借力推动前列腺癌 CAR-T 细胞治疗进展
Piggybacking toward Progress for CAR T-Cell Therapy in Prostate Cancer.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Potential of Personalized Dendritic Cell-Based Immunohybridoma Vaccines to Treat Prostate Cancer.
Potential of Personalized Dendritic Cell-Based Immunohybridoma Vaccines to Treat Prostate Cancer.
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前列腺癌(PCa)是最常被诊断的癌症,也是癌症死亡的第二大常见原因。约30%接受去势治疗的前列腺癌患者会发展为去势抵抗性形式(CRPC),该形式无法治愈。在过去十年中,出现了控制疾病的新疗法,减缓进展和扩散,延长生存期,同时保持生活质量。这些包括免疫疗法;然而,我们尚不清楚这些疗法与标准疗法的最佳组合和顺序。由于合并症或疗法的不良反应或两者兼有,所有疗法并不总是适合每位患者,因此迫切需要进一步研究新的治疗选择。具有免疫检查点抑制机制的癌症免疫疗法(例如,ipilimumab,一种抗CTLA-4抑制剂)的进展并未在CRPC患者中显示生存获益。其他免疫学方法也未给出明确结果,这间接阻止了此类治疗策略进入临床应用的突破。目前,CRPC患者唯一获批的免疫疗法形式是一种基于细胞的药物,但仅在世界部分地区可供患者使用。基于最近完成的关于基于树突状细胞的免疫杂交瘤免疫疗法的临床研究——针对CRPC患者的aHyC树突状细胞疫苗——所获得的成果,我们强调了当前状况以及未来应考虑的可能替代方案。
Prostate cancer (PCa) is the most commonly diagnosed cancer and the second most common cause of death due to cancer. About 30% of patients with PCa who have been castrated develop a castration-resistant form of the disease (CRPC), which is incurable. In the last decade, new treatments that control the disease have emerged, slowing progression and spread and prolonging survival while maintaining the quality of life. These include immunotherapies; however, we do not yet know the optimal combination and sequence of these therapies with the standard ones. All therapies are not always suitable for every patient due to co-morbidities or adverse effects of therapies or both, so there is an urgent need for further work on new therapeutic options.
Advances in cancer immunotherapy with an immune checkpoint inhibition mechanism (e. g. , ipilimumab, an anti-CTLA-4 inhibitor) have not shown a survival benefit in patients with CRPC. Other immunological approaches have also not given clear results, which has indirectly prevented breakthrough for this type of therapeutic strategy into clinical use.
Currently, the only approved form of immunotherapy for patients with CRPC is a cell-based medicine, but it is only available to patients in some parts of the world. Based on what was gained from recently completed clinical research on immunotherapy with dendritic cell-based immunohybridomas, the aHyC dendritic cell vaccine for patients with CRPC, we highlight the current status and possible alternatives that should be considered in the future.
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