Metastatic and triple-negative breast cancer: challenges and treatment options

被引:499
作者
Al-Mahmood, Sumayah [1 ]
Sapiezynski, Justin [1 ]
Garbuzenko, Olga B. [1 ]
Minko, Tamara [1 ,2 ,3 ]
机构
[1] Rutgers State Univ, Dept Pharmaceut, Ernest Mario Sch Pharm, 160 Frelinghuysen Rd, Piscataway, NJ 08854 USA
[2] Rutgers Canc Inst, New Brunswick, NJ 08903 USA
[3] Rutgers State Univ, Environm & Occupat Hlth Sci Inst, Rutgers, Piscataway, NJ 08854 USA
基金
美国国家卫生研究院;
关键词
Liposomes; EGFR; siRNA; Gefitinib; Combinatorial treatment of breast cancer; PHASE-II TRIAL; CIRCULATING TUMOR-CELLS; ADO-TRASTUZUMAB EMTANSINE; CAPECITABINE COMBINATION THERAPY; GEMCITABINE PLUS VINORELBINE; OVARIAN-FUNCTION SUPPRESSION; ORAL VINORELBINE; RISK-FACTORS; AROMATASE INHIBITOR; PRETREATED PATIENTS;
D O I
10.1007/s13346-018-0551-3
中图分类号
TH7 [仪器、仪表];
学科分类号
080401 [精密仪器及机械];
摘要
The major current conventional types of metastatic breast cancer (MBC) treatments include surgery, radiation, hormonal therapy, chemotherapy, or immunotherapy. Introducing biological drugs, targeted treatment and gene therapy can potentially reduce the mortality and improve the quality of life in patients with MBC. However, combination of several types of treatment is usually recommended. Triple negative breast cancer (TNBC) accounts for 10-20% of all cases of breast carcinoma and is characterized by the low expression of progesterone receptor (PR), estrogen receptor (ER), and human epidermal growth factor receptor 2 (HER2). Consequently, convenient treatments used for MBC that target these receptors are not effective for TNBC which therefore requires special treatment approaches. This review discusses the occurrence of MBC, the prognosis and predictive biomarkers of MBC, and focuses on the novel advanced tactics for treatment of MBC and TNBC. Nanotechnology-based combinatorial approach for the suppression of EGFR by siRNA and gifitinib is described.
引用
收藏
页码:1483 / 1507
页数:25
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