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Immunotherapy: Constructive Approach for Breast Cancer Treatment
Umer Anayyat1, Faiza Ahad1, Tobias Achu Muluh1
1Department of Physiology, School of Basic Medical Sciences, Health Sciences Center, Shenzhen University Medical School, Shenzhen University, Shenzhen, Guangdong, 518055, People's Republic of China.
Abstract:
A novel and rapid therapeutic approach is the treatment of human breast cancer by enhancing the host's immune system. In initial findings, program death one (PD-1) and program cell death ligand one (PD-L1) showed positive results towards solid tumors, but tumor relapse and drug resistance are the major concerns. Breast cancer therapy has been transformed by the advent of immune checkpoint blockades (ICBs). Triple-negative breast cancers (TNBCs) have exhibited enduring responses to clinical usage of immune checkpoint inhibitors (ICBs) like atezolizumab and pembrolizumab. Nonetheless, a notable proportion of individuals with TNBC do not experience advantages from these treatments, and there is limited comprehension of the resistance mechanisms. Another approach to overcome resistance is cancer stem cells (CSCs), as these cells are crucial for the initiation and growth of tumors in the body. Various cancer vaccines are created using stem cells (dendritic, whole cell, bacterial) and focus primarily on targeting tumor-related antigens. The ultimate objective of cancer vaccines is to immunize the patients by active artificial immunity against cancer, though. In this review, we primarily focused on existing immunotherapeutic options, immune checkpoint blockers, the latest progress in understanding the molecular mechanisms underlying resistance to immune checkpoint inhibitors (ICBs), advanced strategies to overcome resistance to ICBs, cancer stem cell antigens and molecular markers, ongoing clinical trials for BCs and cancer vaccines for breast cancer.
Insights
This review explores immunotherapies for breast cancer, including immune checkpoint blockers (ICBs) and cancer vaccines. It highlights challenges like tumor resistance and discusses strategies to overcome them, focusing on cancer stem cells.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Immune checkpoint blockades (ICBs) have transformed breast cancer therapy, particularly for triple-negative breast cancer (TNBC).
- Tumor relapse and drug resistance remain significant challenges despite positive initial findings with PD-1/PD-L1 inhibitors.
- Cancer stem cells (CSCs) play a crucial role in tumor initiation and growth, presenting a target for overcoming resistance.
Purpose of the Study:
- To review current immunotherapeutic options for breast cancer.
- To explore molecular mechanisms of resistance to ICBs and advanced strategies to overcome them.
- To examine cancer stem cell antigens, markers, and the role of cancer vaccines in breast cancer treatment.
Main Methods:
- Literature review of existing immunotherapies, ICBs, and CSCs in breast cancer.
- Analysis of molecular mechanisms underlying resistance to ICBs.
- Synthesis of information on cancer stem cell antigens, markers, and vaccine development.
Main Results:
- ICBs show promise but limited efficacy in a subset of TNBC patients due to resistance.
- Understanding CSCs and their antigens offers potential strategies to enhance immunotherapy effectiveness.
- Various cancer vaccines are being developed targeting tumor antigens to induce active immunity.
Conclusions:
- Overcoming ICB resistance is critical for improving breast cancer treatment outcomes.
- Targeting CSCs and developing effective cancer vaccines are promising avenues for future breast cancer immunotherapies.
- Further research into resistance mechanisms and clinical trials are essential for advancing breast cancer immunotherapy.
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