ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-07-002 综述 2026, 2(07): 5-8

HER-2阳性乳腺癌新型靶向治疗的研究进展

南京医科大学附属泰州人民医院

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摘要

人表皮生长因子受体2(HER-2)阳性乳腺癌约占乳腺癌的15%~20%,因其侵袭性强,预后差而备受关注。自从首个HER-2靶向药物曲妥珠单抗问世以来,该领域的治疗开始飞速发展。本文将系统阐述HER-2阳性乳腺癌的靶向药物的研究进展:单克隆抗体的出现奠定了早期与晚期患者治疗的基础;双靶联合用药方案显著提升了早期乳腺癌患者的病理学完全缓解率以及长期无病生存率;抗体药物偶联物(ADC)的出现在晚期多线治疗中展现出卓越疗效,显著地改善了患者长期生存,推动了治疗线级的前移。本文聚焦靶向药物的临床应用方案,重点探讨其治疗策略的优化路径,同时展望了人工智能辅助决策在个体化治疗方案优化中的应用前景。本综述旨在为临床实践提供全面参考,为该领域的基础和转化研究提供新思路。

Abstract

Human epidermal growth factor receptor 2(HER-2) positive breast cancer accounts for 15%~20% of breast cancer. It has attracted much attention because of its strong invasion and poor prognosis. Since the first HER-2 targeted drug trastuzumab was introduced, the treatment in this field has rapidly developed. This article will systematically describe the research progress of targeted drugs for HER-2 positive breast cancer: The emergence of monoclonal antibodies has laid the foundation for the treatment of early and advanced patients. The dual target combination regimen significantly improved the pathological complete response and long-term disease-free survival rate of early breast cancer patients. The emergence of antibody drug conjugates(ADC) has shown excellent efficacy in advanced multi-line therapy, significantly improving long-term survival of patients and promoting the advancement of treatment line level. This article focuses on the clinical application plan of targeted drugs, with a particular emphasis on exploring the optimization path of their treatment strategies, while also looking forward to the application prospects of artificial intelligence assisted decisionmaking in personalized treatment plan optimization. This review aims to provide comprehensive references for clinical practice and new ideas for basic and translational research in this field.

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[1]郭熙蕴,徐德昊.HER-2阳性乳腺癌新型靶向治疗的研究进展[J].疾病预防与控制,2026,2(07):5-8.