国际肿瘤学杂志 ›› 2023, Vol. 50 ›› Issue (6): 352-356.doi: 10.3760/cma.j.cn371439-20221123-00070

• 综述 • 上一篇    下一篇

乳腺癌内分泌治疗耐药的机制研究进展

王文德, 曾德()   

  1. 汕头大学医学院附属肿瘤医院乳腺肿瘤内科,汕头 515000
  • 收稿日期:2022-11-23 修回日期:2022-12-31 出版日期:2023-06-08 发布日期:2023-07-11
  • 通讯作者: 曾德,Email:dezeng@stu.edu.cn
  • 基金资助:
    广东省基础与应用基础研究基金(2022A1515012623)

Research progress on the mechanism of endocrine therapy resistance for breast cancer

Wang Wende, Zeng De()   

  1. Department of Breast Medical Oncology,Cancer Hospital of Shantou University Medical College,Shantou 515000,China
  • Received:2022-11-23 Revised:2022-12-31 Online:2023-06-08 Published:2023-07-11
  • Contact: Zeng De,Email:dezeng@stu.edu.cn
  • Supported by:
    Guangdong Basic and Applied Basic Research Foundation(2022A1515012623)

摘要:

内分泌治疗耐药是激素受体阳性乳腺癌治疗过程中一个主要的挑战。近年来内分泌耐药机制主要聚焦于ESR1突变或融合、表观遗传学调控、信号转导通路调控异常、细胞周期调控、肿瘤干细胞、代谢重编程、肿瘤微环境和自噬。探讨乳腺癌内分泌治疗耐药机制的最新进展,可为激素受体阳性乳腺癌精准治疗提供更多的研究思路和治疗选择。

关键词: 乳腺肿瘤, 受体, 雌激素, 抗药性, 内分泌治疗

Abstract:

Endocrine therapy resistance is a major challenge in the treatment of hormone receptor-positive breast cancer. In recent years,endocrine resistance mechanisms have focused on ESR1 mutations or fusions,epigenetic regulation,abnormal regulation of signal transduction pathway,cell cycle regulation,cancer stem cells,metabolic reprogramming,tumor microenvironment and autophagy. Exploring the latest advances in the mechanisms of endocrine therapy resistance in breast cancer may provide more research ideas and treatment options for the precision treatment of hormone receptor-positive breast cancer.

Key words: Breast neoplasms, Receptors, estrogen, Drug resistance, Endocrine therapy