNAs调控网络。对目标mRNAs进行GO富集、KEGG分析、PPI分析以及生存分析。结果在TNBC转移灶及原发灶中发现hsa-miR-548k表达差异上调,hsa-miR-2113表达差异下调。GO富集、KEGG分析发现目标mRNAs主要参与细胞间黏附、转录调节、癌症通路。生存分析发现CNKSR2、PALM2、PAK3、PCDHA1、PCDHA12、PCDHA13、PCDHA11、PCDHA10、PCDHA2、PCDHA4、CHFR、ACTN1、S100PBP、STAB1、USP9Y、ZBTB37、NTNG1对DMFS有统计学意义(P<0.05)。结论hsa-miR-2113及其mRNAs网络可能调控TNBC发生转移,可能成为TNBC预后预测指标和治疗新靶点。 展开更多
关键词 tnbc 侵袭转移 MICRORNA mRNA网络
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甲强龙对TNBC患者临终关怀的治疗效果分析
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作者 王倩 《继续医学教育》 2020年第11期157-159,共3页
目的探讨甲强龙控制中重度TNBC(三阴性乳腺癌)乏力的疗效及安全性。方法按住院号将96例中重度TNBC乏力患者随机分为两组各48例。对照组采用安慰剂治疗,治疗组采用甲强龙治疗。甲强龙的起始剂量为3 mg/12 h,根据癌症相关性乏力缓解情况... 目的探讨甲强龙控制中重度TNBC(三阴性乳腺癌)乏力的疗效及安全性。方法按住院号将96例中重度TNBC乏力患者随机分为两组各48例。对照组采用安慰剂治疗,治疗组采用甲强龙治疗。甲强龙的起始剂量为3 mg/12 h,根据癌症相关性乏力缓解情况及时调整甲强龙剂量,对两组TNBC相关性乏力缓解情况,缓解前后生活质量以及毒副反应进行评估。结果 TNBC相关性乏力治疗期间,治疗组对中重度TNBC相关性乏力的缓解率为33.33%,高于对照组的25.00%,但无差异(P> 0.05);治疗组生活质量的改善率明显较高(P<0.05)。结论甲强龙可以有效控制中重度TNBC乏力,提高中晚期TNBC相关性乏力患者的生活质量。 展开更多
关键词 甲强龙 癌症相关性乏力 三阴性乳腺癌 肿瘤 tnbc患者 缓解情况
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EGFR、Ki67在三阴性与非三阴性乳腺癌中的表达及其与TNBC病理特征的相关性 被引量:11
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作者 李华民 《实用癌症杂志》 2017年第11期1759-1762,共4页
目的探讨EGFR、Ki67在三阴性与非三阴性乳腺癌中的表达差异及两者的表达与TNBC临床病理特征的关系。方法分析non-TNBC与TNBC患者的临床病理资料,采用非生物素二步法检测76例乳腺癌标本里EGFR、Ki67的表达,对比两者在non-TNBC与TNBC中的... 目的探讨EGFR、Ki67在三阴性与非三阴性乳腺癌中的表达差异及两者的表达与TNBC临床病理特征的关系。方法分析non-TNBC与TNBC患者的临床病理资料,采用非生物素二步法检测76例乳腺癌标本里EGFR、Ki67的表达,对比两者在non-TNBC与TNBC中的区别。检测EGFR与Ki67在TNBC中的阳性表达率,研究其与病理参数的相关性。结果和non-TNBC相比,TNBC多见于绝经前妇女,组织学分级较差,较易发生淋巴结转移、复发转移、远处转移,且出现较早。EGFR与Ki67在TNBC组织中的阳性表达率均高于在non-TNBC组织中的阳性表达率。EGFR、Ki67的表达与TNBC肿块直径、淋巴结转移情况、TNM分期、组织学分级之间均具有相关性。结论 EGFR与Ki67在TNBC中表达均升高。两者的表达与肿块直径、淋巴结转移情况、TNM分期、组织学分级之间均具有相关性。 展开更多
关键词 EGFR KI67 三阴性乳腺癌 非三阴性乳腺癌
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AJCC 8^(th)解剖学及预后分期系统用于TNBC生存获益价值评估
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作者 马光辉 徐静 +3 位作者 薛周伟 李兰军 杨星飞 杜同海 《中国现代手术学杂志》 2021年第4期255-259,共5页
目的探讨AJCC 8^(th)解剖学及预后分期系统用于三阴性乳腺癌(triple negative breast cancer,TNBC)生存获益的价值评估。方法回顾性分析我院2010年1月至2015年12月收治的147例TNBC患者的临床资料,比较不同解剖学及预后分期生存获益情况... 目的探讨AJCC 8^(th)解剖学及预后分期系统用于三阴性乳腺癌(triple negative breast cancer,TNBC)生存获益的价值评估。方法回顾性分析我院2010年1月至2015年12月收治的147例TNBC患者的临床资料,比较不同解剖学及预后分期生存获益情况,评价AJCC 8^(th)解剖学和预后分期的差异。结果入选患者随访5年无进展生存(progression free survival,PFS)率和总生存(overall survival,OS)率分别为84.72%和84%;不同解剖学分期患者PFS率(除外Ⅳ期)和OS率比较差异有统计学意义(P<0.05);不同预后分期患者PFS率和OS率比较差异有统计学意义(P<0.05);147例患者中AJCC 8^(th)解剖学和预后分期变化者共135例(91.84%),与解剖学分期相比预后分期均提高;AJCC 8^(th)预后分期较解剖分期升高的患者各组PFS率和OS率比较差异有统计学意义(P<0.05)。结论AJCC 8^(th)预后分期系统用于TNBC预后评估可有效补充解剖学分期的不足,为临床决策的制定提供更多参考。 展开更多
关键词 乳腺癌 三阴性 AJCC 解剖学分期 预后
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Neoantimycin A通过抑制Ras/Mek/Erk信号通路抑制三阴性乳腺癌细胞增殖的研究
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作者 苏珊珊 郭怡 +1 位作者 凌立君 蒋爱芹 《南京大学学报(自然科学版)》 北大核心 2025年第3期528-538,共11页
三阴性乳腺癌(Triple Negative Breast Cancer,TNBC)是恶性程度最高的一种乳腺癌分型,具有异质性高、易转移、易耐药等特点,急需寻找明确有效的靶向治疗方法 .前期研究发现,天然化合物Neoantimycin A对MDA-MB-231细胞增殖有特异性抑制作... 三阴性乳腺癌(Triple Negative Breast Cancer,TNBC)是恶性程度最高的一种乳腺癌分型,具有异质性高、易转移、易耐药等特点,急需寻找明确有效的靶向治疗方法 .前期研究发现,天然化合物Neoantimycin A对MDA-MB-231细胞增殖有特异性抑制作用,在此基础之上深入探索了Neoantimycin A对MDA-MB-468和MDA-MB-453 TNBC细胞的增殖、迁移以及对细胞骨架的影响,并对NeoantimycinA抑制TNBC细胞的作用机制进行了探索.结果发现,NeoantimycinA对MDA-MB-468和MDA-MB-453有特异性抑制,IC50 (半数抑制浓度)为(2.02±0.17)和(9.18±2.23) nmol·L^(-1),且能有效地抑制细胞迁移,破坏细胞骨架,阻滞MDA-MB-468和MDA-MB-453两种细胞周期,降低细胞周期相关基因的表达.机制研究表明,Neoantimycin A能破坏K-Ras蛋白在细胞膜的定位,且阻断下游Ras/Mek/Erk信号通路,这可能是Neoantimycin A可以抑制TNBC细胞活性的重要原因之一. Neoantimycin A对TNBC作用的效果好、选择性强,纳摩尔浓度就有很强的杀伤作用,有望与肿瘤特异性抗体联合运用以开发抗体偶联药物(Antibody-Drug Conjugate,ADC),为进一步的研究应用奠定基础. 展开更多
关键词 Neoantimycin A tnbc K-RAS ADC
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Deep learning identification of novel autophagic protein-protein interactions and experimental validation of Beclin 2-Ubiquilin 1 axis in triple-negative breast cancer
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作者 XIANG LI WENKE JIN +4 位作者 LIFENG WU HUAN WANG XIN XIE WEI HUANG BO LIU 《Oncology Research》 SCIE 2025年第1期67-81,共15页
Background:Triple-negative breast cancer(TNBC),characterized by its lack of traditional hormone receptors and HER2,presents a significant challenge in oncology due to its poor response to conventional therapies.Autoph... Background:Triple-negative breast cancer(TNBC),characterized by its lack of traditional hormone receptors and HER2,presents a significant challenge in oncology due to its poor response to conventional therapies.Autophagy is an important process for maintaining cellular homeostasis,and there are currently autophagy biomarkers that play an effective role in the clinical treatment of tumors.In contrast to targeting protein activity,intervention with proteinprotein interaction(PPI)can avoid unrelated crosstalk and regulate the autophagy process with minimal interference pathways.Methods:Here,we employed Naive Bayes,Decision Tree,and k-Nearest Neighbors to elucidate the complex PPI network associated with autophagy in TNBC,aiming to uncover novel therapeutic targets.Meanwhile,the candidate proteins interacting with Beclin 2 were initially screened in MDA-MB-231 cells using Beclin 2 as bait protein by immunoprecipitation-mass spectrometry assay,and the interaction relationship was verified by molecular docking and CO-IP experiments after intersection.Colony formation,cellular immunofluorescence,cell scratch and 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide(MTT)tests were used to predict the clinical therapeutic effects of manipulating candidate PPI.Results:By developing three PPI classification models and analyzing over 13,000 datasets,we identified 3733 previously unknown autophagy-related PPIs.Our network analysis revealed the central role of Beclin 2 in autophagy regulation,uncovering its interactions with 39 newly identified proteins.Notably,the CO-IP studies identified the substantial interaction between Beclin 2 and Ubiquilin 1,which was anticipated by our model and discovered in immunoprecipitation-mass spectrometry assay results.Subsequently,in vitro investigations showed that overexpressing Beclin 2 increased Ubiquilin 1,promoted autophagy-dependent cell death,and inhibited proliferation and metastasis in MDA-MB-231 cells.Conclusions:This study not only enhances our understanding of autophagy regulation in TNBC but also identifies the Beclin 2-Ubiquilin 1 axis as a promising target for precision therapy.These findings open new avenues for drug discovery and offer inspiration for more effective treatments for this aggressive cancer subtype. 展开更多
关键词 Triple-negative breast cancer(tnbc) AUTOPHAGY Protein-protein interactions(PPI) Artificial intelligence(AI) Beclin 2 Ubiquilin 1
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阿帕替尼联合卡培他滨对晚期三阴性乳腺癌的疗效
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作者 张露 韩正全 +1 位作者 王雅萍 李玉梅 《长治医学院学报》 2025年第5期406-410,共5页
目的:评估阿帕替尼联合卡培他滨治疗晚期三阴性乳腺癌(TNBC)患者的疗效。方法:回顾性分析68例晚期TNBC患者的临床资料。患者根据治疗方案分为对照组(34例,单用卡培他滨治疗)和观察组(34例,卡培他滨联合阿帕替尼治疗)。治疗3个月后评估... 目的:评估阿帕替尼联合卡培他滨治疗晚期三阴性乳腺癌(TNBC)患者的疗效。方法:回顾性分析68例晚期TNBC患者的临床资料。患者根据治疗方案分为对照组(34例,单用卡培他滨治疗)和观察组(34例,卡培他滨联合阿帕替尼治疗)。治疗3个月后评估客观缓解率(ORR)和疾病控制率(DCR),并测定治疗前后血清CA125、CA153、TPS和TK1水平。随访并统计1年、2年和3年生存率及不良反应发生情况。结果:观察组客观缓解率(ORR)为44.12%,显著高于对照组的17.65%,差异有统计学意义(P<0.05);观察组疾病控制率(DCR)为88.24%,显著高于对照组的64.71%,差异有统计学意义(P<0.05);观察组平均生存时间(29.91±2.40)月显著长于对照组(22.44±2.48)月,差异具有统计学意义(P<0.05);治疗后观察组血清肿瘤标志物CA125、CA153、TPS和TK1水平均显著低于对照组(P<0.05);观察组3年生存率为50.00%,显著高于对照组的23.53%(P<0.05);2组不良反应发生率间差异无统计学意义(P>0.05)。结论:阿帕替尼联合卡培他滨治疗晚期TNBC患者能够显著提高临床疗效,降低血清肿瘤标志物水平,延长生存时间,且安全性较好。 展开更多
关键词 晚期tnbc 阿帕替尼 卡培他滨 血清肿瘤标志物 生存率
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Targeting RTKs/nRTKs as promising therapeutic strategies for the treatment of triple-negative breast cancer:evidence from clinical trials
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作者 Kasshish Mehta Mangala Hegde +6 位作者 Sosmitha Girisa Ravichandran Vishwa Mohammed S.Alqahtani Mohamed Abbas Mehdi Shakibaei Gautam Sethi Ajaikumar B.Kunnumakkara 《Military Medical Research》 2025年第8期1258-1282,共25页
The extensive heterogeneity and the limited availability of effective targeted therapies contribute to the challenging prognosis and restricted survival observed in triple-negative breast cancer(TNBC).Recent research ... The extensive heterogeneity and the limited availability of effective targeted therapies contribute to the challenging prognosis and restricted survival observed in triple-negative breast cancer(TNBC).Recent research indicates the aberrant expression of diverse tyrosine kinases(TKs)within this cancer,contributing significantly to tumor cell proliferation,survival,invasion,and migration.The contemporary paradigm shift towards precision medicine has highlighted TKs and their receptors as promising targets for pharmacotherapy against a range of malignancies,given their pivotal roles in tumor initiation,progression,and advancement.Intensive investigations have focused on various monoclonal antibodies(mAbs)and small molecule inhibitors that specifically target proteins such as epidermal growth factor receptor(EGFR),vascular endothelial growth factor(VEGF),vascular endothelial growth factor receptor(VEGFR),cellular mesenchymal-epithelial transition factor(c-MET),human epidermal growth factor receptor 2(HER2),among others,for combating TNBC.These agents have been studied both in monotherapy and in combination with other chemotherapeutic agents.Despite these advances,a substantial terrain of unexplored potential lies within the realm of TK-targeted therapeutics,which hold promise in reshaping the therapeutic landscape.This review summarizes the various TK-targeted therapeutics that have undergone scrutiny as potential therapeutic interventions for TNBC,dissecting the outcomes and revelations stemming from diverse clinical investigations.A key conclusion from the umbrella clinical trials evidences the necessity for in-depth molecular characterization of TNBC for the maximum efficiency of TK-targeted therapeutics,either as standalone treatments or a combination.Moreover,our observation highlights that the outcomes of TK-targeted therapeutics in TNBC are substantially influenced by the diversity of the patient cohort,emphasizing the prioritization of individual patient genetic/molecular profiles for precise TNBC patient stratification for clinical studies. 展开更多
关键词 Triple-negative breast cancer(tnbc) Tyrosine kinase(TK) Clinical trial Personalised medicine Genetic diversity Patient stratification
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Identification ofMolecular Subtypes and Prognostic Features for Triple-Negative Breast Cancer Based on Golgi Apparatus-Related Gene Signature
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作者 Zhun Yu Jie Wang Guoping Xu 《Oncology Research》 2025年第8期2013-2035,共23页
Objectives:Triple-negative breast cancer(TNBC)presents a major treatment challenge due to its aggressive behavior.The dysfunction of the Golgi apparatus(GA)contributes to the development of various cancers.This study ... Objectives:Triple-negative breast cancer(TNBC)presents a major treatment challenge due to its aggressive behavior.The dysfunction of the Golgi apparatus(GA)contributes to the development of various cancers.This study aimed to utilize GA-related genes(GARGs)to forecast the prognosis and immune profile of TNBC.Methods:The data were downloaded from The Cancer Genome Atlas(TCGA)database,including 175 TNBC and 99 healthy samples.The differentially expressed GARGs(DEGARGs)were analyzed using the TCGA biolinks package.The patients with TNBC were classified into two clusters utilizing the ConsensusClusterPlus package according to prognosis-related DEGARGs,followed by comparing the differences in prognosis and immune infiltration between the two clusters.Next,LASSO and stepwise Cox regression were applied to establish a GARGs signature to forecast the TNBC prognosis.The association of the GARGs signature with immune infiltrates and drug sensitivity was further explored.Results:In total,430 DEGARGs were identified between TNBC and healthy samples,among which 20 were related to TNBC prognosis.Two GARG-related molecular clusters associated with different survival times and immune heterogeneity were identified.A risk model for TNBC was established based on six GARGs,and the high-risk(HR)group exhibited a poor prognosis.The HR group demonstrated a distinctly high M2 macrophage infiltration and low M1 macrophage infiltration,which contributed to an immunosuppressive tumor microenvironment and thus led to poor prognosis of the HR group.Immune dysfunction scores and programmed cell death ligand 1(PD-L1)expression were substantially elevated in the HR group.The HR group showed increased sensitivity to anticancer drugs,such as cisplatin.Conclusion:Our findings suggest that GARGs are involved in the pathogenesis of TNBC and provide new insights into prognostic prediction.The identified clusters and GARGs signatures have the potential to guide individualized therapy. 展开更多
关键词 Triple-negative breast cancer(tnbc) Golgi apparatus(GA) prognostic model molecular subtypes drug sensitivity
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Astragalus polysaccharide enhances the therapeutic efficacy of cisplatin in triple-negative breast cancer through multiple mechanisms
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作者 LI SUN SHICHAO ZHUO +4 位作者 XIAOXIN LI HUSHENG KONG WEIWEI DU CHONG ZHOU JUNXING HUANG 《Oncology Research》 2025年第3期641-651,共11页
Background:Cisplatin(DDP)has been used in the treatment of various human cancers.However,DDP alone lacks efficacy in treating triple-negative breast cancer(TNBC),and its clinical application is often hampered by side ... Background:Cisplatin(DDP)has been used in the treatment of various human cancers.However,DDP alone lacks efficacy in treating triple-negative breast cancer(TNBC),and its clinical application is often hampered by side effects.Astragalus polysaccharide(APS)is one of the active components extracted from Astragalus membranaceus and has gained attention for its various biological properties.This research is aimed to evaluate the effectiveness of a combination of APS and DDP on TNBC and explore the potential mechanisms.Methods:The efficacy and mechanisms of single or combined treatment were evaluated using Cell Counting Kit-8(CCK8)assay,Annexin V-fluorescein isothiocyanate(FITC)/propidium iodide(PI)staining,wound healing assay,trans-well invasion/migration assay,hematoxylin-eosin(HE)staining,immunohistochemical(IHC)staining,Western Blot(WB)analysis,and fluorescence-activated cell sorting(FACS).An orthotopic model of TNBC was used to assess the in vivo treatment efficacy of single or combination treatment.Results:APS significantly enhanced the anti-proliferative,anti-migratory,and anti-invasive effects of DDP on TNBC cells.The combination of APS and DDP downregulated anti-apoptotic genes(Bcl2 and Bcl-xL)while upregulating pro-apoptotic genes(Puma,Cle-Caspase3,Cle-PARP),leading to enhanced apoptosis.This combination treatment increased E-cadherin levels,decreased Vimentin,Snail,Slug,and Twist levels,and effectively suppressed epithelial-mesenchymal transition(EMT)-associated cell invasion.In the orthotopic model of TNBC,a synergistic reduction in tumor growth was observed in mice treated with APS and DDP.Additionally,the combination of APS and DDP induced the infiltration of CD8+T lymphocytes into the tumor immune microenvironment.Conclusion:The combination of APS and DDP exhibits more potent tumor inhibition and anti-tumor immunity than either agent alone,representing a novel approach to enhance therapeutic efficacy without increasing the side effects of DDP. 展开更多
关键词 Triple-negative breast cancer(tnbc) Cisplatin(DDP) Astragalus polysaccharide(APS) T cell tumor infiltration Combination treatment
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SIK2 inhibitor SIC-19 enhances the sensitivity of PARP inhibitors in triple-negative breast cancers and pancreatic cancers
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作者 QIAN LI SHUNPENG ZHU +2 位作者 MINGXIAN ZHU FANG WANG JINHUA ZHOU 《Oncology Research》 2025年第7期1757-1767,共11页
Objectives:Our previous research demonstrated that SIC-19,an innovative inhibitor of salt-inducible kinase 2(SIK2),effectively reduces SIK2 protein levels through the ubiquitin-proteasome pathway and exhibits syntheti... Objectives:Our previous research demonstrated that SIC-19,an innovative inhibitor of salt-inducible kinase 2(SIK2),effectively reduces SIK2 protein levels through the ubiquitin-proteasome pathway and exhibits synthetic lethal effects with poly ADP-ribose polymerase(PARP)inhibitors in ovarian cancer.However,the role of SIC-19 in triplenegative breast cancer(TNBC)and pancreatic cancer(PC)remains poorly defined.This study aims to investigate whether SIC-19 combined with PARP inhibitors can induce synthetic lethal effects in TNBC and PC.Methods:Cell lines with high SIK2 expression were identified through Western blot analysis.The combination’s impact was evaluated using Cell Counting Kit-8(CCK8),clone formation,and apoptosis assays,as well as in vivo xenograft models.Results:Our findings indicated that the IC50 of SIC-19 was inversely correlated with endogenous SIK2 expression in TNBC and PC cell lines.SIC-19 modulates the homologous recombination repair pathway by suppressing levels of RAD50-pS635,thereby enhancing the sensitivity of TNBC and PC cells,as well as xenografts,to PARP inhibitors.Conclusion:These results underscore the potential of combining PARP inhibitors in combination with SIK2 inhibitors as a novel therapeutic approach to increase PARP inhibition’s effectiveness in treating TNBC and PC.This innovative combination therapy represents a promising approach for overcoming resistance mechanisms and improving the outcomes for patients with these challenging malignancies. 展开更多
关键词 Triple negative breast cancer(tnbc) PARP inhibitor Salt-inducible kinase 2(SIK2) Pancreatic cancer(PC) SIC-19
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OTUB2 promotes proliferation and metastasis of triple-negative breast cancer by deubiquitinating TRAF6
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作者 YU QIU RUIHAN LIU +5 位作者 SHANSHAN HUANG QIAOTING CAI YI XIE ZHITING HE WEIGE TAN XINHUA XIE 《Oncology Research》 2025年第5期1135-1147,共13页
Objectives:Deubiquitinase OTUB2 plays a critical role in the progression of various tumors.However,its specific role in triple-negative breast cancer(TNBC)remains unclear.This study aims to elucidate the biological fu... Objectives:Deubiquitinase OTUB2 plays a critical role in the progression of various tumors.However,its specific role in triple-negative breast cancer(TNBC)remains unclear.This study aims to elucidate the biological function of OTUB2 in TNBC and uncover the underlying mechanisms.Methods:First,we found that the expression of OTUB2 was upregulated in TNBC by bioinformatics analysis,we then validated its expression in TNBC tissues and cells using immunohistochemistry(IHC)and qPCR and plotted the survival curves by Kaplan-Meier method.Gene set enrichment analysis(GSEA)suggested that OTUB2 may be involved in tumor proliferation and metastasis.Further functional assays,including Cell Counting Kit-8(CCK-8),colony formation,Transwell,and wound healing assays,were performed to assess the effects of OTUB2 overexpression and knockdown on TNBC cell proliferation and migration.Additionally,UbiBrowser 2.0 was used to identify OTUB2 substrate proteins and western blotting was conducted to clarify the molecular mechanisms involved.Results:Our results demonstrated that OTUB2 expression was elevated in TNBC and associated with poor prognosis.Overexpression of OTUB2 enhanced the proliferation and migration of TNBC cells,while its knockdown inhibited these processes.Moreover,OTUB2 stabilized tumor necrosis factor receptor-associated factor 6(TRAF6)by deubiquitinating it,leading to activation of the protein kinase B(AKT)pathway.Conclusions:OTUB2 exerts its promoting effects on the progression of TNBC by activating the TRAF6/AKT pathway. 展开更多
关键词 OTUB2 Tumor necrosis factor receptor-associated factor 6(TRAF6) Triple-Negative Breast Cancer(tnbc) DEUBIQUITINATION
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从转化医学角度分析蛋白质组学在TNBC诊疗中的应用
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作者 罗雪莹 何劲松 +2 位作者 陈伟财 阳莉萍 高睿 《健康之路》 2018年第8期22-22,共1页
三阴性乳腺癌(triple negative breast cancer,TNBC)因其分化程度低、发病年龄小、复发风险高、极易出现耐药、临床预后差且缺乏特定的治疗靶点,一直是乳腺癌治疗及研究中的难点、热点问题,同时其对应的研究学方法层出不穷。蛋白质组学... 三阴性乳腺癌(triple negative breast cancer,TNBC)因其分化程度低、发病年龄小、复发风险高、极易出现耐药、临床预后差且缺乏特定的治疗靶点,一直是乳腺癌治疗及研究中的难点、热点问题,同时其对应的研究学方法层出不穷。蛋白质组学作为高特异性及灵敏性的高通量研究方法,逐步成为目前应用热点。本文旨在从转化医学的角度分析蛋白质组学方法在TNBC诊疗研究中的临床应用价值。 展开更多
关键词 转化医学角度 分析 蛋白质组学 tnbc诊疗 应用
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基于多层螺旋CT联合临床指标的列线图预测三阴性乳腺癌腋窝淋巴结转移
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作者 邵俊超 吕良爽 +2 位作者 路茗渝 单明 张国强 《中国肿瘤临床》 北大核心 2025年第10期500-506,共7页
目的:本研究旨在探讨利用多层螺旋CT图像上的特征信息以及临床病理指标,构建预测术前三阴性乳腺癌(triple-negative breast cancer,TNBC)患者腋窝淋巴结转移(axillary lymph node metastasis,ALNM)的列线图模型。方法:回顾性分析2020年1... 目的:本研究旨在探讨利用多层螺旋CT图像上的特征信息以及临床病理指标,构建预测术前三阴性乳腺癌(triple-negative breast cancer,TNBC)患者腋窝淋巴结转移(axillary lymph node metastasis,ALNM)的列线图模型。方法:回顾性分析2020年11月至2024年10月就诊于哈尔滨医科大学附属肿瘤医院经病理证实的265例TNBC女性患者的CT图像及病理资料,以6∶4的结局比例分配为训练集(161例)和验证集(104例)。使用最小绝对收缩和选择算子(least absolute shrinkage and selection operator,LASSO)回归进行变量选择,并进行10倍交叉验证,对训练集进行Logistic回归分析,筛选ALNM的独立危险因素,构建预测TNBC患者ALNM的列线图模型。使用受试者工作特征(receiver operating characteristic,ROC)曲线、校准曲线和临床决策曲线分析(decision curve analysis,DCA)评估模型的性能。结果:经多因素Logistic回归最终确定了包括临床N分期(OR=6.789,95%CI:2.203~22.20,P=0.001)、淋巴结的CT短轴直径(OR=1.686,95%CI:1.349~2.257,P<0.001)及皮质厚度(OR=6.296,95%CI:2.170~19.31,P=0.001)在内的3个重要独立预测因子,以此构建列线图预测模型。最终训练集的和验证集的ROC曲线下面积分别为0.918(95%CI:0.860~0.977)、0.885(95%CI:0.809~0.962)。训练集和验证集的HL检验分别为P=0.609和P=0.694。校准曲线显示预测概率与实际概率基本一致。决策曲线显示训练集和验证集在0.02~0.96、0.03~0.87时,具有临床实用价值。结论:本研究基于多层螺旋CT联合临床病理特征的列线图预测模型具有良好的预测效能,为TNBC患者的术前个体化评估及临床治疗提供参考。 展开更多
关键词 多层螺旋CT 三阴性乳腺癌 腋窝淋巴结转移 预测模型
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IGF2BP3通过m6A-EP300轴介导乳酸化修饰驱动三阴性乳腺癌代谢与表观遗传交互作用 被引量:1
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作者 李逸涵 王子文 +6 位作者 陈锐 杨海燕 蔡梦媛 李驿洵 吴柯非 王雨欣 丁强 《南京医科大学学报(自然科学版)》 北大核心 2025年第7期905-912,共8页
目的:探讨乳酸对三阴性乳腺癌(triple-negative breast cancer,TNBC)细胞恶性行为的影响,并揭示胰岛素样生长因子2 mRNA结合蛋白3(insulin-like growth factor 2 m RNA binding protein 3,IGF2BP3)通过m6A依赖性方式调控EP300,进而介导... 目的:探讨乳酸对三阴性乳腺癌(triple-negative breast cancer,TNBC)细胞恶性行为的影响,并揭示胰岛素样生长因子2 mRNA结合蛋白3(insulin-like growth factor 2 m RNA binding protein 3,IGF2BP3)通过m6A依赖性方式调控EP300,进而介导代谢重编程的表观遗传学机制。方法:通过外源性添加乳酸钠处理TNBC细胞,采用CCK-8、集落形成、划痕愈合和Transwell实验检测细胞增殖与迁移能力;利用shRNA慢病毒载体构建IGF2BP3稳定敲低细胞模型,结合Western blot分析组蛋白乳酸化修饰水平;进一步通过RIP-seq、MeRIP-seq筛选IGF2BP3的m6A靶基因,并利用qRT-PCR和Western blot验证关键分子表达。结果:乳酸钠处理显著增强了TNBC细胞的增殖和迁移能力,且泛乳酸化水平随乳酸浓度梯度升高而增加。IGF2BP3敲低可降低组蛋白乳酸化修饰水平。通过整合RIP-seq和MeRIP-seq数据,鉴定出699个其转录本同时被IGF2BP3特异性结合且携带m6A修饰的候选基因,这些基因显著富集于表观遗传调控和代谢相关通路。EP300转录本上IGF2BP3的结合区域与m6A修饰位点高度重合,且EP300的表达水平在IGF2BP3敲低后明显下调。结论:外源性乳酸通过泛乳酸化修饰促进TNBC的恶性进展。IGF2BP3通过m6A依赖性机制调控EP300的表达,进而介导组蛋白乳酸化修饰与代谢重编程的协同作用,最终驱动TNBC的肿瘤进展。上述发现为靶向代谢-表观遗传交互调控的新型治疗策略提供了理论依据。 展开更多
关键词 三阴性乳腺癌 乳酸 IGF2BP3 EP300
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