靶向巨噬细胞的癌症治疗策略
Macrophage-directed therapeutic strategies in cancer.
肿瘤相关巨噬细胞(TAMs)是肿瘤微环境的主要组成部分,具有显著的功能可塑性,根据所处的微环境信号,既可表现为促进肿瘤进展的免疫抑制细胞,也可表现为支持抗肿瘤免疫的免疫刺激细胞。
英文原题:Novel Redirected T-Cell Immunotherapies for Advanced Prostate Cancer.
免疫治疗未能使晚期前列腺癌患者实现持久缓解。
免疫治疗未能使晚期前列腺癌患者实现持久缓解。可能需要更有效的T细胞重定向策略来克服免疫排斥和抑制性肿瘤微环境。临床试验正在进行中,旨在确定T细胞重定向的最佳靶点,如PSMA、PSCA或STEAP-1,以及最佳策略,包括CAR或双特异性抗体。随着这些试验结果不断涌现,基于靶点和功能修饰理解这些疗法的差异毒性和疗效,将是推动这些有前景的疗法走向临床实践的关键。本综述就目前正在临床研究中的针对晚期前列腺癌男性的多种免疫治疗策略提供了独特深度和广度的视角。
Immunotherapy has failed to achieve durable remissions in advanced prostate cancer patients. More potent T-cell-redirecting strategies may be needed to overcome the immunologically exclusive and suppressive tumor microenvironment. Clinical trials are underway, seeking to define the optimal target for T-cell redirection, such as PSMA, PSCA, or STEAP-1, as well as the optimal strategy, with CAR or bispecific antibodies. As results continue to emerge from these trials, understanding differential toxicity and efficacy of these therapies based on their targets and functional modifications will be key to advancing these promising therapies toward clinical practice. This review provides a unique depth and breadth of perspective regarding the diverse immunotherapy strategies currently under clinical investigation for men with advanced prostate cancer.
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