Politécnico de Coimbra, ESTeSC, DFarm, Coimbra, Portugal.
Serviço de Urologia, Centro Hospital Universitário de São João, Porto, Portugal; Faculty of Medicine, University of Porto, Porto, Portugal.
Actas Urol Esp (Engl Ed). 2020 Sep;44(7):458-468. doi: 10.1016/j.acuro.2020.01.009. Epub 2020 May 27.
Prostate cancer (PCa) is the fourth most common cancer in the world and treatment is currently based on surgical removal and/or radiotherapy and/or hormone therapy. In the last few years' immunotherapy has become an important cancer treatment option. While the principles of immunotherapy evolved, only sipuleucel-T was approved by the Food and Drug Administration (FDA) which lead to further studies with other agents, starting a new era in immuno-oncology. A number of vaccines are under clinical investigation as well as checkpoint inhibitors. Despite the current enthusiasm, it is unlikely that any of the approaches alone can dramatically change PCa outcomes, but strategies combination is more promising and provide a reason for optimism. The goal of immunotherapy in PCa does not have to be the complete eradication of advanced disease, but rather the return to an immunologic equilibrium with an indolent disease state. With such concerted efforts, the future of immunotherapy in PCa looks brighter than ever, with many clinical trial results being published soon.
前列腺癌(PCa)是世界上第四常见的癌症,目前的治疗方法基于手术切除和/或放疗和/或激素治疗。在过去的几年中,免疫疗法已成为癌症治疗的重要选择。随着免疫疗法原则的发展,只有 sipuleucel-T 被美国食品和药物管理局(FDA)批准,这导致了其他药物的进一步研究,开创了肿瘤免疫治疗的新时代。许多疫苗正在进行临床研究,以及检查点抑制剂。尽管目前人们对此非常关注,但单独使用任何一种方法都不太可能显著改变 PCa 的治疗结果,但联合治疗策略更有前途,并提供了乐观的理由。免疫疗法在 PCa 中的目标不一定是完全消除晚期疾病,而是恢复到与惰性疾病状态相平衡的免疫状态。通过这种协同努力,免疫疗法在 PCa 中的未来看起来比以往任何时候都更加光明,许多临床试验结果即将公布。