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新型抗体偶联药物引领HER2低表达乳腺癌诊疗变革

刘炜 张杨秋蓉 李莉 曹俊宇 陈锡华 杨昆宪

肿瘤药学2025,Vol.15Issue(4):455-461,7.
肿瘤药学2025,Vol.15Issue(4):455-461,7.DOI:10.3969/j.issn.2095-1264.2025.04.03

新型抗体偶联药物引领HER2低表达乳腺癌诊疗变革

Novel antibody-drug conjugates lead the transformation in the diagnosis and treatment of breast cancer with low HER2 expression

刘炜 1张杨秋蓉 1李莉 1曹俊宇 1陈锡华 2杨昆宪1

作者信息

  • 1. 云南省第一人民医院 乳腺甲状腺外科,云南 昆明,650034
  • 2. 牟定县人民医院 普外科,云南 楚雄,675500
  • 折叠

摘要

Abstract

Novel antibody-drug conjugates are profoundly changing treatment strategies and concepts of disease classi-fication in breast cancer.Among these,breast cancer with low HER2 expression historically had a poor prognosis due to the lack of effective targeted therapies.Antibody-drug conjugates,represented by trastuzumab deruxtecan,have significantly improved survival outcomes in patients with HER2-low breast cancer across multiple key clinical studies,prompting up-dates in treatment guidelines and expansion of indications.This article systematically reviews the clinicopathological char-acteristics and heterogeneity-related challenges of HER2-low breast cancer,with a focus on the clinical applications and mechanisms of action of new antibody-drug conjugates.It also highlights current diagnostic and therapeutic limitations and suggests in future research directions,thereby providing a theoretical basis for more precise patient stratification and treat-ment.

关键词

乳腺癌/新型抗体偶联药物/人类表皮生长因子受体2低表达/分子分型/综述

Key words

Breast cancer/Novel antibody-drug conjugate/Low expression of human epidermal growth factor receptor 2/Molecular classification/Review

分类

医药卫生

引用本文复制引用

刘炜,张杨秋蓉,李莉,曹俊宇,陈锡华,杨昆宪..新型抗体偶联药物引领HER2低表达乳腺癌诊疗变革[J].肿瘤药学,2025,15(4):455-461,7.

基金项目

国家自然科学基金青年项目(82002812) (82002812)

昆明医科大学应用基础研究联合专项(202101AY070001-239). (202101AY070001-239)

肿瘤药学

2095-1264

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