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前列腺癌免疫治疗:是时候超越检查点抑制剂

英文原题:Prostate Cancer Immunotherapy: Time to Move Beyond Checkpoint Inhibitors.

查看英文原题

Prostate Cancer Immunotherapy: Time to Move Beyond Checkpoint Inhibitors.

PubMed 2025/09/13(内容时间) Immunotargets Ther Q2 · IF 4.1(JCR 2025)

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中文摘要

免疫检查点抑制剂(ICI)推动了癌症免疫治疗的发展,在许多癌症中疗效显著。在ICI出现之前,前列腺癌是最早获批使用癌症免疫疗法的疾病之一,治疗方法是抗癌疫苗sipleucel-T。尽管早期取得成功,ICI此后未能改善大多数前列腺癌患者的结局,形成了前列腺癌对免疫疗法耐受的观点。CAR-T 细胞、双特异性抗体疗法、抗癌疫苗和细胞因子疗法等新疗法,正在提供早期证据,显示前列腺癌肿瘤免疫微环境可通过检查点抑制以外的方式进行调节。尤其值得注意的是,靶向STEAP-1和KLK2等肿瘤抗原的双特异性T细胞衔接器(BiTE)临床试验显示出临床潜力。超越ICI可能为改变前列腺癌肿瘤免疫微环境和改善临床结局带来新方法。

展开英文摘要原文

Immune checkpoint inhibitors (ICIs) have led the advancement of cancer immunotherapy, with remarkable efficacy in many cancers. Prior to the advent of ICIs, prostate cancer had one of the first approvals for cancer immunotherapy with sipleucel-T, an anti-cancer vaccine. Despite this early success, ICIs have since failed to improve outcomes for most patients with prostate cancer, generating a narrative that prostate cancer is resistant immunotherapeutic approaches.

Novel therapies like CAR T-cells, bispecific antibody therapies, anti-cancer vaccines and cytokine therapies are now generating early evidence for how the prostate cancer tumor immune microenvironment can be manipulated beyond checkpoint inhibition. Most notably, clinical trials with bispecific T-cell engagers (BiTEs) targeting tumor antigens like STEAP-1 and KLK2 have shown clinical promise. Moving beyond ICIs may lead to new approaches to alter the prostate cancer tumor immune microenvironment and improve clinical outcomes.

论文信息

作者
Abel M、Warner AB、Karzai F、Madan RA
单位
Genitourinary Malignancies Branch, Center for Cancer Research, National Institutes of Health, Bethesda, MD, USA.United States
文献类型
综述
期刊
ImmunoTargets and therapy2025
原文标识
PubMed 40970252 · DOI 10.2147/ITT.S549873