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前列腺癌的放射治疗联合免疫检查点抑制剂

Radiotherapy plus immune checkpoint inhibitor in prostate cancer.

作者信息

Li Tianjie, Qian Xinye, Liu Jinyang, Xue Feng, Luo Jing, Yao Guanqun, Yan Jun, Liu Xiaodong, Xiao Bo, Li Jianxing

机构信息

School of Clinical Medicine, Tsinghua University, Beijing, China.

Department of Urology, Beijing Tsinghua Changung Hospital, Beijing, China.

出版信息

Front Oncol. 2023 Jul 21;13:1210673. doi: 10.3389/fonc.2023.1210673. eCollection 2023.

DOI:10.3389/fonc.2023.1210673
PMID:37546397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10403272/
Abstract

The immune checkpoint inhibitor (ICI) is a promising strategy for treating cancer. However, the efficiency of ICI monotherapy is limited, which could be mainly attributed to the tumor microenvironment of the "cold" tumor. Prostate cancer, a type of "cold" cancer, is the most common cancer affecting men's health. Radiotherapy is regarded as one of the most effective prostate cancer treatments. In the era of immune therapy, the enhanced antigen presentation and immune cell infiltration caused by radiotherapy might boost the therapeutic efficacy of ICI. Here, the rationale of radiotherapy combined with ICI was reviewed. Also, the scheme of radiotherapy combined with immune checkpoint blockades was suggested as a potential option to improve the outcome of patients with prostate cancer.

摘要

免疫检查点抑制剂(ICI)是一种很有前景的癌症治疗策略。然而,ICI单药治疗的疗效有限,这主要归因于“冷”肿瘤的肿瘤微环境。前列腺癌是一种“冷”癌,是影响男性健康的最常见癌症。放射治疗被认为是最有效的前列腺癌治疗方法之一。在免疫治疗时代,放射治疗引起的抗原呈递增强和免疫细胞浸润可能会提高ICI的治疗效果。在此,对放射治疗联合ICI的理论基础进行了综述。此外,还建议将放射治疗联合免疫检查点阻断作为一种潜在的选择,以改善前列腺癌患者的治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1a/10403272/c88d41458e8c/fonc-13-1210673-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1a/10403272/c88d41458e8c/fonc-13-1210673-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e1a/10403272/c88d41458e8c/fonc-13-1210673-g001.jpg

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本文引用的文献

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Prostate Cancer Review: Genetics, Diagnosis, Treatment Options, and Alternative Approaches.前列腺癌综述:遗传学、诊断、治疗选择和替代方法。
Molecules. 2022 Sep 5;27(17):5730. doi: 10.3390/molecules27175730.
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Sotigalimab and/or nivolumab with chemotherapy in first-line metastatic pancreatic cancer: clinical and immunologic analyses from the randomized phase 2 PRINCE trial.索托利单抗联合或不联合化疗一线治疗转移性胰腺癌:来自随机 2 期 PRINCE 试验的临床和免疫分析。
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Turning cold tumors hot: from molecular mechanisms to clinical applications.
局部区域治疗联合化疗、免疫检查点抑制剂和乐伐替尼作为晚期肝内胆管癌一线治疗的疗效和安全性:一项多中心回顾性队列研究
Cancer Immunol Immunother. 2025 May 30;74(7):229. doi: 10.1007/s00262-025-04085-1.
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Temporal dynamics of lymphocytes in prostate cancer patients treated with proton therapy.接受质子治疗的前列腺癌患者淋巴细胞的时间动态变化。
Front Oncol. 2025 Apr 16;15:1470876. doi: 10.3389/fonc.2025.1470876. eCollection 2025.
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The role of immunotherapy in targeting tumor microenvironment in genitourinary cancers.免疫疗法在靶向泌尿生殖系统癌症肿瘤微环境中的作用。
Front Immunol. 2025 Apr 7;16:1506278. doi: 10.3389/fimmu.2025.1506278. eCollection 2025.
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Application and new findings of scRNA-seq and ST-seq in prostate cancer.单细胞RNA测序和空间转录组测序在前列腺癌中的应用及新发现
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使冷肿瘤变热:从分子机制到临床应用。
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