研究概要
前列腺癌是全球男性中第二常见的诊断癌症,也是第五大死因。
中文摘要
前列腺癌是全球男性中第二常见确诊的癌症,也是第五大死因。雄激素剥夺治疗是前列腺癌的常见治疗方法,但其疗效常因耐药性的产生而受到阻碍,导致生存获益降低。免疫治疗在治疗实体瘤方面显示出巨大前景;然而,尚未在前列腺癌患者中证明具有临床意义的改善,突显了该治疗模式的特定缺陷。因此,探索协同增强前列腺癌免疫治疗疗效的新策略势在必行。临床研究已聚焦于靶向治疗或基因治疗与免疫治疗联合用于前列腺癌。值得注意的是,靶向治疗或基因治疗后,肿瘤细胞释放肿瘤特异性抗原和炎症介质,进一步增强了免疫细胞的募集和浸润,包括由免疫治疗激活的CD8+ T细胞和NK 细胞,显著改善了前列腺癌的疗效和预后。因此,免疫治疗、靶向治疗和基因治疗在前列腺癌联合应用中可能具有相互协同效应,从而提出一个涵盖这三种治疗模式的协同模型,为前列腺癌提供了新的潜在治疗策略。
展开英文摘要原文
Prostate cancer is the second most commonly diagnosed cancer and the fifth leading cause of death among men worldwide. Androgen deprivation therapy is a common prostate cancer treatment, but its efficacy is often hindered by the development of resistance, which results in reducing survival benefits. Immunotherapy showed great promise in treating solid tumours; however, clinically significant improvements have not been demonstrated for patients with prostate cancer, highlighting specific drawbacks of this therapeutic modality. Hence, exploring novel strategies to synergistically enhance the efficacy of prostate cancer immunotherapy is imperative. Clinical investigations have focused on the combined use of targeted or gene therapy and immunotherapy for prostate cancer. Notably, tumour-specific antigens and inflammatory mediators are released from tumour cells after targeted or gene therapy, and the recruitment and infiltration of immune cells, including CD8 + T cells and natural killer cells activated by immunotherapy, are further augmented, markedly improving the efficacy and prognosis of prostate cancer. Thus, immunotherapy, targeted therapy and gene therapy could have reciprocal synergistic effects in prostate cancer in combination, resulting in a proposed synergistic model encompassing these three therapeutic modalities, presenting novel potential treatment strategies for prostate cancer.
论文信息
- 作者
- Li X、Han Z、Ai J
- 第一作者单位
- Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.China
- 通讯作者单位
- Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China. jianzhong.ai@wchscu.edu.cn.China
- 文献类型
- 综述
- 期刊
- Nature reviews. Urology2025 Oct