1.河南大学肿瘤医院(郑州市第三人民医院)药学部,郑州;450099
2.河南大学肿瘤医院(郑州市第三人民医院)肿瘤内科,郑州 450099
3.河南大学肿瘤医院(郑州市第三人民医院)乳腺肿瘤外科,郑州 450099
Received:08 August 2025,
Revised:2025-12-16,
Accepted:17 December 2025,
Published:15 January 2026
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刘丹娜,宋爽爽,陈露,等.抗体偶联药物在三阴性乳腺癌治疗中的研究进展 [J].中国药房,2026,37(01):124-129.
LIU Danna,SONG Shuangshuang,CHEN Lu,et al.Research progress on antibody-drug conjugates in the treatment of triple-negative breast cancer[J].ZHONGGUO YAOFANG,2026,37(01):124-129.
刘丹娜,宋爽爽,陈露,等.抗体偶联药物在三阴性乳腺癌治疗中的研究进展 [J].中国药房,2026,37(01):124-129. DOI: 10.6039/j.issn.1001-0408.2026.01.22.
LIU Danna,SONG Shuangshuang,CHEN Lu,et al.Research progress on antibody-drug conjugates in the treatment of triple-negative breast cancer[J].ZHONGGUO YAOFANG,2026,37(01):124-129. DOI: 10.6039/j.issn.1001-0408.2026.01.22.
抗体偶联药物(ADCs)是由靶向性单克隆抗体、细胞毒性药物以及连接子构成的新型抗肿瘤药物,兼具了抗体的高特异性和细胞毒性药物的高杀伤性。三阴性乳腺癌(TNBC)具有侵袭性强、复发/转移风险高、预后不良等特点,且因缺乏有效治疗靶点而预后较差。本文综述了ADCs在TNBC治疗领域的研究进展,结果显示靶向人表皮生长因子受体2(如德曲妥珠单抗)、滋养层细胞表面抗原2(如戈沙妥珠单抗、德达博妥单抗)、锌转运蛋白LIV-1(如ladiratuzumab vedotin)、HER-3(如patritumab deruxtecan)、表皮生长因子受体(如AVID100)、糖蛋白非转移性黑色素瘤蛋白B(如glembatumumab vedotin)的ADCs对TNBC均表现出良好的治疗效果。尽管ADCs在TNBC治疗中面临获得性耐药和治疗毒性的挑战,但其正在深刻改变TNBC的治疗格局,未来有望在TNBC治疗中占据更为核心的地位。
Antibody-drug conjugates (ADCs) are a novel class of anti-tumor agents composed of a targeted monoclonal antibody, a cytotoxic drug, and a linker connecting the two. They combine the high specificity of antibodies with the potent cytotoxicity of chemotherapeutic agents. Triple-negative breast cancer (TNBC) is characterized by high aggressiveness, elevated risks of recurrence and metastasis, and poor prognosis, largely due to the lack of effective therapeutic targets. This review summarizes the research progress of ADCs in the treatment of TNBC. It has been found that ADCs targeting human epidermal growth factor receptor 2 (such as trastuzumab deruxtecan), trophoblast cell surface antigen 2 (such as sacituzumab govitecan and datopotamab deruxtecan), zinc transporter LIV-1 (such as ladiratuzumab vedotin), HER-3 (such as patritumab deruxtecan), epidermal growth factor receptor (such as AVID100), and glycoprotein non-metastatic melanoma protein B (such as glembatumumab vedotin) have all demonstrated promising therapeutic effects against TNBC. Despite challenges including acquired resistance and treatment-related toxicities, ADCs are undoubtedly reshaping the therapeutic landscape for TNBC and are expected to occupy a more central position in TNBC treatment in the future.
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