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去势抵抗性前列腺癌的生物免疫治疗进展

Advances in bio-immunotherapy for castration-resistant prostate cancer.

作者信息

Lin Canling, Chen Yonghui, Shi Liji, Lin Huarong, Xia Hongmei, Yin Weihua

机构信息

Yichun University, Yichun, 336000, Jiangxi, China.

The Graduate School of Fujian Medical University, Fuzhou, 350122, Fujian, China.

出版信息

J Cancer Res Clin Oncol. 2023 Nov;149(14):13451-13458. doi: 10.1007/s00432-023-05152-9. Epub 2023 Jul 18.

Abstract

Prostate cancer is one of the significant diseases that threaten the survival of men worldwide, with the progression of androgen deprivation therapy, become much rely on it, finally, developed into castration-resistant prostate cancer (ADT). In western countries, ranks second in incidence, and in China, with increasing lifespan, the incidence of prostate cancer is rising steadily. Although chemotherapy agents, such as taxane, have achieved some efficacy, treatment failure still occur. As sensitivity of hormone levels change, the disease can progress to castrate-resistant prostate cancer. Because of the poor efficacy of traditional surgery, endocrine therapy, radiation therapy, and chemotherapy, the treatment options for castrate-resistant prostate cancer are limited. Advanced prostate cancer can progress on immunotherapy, and thus, bio -immunotherapy targeting the unique, prostate microenvironment is an important option. In this paper, we systematically revealed the role of three types of bio-immunotherapies (immune checkpoint inhibitors, tumors, vaccines, cytokines) in castrate-resistant prostate cancer, providing a reference for clinical treatment of prostate cancer.

摘要

前列腺癌是威胁全球男性生存的重大疾病之一,随着雄激素剥夺疗法的进展,对其依赖程度增加,最终发展为去势抵抗性前列腺癌(ADT)。在西方国家,前列腺癌发病率位居第二,在中国,随着人均寿命的延长,前列腺癌发病率呈稳步上升趋势。尽管化疗药物如紫杉烷已取得一定疗效,但仍会出现治疗失败的情况。由于激素水平敏感性的变化,该疾病可进展为去势抵抗性前列腺癌。由于传统手术、内分泌治疗、放射治疗和化疗效果不佳,去势抵抗性前列腺癌的治疗选择有限。晚期前列腺癌可在免疫治疗中进展,因此,针对独特前列腺微环境的生物免疫治疗是一个重要选择。在本文中,我们系统地揭示了三种生物免疫疗法(免疫检查点抑制剂、肿瘤疫苗、细胞因子)在去势抵抗性前列腺癌中的作用,为前列腺癌的临床治疗提供参考。

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