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前列腺癌 PSMA 靶向治疗的进展。

Advances in PSMA-targeted therapy for prostate cancer.

机构信息

Nantong University, Nantong, Jiangsu, China.

Department of Radiology, the First People's Hospital of Yancheng, Yancheng, Jiangsu, China.

出版信息

Prostate Cancer Prostatic Dis. 2022 Mar;25(1):11-26. doi: 10.1038/s41391-021-00394-5. Epub 2021 May 28.

Abstract

Prostate-specific membrane antigen (PSMA), a transmembrane glycoprotein located on the cell membrane, is specifically and highly expressed in prostate cancer (PCa). Besides, its expression level is related to tumor invasiveness. As a molecular target of PCa, PSMA has been extensively studied in the past two decades. Currently, a great deal of evidence suggests that significant progresses have been made in the PSMA-targeted therapy of PCa. Herein, different PSMA-targeted therapies for PCa are reviewed, including radioligand therapy (Lu-PSMA-RLT, Ac-PSMA-RLT), antibody-drug conjugates (MLN2704, PSMA-MMAE, MEDI3726), cellular immunotherapy (CAR-T, CAR/NK-92, PSMA-targeted BiTE), photodynamic therapy, imaging-guided surgery (radionuclide-guided surgery, fluorescence-guided surgery, multimodal imaging-guided surgery), and ultrasound-mediated nanobubble destruction.

摘要

前列腺特异性膜抗原(PSMA)是一种位于细胞膜上的跨膜糖蛋白,在前列腺癌(PCa)中特异性和高度表达。此外,其表达水平与肿瘤侵袭性有关。作为 PCa 的分子靶点,PSMA 在过去二十年中得到了广泛研究。目前,大量证据表明,PSMA 靶向治疗 PCa 取得了重大进展。本文综述了用于 PCa 的不同 PSMA 靶向治疗方法,包括放射性配体治疗(Lu-PSMA-RLT、Ac-PSMA-RLT)、抗体药物偶联物(MLN2704、PSMA-MMAE、MEDI3726)、细胞免疫疗法(CAR-T、CAR/NK-92、PSMA 靶向 BiTE)、光动力疗法、影像引导手术(放射性核素引导手术、荧光引导手术、多模态影像引导手术)和超声介导的纳米泡破坏。

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