The Immune System's Response to Breast Cancer and New Opportunities in Immunotherapy
Abstract
Breast cancer exists as one of the primary malignant diseases in females across the globe despite ongoing difficulties during its prevention and diagnostic stages and therapeutic cycles. Researchers have achieved major breakthroughs in cancer cell immunity during the last few years which resulted in the creation of new immunotherapeutic treatments. This article investigates how breast cancer triggers immune system molecular and biochemical responses through research of immune cells like T-lymphocytes and NK cells alongside macrophages while studying the effect of tumor microenvironment on these responses. The article examines how PD-1/PD-L1 and CTLA-4 immune checkpoint inhibitors function alongside monoclonal antibodies and CAR-T cell therapy as present-day immunotherapeutic methods. Although breast cancer belongs to the immunologic "cold" tumor group patients sometimes demonstrate beneficial reactions to new therapeutic methods. The clinical outcome and survival time for patients have been improved using combination treatments which link immunotherapy with standard treatments including chemotherapy and radiation. The implementation of immunotherapy requires resolving three main barriers that include autoimmune side effects and costly treatments and the issue of proper patient selection processes. The potential for future improvements in treatment results stems from genetic profiling with personalized immunotherapy combined with AI-based prediction systems. The article emphasizes the necessity of studying how immunotherapy treats different breast cancer subtypes specifically in Uzbekistan due to little published research in this area. The data shows why breast cancer treatment requires individualized treatment plans because they promote effective patient care and improved prognosis.
References
J. Baselga et al., “Targeting DNA repair pathways in breast cancer,” The Lancet Oncology, vol. 19, no. 7, pp. 894–906, 2018.
M. Binnewies et al., “Understanding the tumor immune microenvironment,” Nature Medicine, vol. 24, no. 5, pp. 541–550, 2018.
F. Bray, J. Ferlay, I. Soerjomataram, R. L. Siegel, L. A. Torre, and A. Jemal, “Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries,” CA: A Cancer Journal for Clinicians, vol. 70, no. 5, pp. 313–324, 2020.
J. Datta et al., “Immunotherapy in breast cancer: Past, present, and future,” Clinical Cancer Research, vol. 26, no. 5, pp. 1121–1131, 2020.
T. D. De Gruijl et al., “Challenges in implementing immunotherapy in low-income settings,” Cancer Immunology Research, vol. 9, no. 4, pp. 305–315, 2021.
L. A. Emens, “Breast cancer immunotherapy: Facts and hopes,” Clinical Cancer Research, vol. 27, no. 7, pp. 1865–1873, 2021.
K. Feng et al., “Phase I study of HER2-specific CAR-T cell therapy in advanced breast cancer,” Clinical Cancer Research, vol. 23, no. 24, pp. 5842–5852, 2017.
T. F. Gajewski, “The next frontier in immunotherapy: Overcoming resistance in solid tumors,” Nature Reviews Cancer, vol. 20, no. 1, pp. 25–40, 2020.
D. Gajria et al., “Combination approaches to overcoming resistance in immune checkpoint blockade for breast cancer,” Cancer Treatment Reviews, vol. 105, p. 102361, 2022.
Globocan, “Breast cancer incidence and mortality worldwide,” International Agency for Research on Cancer, WHO, 2023.
S. Goel et al., “CDK4/6 inhibitors in combination with immunotherapy: A new strategy for HR+ breast cancer,” Clinical Cancer Research, vol. 23, no. 14, pp. 3574–3581, 2017.
D. Hanahan and R. A. Weinberg, “Hallmarks of cancer: The next generation,” Cell, vol. 144, no. 5, pp. 646–674, 2011.
S. Modi et al., “Trastuzumab deruxtecan in HER2-positive breast cancer,” New England Journal of Medicine, vol. 382, no. 7, pp. 610–621, 2020.
National Oncology Center of Uzbekistan, “Barriers to implementing precision oncology in Uzbekistan,” Uzbek Medical Journal, vol. 12, no. 1, pp. 20–32, 2024.
D. B. Page et al., “Immune checkpoint inhibition in breast cancer,” Annual Review of Cancer Biology, vol. 5, pp. 233–254, 2021.
A. Ribas and J. D. Wolchok, “Cancer immunotherapy using checkpoint blockade,” Science, vol. 359, no. 6382, pp. 1350–1355, 2018.
Copyright (c) 2025 Ravshanova Nasiba Berdiyarovna

This work is licensed under a Creative Commons Attribution 4.0 International License.