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.
肿瘤细胞治疗研究
英文原题:Immunotherapy in Prostate Cancer: From a "Cold" Tumor to a "Hot" Prospect.
Immunotherapy in Prostate Cancer: From a "Cold" Tumor to a "Hot" Prospect.
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前列腺癌免疫疗法疗效有限,主要原因包括肿瘤免疫原性低、TIL(肿瘤浸润淋巴细胞)稀少和免疫抑制性微环境。近期治疗策略旨在增强免疫应答并对抗免疫抑制因素,包括免疫检查点抑制剂、诱导免疫原性细胞死亡的治疗,以及靶向阻断转化生长因子β等通路。疫苗策略、强效免疫佐剂和工程化嵌合抗原受体(CAR)T细胞也正在研究中,以克服局部免疫抑制信号。影像学、多组学分析及液体活检进展,为实时监测、优化患者选择和精准治疗提供了有希望的途径。本综述概述前列腺癌的主要免疫抑制特征、现有免疫治疗方式及将“冷”肿瘤转变为更具应答性的“热”靶点的新兴策略。整合这些方法有望为晚期或转移性前列腺癌患者带来更持久的临床获益。
Immunotherapy has shown limited efficacy in prostate cancer, largely due to low tumor immunogenicity, sparse tumor-infiltrating lymphocytes, and a suppressive microenvironment. Recent therapeutic strategies aim to boost immune responses and counteract immunosuppressive factors through interventions such as immune checkpoint inhibitors, immunogenic cell death-inducing therapies, and the targeted blockade of pathways like that of transforming growth factor- . Vaccine-based approaches, potent immune adjuvants, and engineered chimeric antigen receptor (CAR) T cells are also being investigated to overcome local immune inhibitory signals.
Advancements in imaging, multi-omic profiling, and liquid biopsies offer promising avenues for real-time monitoring, better patient selection, and precision treatment. This review provides an overview of the key immunosuppressive features of prostate cancer, current immunotherapeutic modalities, and emerging strategies to transform "cold" tumors into more responsive "hot" targets. By integrating these approaches, we may achieve more durable clinical benefits for patients with advanced or metastatic prostate cancer.
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