Koguchi Dai, Tabata Ken-Ichi, Tsumura Hideyasu, Mori Kohei, Koh Hideshige, Iwamura Masatsugu
Department of Urology, Yokosuka General Hospital Uwamachi, Kanagawa, Japan.
Department of Urology, Kitasato University School of Medicine, Kanagawa, Japan.
Urol Case Rep. 2021 May 17;38:101712. doi: 10.1016/j.eucr.2021.101712. eCollection 2021 Sep.
Poly (ADP-ribose) polymerase inhibitors exhibit strong activity for treating the DNA damage repair defect in patients with prostate carcinoma (PCa). Although conventional DNA-damaging agents can theoretically lead to synthetic antitumoral effects, no report has clearly mentioned the clinical use of cisplatin for treating PCa patients with the breast cancer gene (BRCA)2 mutation. We administered 80 mg/m cisplatin triweekly to a patient with metastatic castration-resistant PCa (mCRPC) with the BRCA2 mutation, and after ten cycles, the prostate-specific antigen was dramatically decreased. We suggest that BRCA2 mutations may indicate the use of cisplatin for treating patients with mCRPC.
聚(ADP-核糖)聚合酶抑制剂在治疗前列腺癌(PCa)患者的DNA损伤修复缺陷方面表现出强大活性。尽管传统的DNA损伤剂理论上可产生合成抗肿瘤作用,但尚无报告明确提及顺铂在治疗具有乳腺癌基因(BRCA)2突变的PCa患者中的临床应用。我们每三周给一名具有BRCA2突变的转移性去势抵抗性PCa(mCRPC)患者施用80mg/m²顺铂,十个周期后,前列腺特异性抗原显著降低。我们建议,BRCA2突变可能提示顺铂可用于治疗mCRPC患者。