Tarassoff Christopher P, Arlen Philip M, Gulley James L
F.A.C.P., National Cancer Institute, Clinical Immunotherapy Group, Laboratory of Tumor Immunology and Biology, Center for Cancer Research, 10 Center Drive, MSC 1750, Building 10, Room 5B52, Bethesda, Maryland 20892, USA.
Oncologist. 2006 May;11(5):451-62. doi: 10.1634/theoncologist.11-5-451.
Prostate cancer is the most common, noncutaneous cancer for men in the U.S., leading to more than 30,000 deaths a year. Vaccines for prostate cancer, which for several years have been shown to generate immunologic responses, are beginning to show significant clinical promise. At present, numerous therapeutic options are being investigated, including autologous and allogeneic whole-tumor cell vaccines, dendritic cell vaccines, and poxvirus-based vaccines. Advances in basic immunology have translated into new, more complex therapeutic strategies. The findings from current trials and the demonstrated potential to combine vaccines with conventional therapies herald a promising future for the treatment of prostate cancer. This review highlights recent advances and clinical trials in immunotherapy for prostate cancer, along with current thoughts on immunologic and clinical monitoring of these trials.
前列腺癌是美国男性中最常见的非皮肤癌,每年导致超过3万人死亡。多年来已证明能产生免疫反应的前列腺癌疫苗,开始展现出显著的临床前景。目前,正在研究众多治疗方案,包括自体和异体全肿瘤细胞疫苗、树突状细胞疫苗以及基于痘病毒的疫苗。基础免疫学的进展已转化为新的、更复杂的治疗策略。当前试验的结果以及将疫苗与传统疗法相结合所展现出的潜力,预示着前列腺癌治疗的前景一片光明。本综述重点介绍了前列腺癌免疫疗法的最新进展和临床试验,以及对这些试验进行免疫和临床监测的当前思路。