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前列腺癌免疫治疗:以多管齐下的策略改善临床结局

英文原题:Prostate cancer immunotherapy: Improving clinical outcomes with a multi-pronged approach.

PubMed 2023/09/21(内容时间) Cell Rep Med Q1 · IF 14(JCR 2025)

研究概要

近年来,由于部分患者实现了显著的肿瘤清除,癌症免疫治疗获得了关注。

中文摘要

近年来,癌症免疫治疗因部分患者出现显著肿瘤清除而受到关注。尽管免疫检查点阻断(ICB)在多种恶性肿瘤中取得重要成功,利用免疫系统靶向治疗前列腺癌(PCa)仍处于起步阶段。前列腺癌异质性高、肿瘤微环境呈“冷”状态且新抗原数量少等因素,均限制治疗应答。目前正在投入大量努力以改进基于免疫的前列腺癌疗法。本文综述前列腺癌免疫治疗现状,讨论多种免疫策略,包括疫苗、过继转移T细胞和双特异性T细胞衔接器,其中部分已进入临床试验。此外,本文还关注具有免疫调节作用的新型机制导向小分子酪氨酸激酶抑制剂;这些药物单用或与其他免疫疗法联合,均有望改善临床结局。

展开英文摘要原文

Cancer immunotherapy has gained traction in recent years owing to remarkable tumor clearance in some patients. Despite the notable success of immune checkpoint blockade (ICB) in multiple malignancies, engagement of the immune system for targeted prostate cancer (PCa) therapy is still in its infancy. Multiple factors contribute to limited response, including the heterogeneity of PCa, the cold tumor microenvironment, and a low number of neoantigens. Significant effort is being invested in improving immune-based PCa therapies. This review is a summary of the status of immunotherapy in treating PCa, with a discussion of multiple immune modalities, including vaccines, adoptively transferred T cells, and bispecific T cell engagers, some of which are undergoing clinical trials. In addition, this review also focuses on emerging mechanism-based small-molecule tyrosine kinase inhibitors with immune modulatory properties that, either as single agents or in combination with other immunotherapies, have the potential to improve clinical outcomes.

论文信息

作者
Sridaran D、Bradshaw E、DeSelm C、Pachynski R、Mahajan K、Mahajan NP
第一作者单位
Division of Urologic Surgery, Department of Surgery, Washington University in St Louis, Cancer Research Building, 660 S. Euclid Avenue, St Louis, MO 63110, USA.United States
通讯作者单位
Division of Urologic Surgery, Department of Surgery, Washington University in St Louis, Cancer Research Building, 660 S. Euclid Avenue, St Louis, MO 63110, USA; Siteman Cancer Center, Washington University in St Louis, Cancer Research Building, 660 S. Euclid Avenue, St Louis, MO 63110, USA. Electronic address: nupam@wustl.edu.United States
文献类型
综述 · 非美国政府资助研究 · 美国 NIH 资助研究 · 美国政府(非公共卫生署)资助研究
期刊
Cell reports. Medicine2023 Oct 17
原文标识
PubMed 37738978 · DOI 10.1016/j.xcrm.2023.101199