Immunotherapy for triple-negative breast cancer: A molecular insight into the microenvironment, treatment, and resistance

Clinicians have very limited options to treat triple-negative breast cancer (TNBC) due to the lack of effective targeted drugs. Recently, the findings of the mechanism underlying tumor-intrinsic immune escape have fueled a wave of studies into immunotherapy in breast cancer (BC). Compared with other...

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Autores principales: Xupeng Bai, Jie Ni, Julia Beretov, Peter Graham, Yong Li
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Lenguaje:EN
Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/b70b5e3637074d7693e3d1e8c38ef8fc
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spelling oai:doaj.org-article:b70b5e3637074d7693e3d1e8c38ef8fc2021-12-01T05:06:45ZImmunotherapy for triple-negative breast cancer: A molecular insight into the microenvironment, treatment, and resistance2667-005410.1016/j.jncc.2021.06.001https://doaj.org/article/b70b5e3637074d7693e3d1e8c38ef8fc2021-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667005421000296https://doaj.org/toc/2667-0054Clinicians have very limited options to treat triple-negative breast cancer (TNBC) due to the lack of effective targeted drugs. Recently, the findings of the mechanism underlying tumor-intrinsic immune escape have fueled a wave of studies into immunotherapy in breast cancer (BC). Compared with other BC subtypes, TNBC shows a better response to immunotherapy due to the higher level of tumor mutation burden and lymphocyte infiltration. Thereinto, immune checkpoint inhibitors (ICIs) achieved the first success of immunotherapy for TNBC and are widely utilized with conventional treatments in the neoadjuvant/adjuvant and advanced stages. However, a large number of TNBC patients fail to demonstrate a good response to ICIs, and the acquired resistance to ICI-based therapies is clinically emerging, which is a major challenge for immunotherapy in TNBC. Here we review the latest advances in TNBC immune microenvironment, immunotherapy, and immunotherapeutic resistance and discuss the challenges and potential approaches to improve the clinical benefit of immunotherapy against TNBC.Xupeng BaiJie NiJulia BeretovPeter GrahamYong LiElsevierarticleTriple-negative breast cancerMicroenvironmentImmunotherapyImmunotherapeutic resistanceImmune checkpointNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENJournal of the National Cancer Center, Vol 1, Iss 3, Pp 75-87 (2021)
institution DOAJ
collection DOAJ
language EN
topic Triple-negative breast cancer
Microenvironment
Immunotherapy
Immunotherapeutic resistance
Immune checkpoint
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Triple-negative breast cancer
Microenvironment
Immunotherapy
Immunotherapeutic resistance
Immune checkpoint
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Xupeng Bai
Jie Ni
Julia Beretov
Peter Graham
Yong Li
Immunotherapy for triple-negative breast cancer: A molecular insight into the microenvironment, treatment, and resistance
description Clinicians have very limited options to treat triple-negative breast cancer (TNBC) due to the lack of effective targeted drugs. Recently, the findings of the mechanism underlying tumor-intrinsic immune escape have fueled a wave of studies into immunotherapy in breast cancer (BC). Compared with other BC subtypes, TNBC shows a better response to immunotherapy due to the higher level of tumor mutation burden and lymphocyte infiltration. Thereinto, immune checkpoint inhibitors (ICIs) achieved the first success of immunotherapy for TNBC and are widely utilized with conventional treatments in the neoadjuvant/adjuvant and advanced stages. However, a large number of TNBC patients fail to demonstrate a good response to ICIs, and the acquired resistance to ICI-based therapies is clinically emerging, which is a major challenge for immunotherapy in TNBC. Here we review the latest advances in TNBC immune microenvironment, immunotherapy, and immunotherapeutic resistance and discuss the challenges and potential approaches to improve the clinical benefit of immunotherapy against TNBC.
format article
author Xupeng Bai
Jie Ni
Julia Beretov
Peter Graham
Yong Li
author_facet Xupeng Bai
Jie Ni
Julia Beretov
Peter Graham
Yong Li
author_sort Xupeng Bai
title Immunotherapy for triple-negative breast cancer: A molecular insight into the microenvironment, treatment, and resistance
title_short Immunotherapy for triple-negative breast cancer: A molecular insight into the microenvironment, treatment, and resistance
title_full Immunotherapy for triple-negative breast cancer: A molecular insight into the microenvironment, treatment, and resistance
title_fullStr Immunotherapy for triple-negative breast cancer: A molecular insight into the microenvironment, treatment, and resistance
title_full_unstemmed Immunotherapy for triple-negative breast cancer: A molecular insight into the microenvironment, treatment, and resistance
title_sort immunotherapy for triple-negative breast cancer: a molecular insight into the microenvironment, treatment, and resistance
publisher Elsevier
publishDate 2021
url https://doaj.org/article/b70b5e3637074d7693e3d1e8c38ef8fc
work_keys_str_mv AT xupengbai immunotherapyfortriplenegativebreastcanceramolecularinsightintothemicroenvironmenttreatmentandresistance
AT jieni immunotherapyfortriplenegativebreastcanceramolecularinsightintothemicroenvironmenttreatmentandresistance
AT juliaberetov immunotherapyfortriplenegativebreastcanceramolecularinsightintothemicroenvironmenttreatmentandresistance
AT petergraham immunotherapyfortriplenegativebreastcanceramolecularinsightintothemicroenvironmenttreatmentandresistance
AT yongli immunotherapyfortriplenegativebreastcanceramolecularinsightintothemicroenvironmenttreatmentandresistance
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