Do platinum salts fit all triple negative breast cancers?

被引:52
作者
Gerratana, L. [1 ,2 ]
Fanotto, V. [1 ,2 ]
Pelizzari, G. [1 ,2 ]
Agostinetto, E. [2 ]
Puglisi, F. [1 ,2 ]
机构
[1] Univ Udine, Dept Med & Biol Sci, Udine, Italy
[2] Univ Hosp Udine, Dept Med Oncol, Udine, Italy
关键词
BRCAness; Carboplatin; Cisplatin; Triple negative breast cancer; HOMOLOGOUS RECOMBINATION DEFICIENCY; COMPLETE RESPONSE RATES; BASAL-LIKE SUBTYPE; PHASE-III TRIAL; MOLECULAR PORTRAITS; SPORADIC BREAST; OVARIAN-CANCER; DNA-REPAIR; BRCA1; CARBOPLATIN;
D O I
10.1016/j.ctrv.2016.06.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Triple-negative breast cancer (TNBC) is an aggressive disease with limited treatment options and poor prognosis once metastatic. Pre-clinical and clinical data suggest that TNBC could be more sensitive to platinum-based chemotherapy, especially among BRCA1/2-mutated patients. In recent years, several randomised trials have been conducted to evaluate platinum efficacy in both early-stage and advanced TNBC, with conflicting results especially for long-term outcomes. Experimental studies are now focusing on identifying biomarkers of response to help selecting patients who may benefit most from platinum based therapies, including BRCA1/2 mutational status and genomic instability signatures (such as HRD-LOH or HRD-LST scores). A standard therapy for TNBC is still missing and platinum-based regimens represent an emerging therapeutic option for selected patients with a defect in the homologous recombination repair system: The identification of these patients through validated biomarker assays will be crucial to optimize the use of currently approved agents in TNBC. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:34 / 41
页数:8
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