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免疫调节和抗炎药物在前列腺癌治疗中的作用:6例患者的病例报告

The role of immune modulation and anti-inflammatory agents in the management of prostate cancer: A case report of six patients.

作者信息

Dalgleish Angus G, Liu Wai M

机构信息

Institute for Infection and Immunity, St. George's, University of London, London SW17 0RE, UK.

出版信息

Oncol Lett. 2022 Jun 7;24(2):247. doi: 10.3892/ol.2022.13367. eCollection 2022 Aug.

Abstract

Cancer is associated with chronic inflammation and disruption to normal immune function. As such, the ability to thrive in a chronically inflamed microenvironment is regarded as a hallmark of cancer. Therefore, targeting inflammation and/or correction of aberrant immunity has been a therapeutic aim. The aim of the present study was to describe the use of a novel immunotherapy, called IMM-101, which is a naturally occurring, heat-killed whole cell mycobacterium, used in combination with conventional treatments in patients with prostate cancer. The present study analysed and presented data from six patients diagnosed with prostate cancer, some of whom have metastatic disease. Treatment regimens included the use of IMM-101, the correction of vitamin D3 levels, and combination with other agents that have anti-inflammatory and immune-modulatory abilities, such as bromelain and low-dose naltrexone (LDN). Clinical responses were detected in the patients when IMM-101 was commenced and further improvements were seen when an anti-inflammatory agent was used in unison. Combination therapy quickly led to a reduction in prostate-specific antigen levels, and stabilisation of disease was often achieved as indicated by repeat MRI and PET scans. Few side effects of any kind were observed when using these combination treatments. In conclusion, IMM-101 treatment alongside an anti-inflammatory agent, such as bromelain and/or LDN, may be considered an active and safe drug combination, and is a regimen that should be considered for treating patients with prostate cancer.

摘要

癌症与慢性炎症以及正常免疫功能的破坏有关。因此,在慢性炎症微环境中茁壮成长的能力被视为癌症的一个标志。所以,针对炎症和/或纠正异常免疫一直是一个治疗目标。本研究的目的是描述一种名为IMM - 101的新型免疫疗法的应用,它是一种天然存在的、经热灭活的全细胞分枝杆菌,用于前列腺癌患者的常规治疗联合方案中。本研究分析并呈现了6例被诊断为前列腺癌患者的数据,其中一些患者患有转移性疾病。治疗方案包括使用IMM - 101、纠正维生素D3水平,以及与其他具有抗炎和免疫调节能力的药物联合使用,如菠萝蛋白酶和低剂量纳曲酮(LDN)。开始使用IMM - 101时患者出现了临床反应,当同时使用抗炎药物时可见进一步改善。联合治疗迅速导致前列腺特异性抗原水平降低,重复MRI和PET扫描显示疾病常得以稳定。使用这些联合治疗时几乎未观察到任何类型的副作用。总之,IMM - 101与抗炎药物如菠萝蛋白酶和/或LDN联合治疗,可能被认为是一种有效且安全的药物组合,是一种应考虑用于治疗前列腺癌患者的方案。

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本文引用的文献

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Naltrexone at low doses (LDN) and its relevance to cancer therapy.低剂量纳曲酮(LDN)及其与癌症治疗的相关性。
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