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:Synergistic effects of immunotherapy and adjunctive therapies in prostate cancer management.
近年来,癌症免疫疗法因在某些恶性肿瘤中能显著清除肿瘤而受到广泛关注。
近年来,癌症免疫治疗因在某些恶性肿瘤中能显著清除肿瘤而受到广泛关注。多种免疫治疗手段,包括疫苗、免疫检查点抑制剂、溶瘤病毒治疗、双特异性T细胞衔接器以及过继性T细胞转移,已完成或正在进行针对前列腺癌的临床试验。尽管免疫检查点阻断在治疗多种癌症方面具有非凡疗效,但利用免疫系统对前列腺癌进行靶向治疗仍处于起步阶段。前列腺癌的异质性、冷肿瘤微环境以及低水平的新生抗原等多种因素,导致免疫治疗应答不佳。目前正投入大量努力以改善基于免疫的前列腺癌治疗。近期,若干关键发现表明,前列腺癌免疫治疗药物有望作为与其他靶向肿瘤相关免疫耐药机制的药物联合策略的一部分,为患者带来更好的预后。在此,本综述全面审视了前列腺癌免疫治疗的最新进展,探讨其与其他治疗方式联合以增强临床疗效的潜在协同效应。
In recent years, cancer immunotherapy has received widespread attention due to significant tumor clearance in some malignancies. Various immunotherapy approaches, including vaccines, immune checkpoint inhibitors, oncolytic virotherapy, bispecific T cell engagers, and adoptive T cell transfer, have completed or are undergoing clinical trials for prostate cancer. Despite immune checkpoint blockade's extraordinary effectiveness in treating a variety of cancers, targeted prostate cancer treatment using the immune system is still in its infancy. Multiple factors including the heterogeneity of prostate cancer, the cold tumor microenvironment, and a low level of neoantigens, contribute to the poor immunotherapy response. Significant effort is being devoted to improving immune-based prostate cancer therapy. Recently, several key discoveries demonstrate that prostate cancer immunotherapy agents may be used to promise better prognosis for patients as part of combination strategies with other agents targeting tumor-associated immune mechanism of resistance. Here, this review comprehensively examines the recent advancements in immunotherapy for prostate cancer, exploring its potential synergistic effects when combined with other treatment modalities to enhance clinical efficacy.
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