摘要
三阴性乳腺癌代表多种基因组和转录组异质性。 TNBC 中出现的遗传和表观遗传变化有助于它获得对免疫反应的抵抗力。远处转移、缺乏临床靶向治疗和预后标志物使其成为最具侵袭性的乳腺癌形式。在这篇综述中,我们发现靶向基因 AR、ERR、TIL、TAM、miRNA、mTOR 和免疫抑制细胞因子的驱动改变主要通过诱导细胞增殖、侵袭和转移以及抑制细胞凋亡参与了 TNBC 的并发症。还研究了淋巴结状态、组织蛋白酶-D、Ki-67 指数、CD3+TIL、BRCA1 启动子甲基化值和 p53 作为有效预后因素的作用,以预测 TNBC 患者的无病生存率和总生存率。本综述文章试图以新的视角了解 TNBC 的病因、治疗策略和预后标志物,以确定标准治疗的结果,并重新设计未来的治疗策略,为患者提供最大的益处。
关键词: AR、microRNAs、TAM、TNBC、TILs、治疗、预后。
图形摘要
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