中国药物警戒 ›› 2025, Vol. 22 ›› Issue (6): 714-720.
DOI: 10.19803/j.1672-8629.20250055

• 综述 • 上一篇    

晚期乳腺癌脑转移药物研究进展

叶玲1, 刘晓英2, 党雪菲3, 李雪莲3, 李纲3*   

  1. 1复旦大学附属肿瘤医院闵行院区药剂科,上海 200240;
    2复旦大学附属肿瘤医院闵行院区护理部,上海 200240;
    3复旦大学附属肿瘤医院闵行院区肿瘤内科,上海 200240
  • 收稿日期:2025-01-26 发布日期:2025-06-18
  • 通讯作者: *李纲,女,学士,主任医师,肿瘤学。E-mail:ligang_0113@163.com
  • 作者简介:叶玲,女,硕士,主管药师,肿瘤药物。
  • 基金资助:
    上海市闵行区卫生健康系统优秀青年医技人才和药学人才培养项目(mwyjyx16); 上海市闵行区卫健委课题(2023MW35); 上海市闵行区卫健委课题(2022MW02)

Research Progress in Drugs for Brain Metastases from Advanced Breast Cancer

YE Ling1, LIU Xiaoying2, DANG Xuefei3, LI Xuelian3, LI Gang3*   

  1. 1Department of Pharmacy, Fudan University Shanghai Cancer Center, Minhang, Shanghai 200240, China;
    2Department of Nursing, Fudan University Shanghai Cancer Center, Minhang, Shanghai 200240, China;
    3Department of Oncology, Fudan University Shanghai Cancer Center, Minhang, Shanghai 200240, China
  • Received:2025-01-26 Published:2025-06-18

摘要: 目的 分析晚期乳腺癌脑转移(BCBM)药物现状,探索突破血脑屏障(BBB)和血-肿瘤屏障(BTB)的创新治疗策略,为提升晚期乳腺癌脑转移患者临床疗效和改善患者预后提供参考。方法 根据乳腺癌亚型,分类并汇总新型抗肿瘤药物在BCBM的临床疗效。结果 随着新型抗肿瘤药物的不断研发和上市,如小分子激酶抑制剂、抗体偶联药物及新型纳米制剂等药物在BCBM治疗中显现临床潜力。结论 未来需深入探索BCBM发病机制,开发更加有效的治疗药物,以提升患者疗效与生存质量。

关键词: 晚期乳腺癌, 脑转移, 血脑屏障, 血-肿瘤屏障, 药物治疗, 研究进展

Abstract: Objective To analyze the current drug therapies for brain metastases from breast cancer (BCBM) and to explore innovative therapeutic strategies for overcoming the blood-brain barrier (BBB) and blood-tumor barrier (BTB) so as to enhance the clinical efficacy of treatments for patients with advanced BCBM. Methods Based on subtypes of breast cancer, novel antitumor drugs were classified and their respective clinical efficacy in BCBM was summarized. Results With the incessant development and marketing of novel anti-tumor drugs, small-molecule kinase inhibitors, such as antibody-drug conjugates and novel nanomedicines, demonstrated their potential applications in the treatment of BCBM. Conclusion The pathogenesis of BCBM requires more in-depth studies in the future, and more effective therapeutic agents need to be developed to improve life quality of patients.

Key words: Advanced Breast Cancer, Brain Metastasis, Blood-Brain Barrier, Blood-Tumor Barrier, Medication Treatment, Research Progress

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