Human breast cancer treatment regimens have evolved greatly due to the significant advances in understanding the molecular mechanisms and pathways of the common subtypes of breast cancer. In this review, we discuss recent progress in breast cancer targeted therapy and immunotherapy as well as ongoing clinical trials. We also highlight the potential of combination therapies and personalized approaches to improve clinical outcomes. Targeted therapies have surpassed the hormone receptors and the human epidermal growth factor receptor 2 (HER2) to include many other molecules in targetable pathways such as the epidermal growth factor receptor (EGFR), poly (adenosine diphosphate-ribose) polymerase (PARP), and cyclin-dependent kinase 4/6 (CDK4/6). However, resistance to targeted therapy persists, underpinning the need for more efficacious therapies. Immunotherapy is considered a milestone in breast cancer treatments, including the engineered immune cells (CAR-T cell therapy) to better target the tumor cells, vaccines to stimulate the patient's immune system against tumor antigens, and checkpoint inhibitors (PD-1, PD-L1, and CTLA4) to block molecules that mediate immune inhibition. Targeted therapies and immunotherapy tested in breast cancer clinical trials are discussed here, with special emphasis on combinatorial approaches which are believed to maximize treatment efficacy and enhance patient survival.
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Migration often involves younger individuals departing home for another location to earn money. This study's contribution is that it show how migrants, who are part of Niger's youth majority, desire to be part of its economy. However, they lack formal background with business and social networks, which are both pivotal components for future success. Thus, they could find themselves at risk of being marginalized or having to return to their villages. An exploratory case study strategy was used to investigate what life is like for these young migrants. Personal interviews were conducted via semi-structured surveys. Two over-arching questions regarding respondents' progress toward accomplishing shorter-and longer-term goals associated with migrating were offered via literature-generated prompts related to residential experiences, home/security/support, migratory habits, work/income, and person identity. On average, respondents' age was 25 years, had lived in Niamey six years, and relocated annually. They earned enough to make a meager living while sometimes also earning some savings, sending some money back to the family in the village, or attempting a slight combination of the two options after paying for their living expenses. They contemplated marriage, family, and community, but most did not consider themselves as citizens who would one day become established community members, impacting the future. "A need to have hope for the future" was a major theme that resonated with most of the respondents. Although not representative of this study's theme, suggestions regarding possible future policy inquiry are offered as thought-provoking points of insight for consideration.
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