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第45卷第10期
               ·1508 ·                           南 京    医 科 大 学 学         报                        2025年10月


                                               表2   靶向CAF的不同治疗策略的介绍
                                   Table 2 Introduction to different therapeutic strategies targeting CAF
                                        Molecular
               Target  Therapeutic strategy  subtypes of       Mechanism/Description             Research stage
                                       breast cancer
               FAP       αFAP⁃PE38        TNBC    Depleting FAP+ stromal cells inhibits tumor growth and me⁃  Preclinical study
                                                  tastasis
                       FAP targeted DNA   TNBC    Reduce spontaneous lung metastases through immune re⁃  Preclinical study
                      vaccine+Azithromycin        sponses
                      FAP targets CAR⁃T+  TNBC    FAP targeted therapy combined with CAR⁃T cell therapy en⁃  Preclinical study
                         PD⁃1 inhibitor           hances T cell infiltration,inhibits tumor metastasis and pro⁃
                                                  longs survival
                          FAP⁃IL2v     HER2positive Regulate immune responses and improve drug resistance in  Preclinical study
                                                  HER2⁃positive breast cancer
                       FAP⁃IL2v alone/+  Undistinguis To evaluate the safety,pharmacokinetics and anti⁃tumor ac⁃  Phase I clinical trial
                        trastuzumab/+      hed    tivity of FAP⁃IL2v alone or in combination with trastuzumab  (NCT02627274)
                          cetuximab               or cetuximab in the treatment of breast cancer

               TGF⁃β    Fresolimumab+  Undistinguis To test the efficacy and safety of Fresolimumab combined Phase Ⅱ clinical trial
                         radiotherapy      hed    with radiotherapy in the treatment of metastatic breast can⁃  (NCT01401062)
                                                  cer
                         Galunisertib+    TNBC    Limit tumor metastasis by reducing angiogenesis  Preclinical study
                      Escherichia coli strain
                      Galunisertib+PD⁃L1  TNBC    Regulate T cell activity and inhibit tumor growth  Preclinical study
                           inhibitor
                         Galunisertib+    TNBC    To determine the side effects and optimal dose of Galunisert⁃ Phase Ⅰ clinical trial
                          paclitaxel              ib+ paclitaxel combination therapy for metastatic TNBC  (NCT02672475)
                        Bintrafusp alfa   TNBC    Neutralizing TGF⁃β while blocking PD⁃L1,it inhibits tumor  Preclinical study
                                                  growth and lung metastasis
                        Bintrafusp alfa+  TNBC with  To evaluate the safe dose,intracranial progression time and Phase Ⅰ/Ⅱ clinical
                      MAPKK1/2inhibitor   brain   overall survival time of Bintrafusp alfa+MEK1/2 inhibitor in trial NCT04789668)
                                        metastasis  the treatment of TNBC with brain metastases
                        Bintrafusp alfa+  Luminal  To determine the side effects and optimal dose of Bintrafusp Phase Ⅰ clinical trial
                         radiotherapy             alfa combined with radiotherapy in the treatment of patients  (NCT03524170)
                                                  with metastatic Luminal type

               CXCR4      AMD3100        HER2     By blocking CXCR4,tumor growth in HER2⁃positive breast  Preclinical study
                                         positive,  cancer models resistant to Herceptin or docetaxel can be in⁃
                                          TNBC    hibited,but in TNBC models,it promotes tumor metastasis

                         AMD3100+         TNBC    AMD3100 can enhance the inhibitory effect of radiotherapy  Preclinical study
                         radiotherapy             on the proliferation and migration of tumor cells

               HA      PEGPH20+Eribulin  HER2     To evaluate the safety and efficacy of PEGPH20 combined Phase Ⅰb/Ⅱ clinical
                                         negative  with aribrin in the treatment of HER2⁃negative breast cancer trial(NCT02753595)

               TNC    Knockdown TNC+anti  HER2    Down⁃regulation of TNC combined with anti⁃PD⁃L1 therapy  Preclinical study
                           ⁃PD⁃L1        positive  inhibits the metastasis of HER2⁃positive breast cancer by
                                                  enhancing the immune cell response to tumor infiltration
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