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Triple negative breast cancer: new therapeutic approaches and BRCA BRCA BRCA status

机译:三重阴性乳腺癌:新的治疗方法和布鲁塔布鲁塔BRCA地位

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摘要

Treatment of triple negative breast cancer ( TNBC ) is a clinically challenging problem due to intriguing clinical and pathologic features of TNBC and natural or induced resistance to existing therapies. However, a great understanding of features of TNBC particularly associated with BRCA mutations has led to the development of different therapeutic approaches. Besides, identification of TNBC subtypes contribute to investigation of the underlying molecular differences and development of new strategies for the treatment of TNBC patients. In this review, we discussed the definition and characteristic properties of TNBC . We summarized an up‐to‐date description of the reported clinical trials of novel targeted strategies especially PARP inhibitors ( PARP i) due to novel and highly potent for the treatment of TNBC . Additionally, we reviewed published studies which investigated the prevalence and types of BRCA 1/2 mutation in breast cancer patients to assess and draw attention of association of BRCA status with TNBC . Consequently, the definition subtype of TNBC has important predictive value for the development of new therapeutic agents in the treatment of TNBC . Additionally, the incidence and types of mutations in BRCA ‐related pathways may be affected by ethnic origin and contribute to the risk of developing TNBC .
机译:治疗三重阴性乳腺癌(TNBC)是一种临床挑战性问题,因为TNBC的临床和病理特征和天然或诱导现有疗法的抗性。然而,对TNBC的特征的良好理解特别关联与BRCA突变相关的发展已经导致了不同治疗方法的发展。此外,TNBC亚型的鉴定有助于调查潜在的分子差异和治疗TNBC患者的新策略的发展。在本综述中,我们讨论了TNBC的定义和特征性质。我们总结了由于新颖且高效地用于治疗TNBC,概述了对新型靶向策略的临床试验特别是PARP抑制剂(PARP I)的最新描述。此外,我们还审查了已发表的研究,该研究探讨了乳腺癌患者中BRCA 1/2突变的患病率和类型,以评估和提请BRCA地位与TNBC关注的关注。因此,TNBC的定义亚型对治疗TNBC的新治疗剂的发展具有重要的预测值。此外,BRCA相关途径中的突变发生率和类型可能受民族来源的影响,有助于发展TNBC的风险。

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