Fong Lawrence, Small Eric J
University of California-San Francisco, 513 Parnassus Avenue, San Francisco, CA 94143, USA.
Curr Urol Rep. 2006 May;7(3):239-46. doi: 10.1007/s11934-006-0027-8.
Whereas androgen deprivation and chemotherapy have become the cornerstone of therapy for advanced prostate cancer, novel therapies are being developed that may expand upon currently available treatments. The identification of antigens expressed by prostate tissue and/or prostate cancer that are recognized by T cells or antibodies creates opportunities to develop novel immunotherapeutic approaches including tumor vaccines. Proteins expressed in prostate cancer including prostate-specific antigen, prostatic acid phosphatase, and prostate membrane antigen have been used as immunologic targets for immunotherapy. Moreover, innovations in cancer genomics and proteomics also will aid in the identification of immunologic targets. Emerging trials have demonstrated that immunotherapy may not only generate immune responses in patients, but also clinical responses. Future studies will be directed at capitalizing on these findings.
虽然雄激素剥夺疗法和化疗已成为晚期前列腺癌治疗的基石,但目前正在研发可能扩展现有治疗方法的新型疗法。鉴定前列腺组织和/或前列腺癌表达的、能被T细胞或抗体识别的抗原,为开发包括肿瘤疫苗在内的新型免疫治疗方法创造了机会。前列腺癌中表达的蛋白质,包括前列腺特异性抗原、前列腺酸性磷酸酶和前列腺膜抗原,已被用作免疫治疗的免疫靶点。此外,癌症基因组学和蛋白质组学的创新也将有助于免疫靶点的鉴定。正在进行的试验表明,免疫疗法不仅可以在患者体内产生免疫反应,还能产生临床反应。未来的研究将致力于利用这些发现。