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前列腺癌中基于 PSMA 的治疗的序贯与联合应用的新兴证据

英文原题:Emerging evidence for sequencing and combining PSMA-based therapies in prostate cancer.

PubMed 2025/11/10(内容时间) Nat Rev Urol Q1 · IF 13.6(JCR 2025)

研究概要

前列腺特异性膜抗原(PSMA)在前列腺癌细胞中相对于其他细胞呈上调表达。

中文摘要

前列腺特异性膜抗原(PSMA)在前列腺癌细胞中相对于其他细胞表达上调。在高分期疾病中,PSMA表达增加和酶活性增强赋予此类细胞选择性优势,促进其增殖增加、转移倾向以及去势抵抗表型的形成。数十年来在PSMA靶向放射性标记配体开发方面的放射生物化学进展,促使多种放射性示踪剂和放射性治疗药物相继获得FDA批准用于临床。基于PSMA的联合治疗策略在治疗进展方面的新发展包括PSMA靶向抗体-药物偶联物和PSMA靶向放射性核素载荷。将其中一些策略与标准治疗方案(如手术、放疗和雄激素受体通路抑制剂)联合和序贯使用,可能改善患者预后。免疫治疗和CAR-T 细胞治疗与基于PSMA的疗法相关,因为PSMA可作为这些治疗的特定靶抗原,实现精准肿瘤识别并增强前列腺癌治疗的疗效。

展开英文摘要原文

Prostate-specific membrane antigen (PSMA) is upregulated in prostate cancer cells relative to other cells. The increased expression and enzymatic activity of PSMA in high-stage disease confers a selective advantage on such cells, contributing to their increased proliferation, the tendency to metastasize and the development of a castration-resistant phenotype. The decades of radiobiochemical advances in the development of PSMA targeting radiolabelled ligands has led to the subsequent FDA approval of a number of radiotracers and radiotherapeutics for clinical use. Novel developments in therapeutic advances using PSMA-based combinatorial approaches include PSMA-targeted antibody-drug conjugates and PSMA-targeted radionuclide payloads. Combining and sequencing some of these strategies with standard therapy options such as surgery, radiotherapy and androgen receptor pathway inhibitors could improve patient outcomes. Immunotherapy and chimeric antigen receptor T cell therapy are relevant to PSMA-based therapies as PSMA can serve as a specific target antigen for these treatments, enabling precise tumour recognition and enhanced efficacy of prostate cancer therapies.

论文信息

作者
Adeleke S、Galante JR、Wang Y、Azad G、Wan S、Haroon A、Bianchini D、Bomanji J
单位
School of Biomedical Engineering and Imaging Sciences (BMEIS), King's College London, London, UK. olusola.adeleke@kcl.ac.uk.United Kingdom
文献类型
综述
期刊
Nature reviews. Urology2026 Jun
原文标识
PubMed 41214335 · DOI 10.1038/s41585-025-01107-6