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前列腺癌治疗前景:装甲 CAR-T 还是联合治疗

英文原题:Prospect of Prostate Cancer Treatment: Armed CAR-T or Combination Therapy.

查看英文原题

Prospect of Prostate Cancer Treatment: Armed CAR-T or Combination Therapy.

PubMed 2022/02/15(内容时间) Cancers (Basel) Q2 · IF 4.8(JCR 2025)

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中文摘要

前列腺癌发病率在男性癌症中较高。前列腺癌起病隐匿、病程长,严重影响男性身心健康。前列腺癌最初为雄激素依赖性,内分泌治疗可取得良好效果。然而,经过18-24个月内分泌治疗后,大多数患者最终发展为去势抵抗性前列腺癌(CRPC),进而成为难以治疗的转移性去势抵抗性前列腺癌(mCRPC)。CAR-T 细胞疗法是一种新兴的免疫细胞疗法,为癌症患者带来了希望。CAR-T 在血液肿瘤治疗中显示出相当大的优势。然而,CAR-T 治疗实体瘤仍存在障碍,因为物理屏障和肿瘤微环境抑制了CAR-T 细胞的功能。本文综述了CAR-T 疗法治疗前列腺癌的进展,并讨论了武装CAR-T 及联合治疗策略的前景与挑战。目前,CAR-T 治疗前列腺癌仍存在许多障碍,但当这些障碍被解决时,CAR-T 细胞可以成为治疗前列腺癌的有力武器。

展开英文摘要原文

The incidence rate of prostate cancer is higher in male cancers. With a hidden initiation of disease and long duration, prostate cancer seriously affects men's physical and mental health. Prostate cancer is initially androgen-dependent, and endocrine therapy can achieve good results.

However, after 18-24 months of endocrine therapy, most patients eventually develop castration-resistant prostate cancer (CRPC), which becomes metastatic castration resistant prostate cancer (mCRPC) that is difficult to treat. Chimeric Antigen Receptor T cell (CAR-T) therapy is an emerging immune cell therapy that brings hope to cancer patients. CAR-T has shown considerable advantages in the treatment of hematologic tumors.

However, there are still obstacles to CAR-T treatment of solid tumors because the physical barrier and the tumor microenvironment inhibit the function of CAR-T cells. In this article, we review the progress of CAR-T therapy in the treatment of prostate cancer and discuss the prospects and challenges of armed CAR-T and combined treatment strategies. At present, there are still many obstacles in the treatment of prostate cancer with CAR-T, but when these obstacles are solved, CAR-T cells can become a favorable weapon for the treatment of prostate cancer.

论文信息

作者
Jiang Y、Wen W、Yang F、Han D、Zhang W、Qin W
单位
Department of Urology, First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China.China
文献类型
综述
期刊
Cancers2022 Feb 15
原文标识
PubMed 35205714 · DOI 10.3390/cancers14040967