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从肿瘤发生到诊疗一体化:PSMA在前列腺癌中的变革性作用

From Oncogenesis to Theranostics: The Transformative Role of PSMA in Prostate Cancer.

作者信息

Hameed Muhammad Y, Gul Maryam, Chaudhry Abbas, Muzaffar Huma, Sheikh Mubashir, Chee Winson, Ayyash Sondos, Ayyash Jenna, Al-Hindi Mohannad, Shahare Humam, Chaudhry Ammar

机构信息

College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72223, USA.

Crescent Theranostics, Anaheim, CA 982902, USA.

出版信息

Cancers (Basel). 2024 Aug 31;16(17):3039. doi: 10.3390/cancers16173039.

DOI:10.3390/cancers16173039
PMID:39272896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11394180/
Abstract

Prostate cancer, a leading cause of cancer-related mortality among men, is characterized by complex genetic and epigenetic alterations, dysregulation of oncogenic pathways, and a dynamic tumor microenvironment. Advances in molecular diagnostics and targeted therapies have significantly transformed the management of this disease. Prostate-specific membrane antigen (PSMA) has emerged as a critical biomarker, enhancing the precision of prostate cancer diagnosis and treatment. Theranostics, which integrates PSMA-targeted imaging with radioligand therapies, has shown remarkable efficacy in detecting and treating advanced prostate cancer. By leveraging the dual capabilities of PSMA-based diagnostics and therapeutic agents, theranostics offers a personalized approach that improves patient outcomes. This comprehensive review explores the latest developments in PSMA-targeted theranostics and their impact on the future of prostate cancer management, highlighting key clinical trials and emerging therapeutic strategies.

摘要

前列腺癌是男性癌症相关死亡的主要原因之一,其特征在于复杂的基因和表观遗传改变、致癌途径失调以及动态的肿瘤微环境。分子诊断和靶向治疗的进展显著改变了这种疾病的管理方式。前列腺特异性膜抗原(PSMA)已成为一种关键的生物标志物,提高了前列腺癌诊断和治疗的精准度。将PSMA靶向成像与放射性配体疗法相结合的诊疗一体化技术,在检测和治疗晚期前列腺癌方面已显示出显著疗效。通过利用基于PSMA的诊断和治疗药物的双重功能,诊疗一体化技术提供了一种个性化方法,可改善患者预后。这篇综述探讨了PSMA靶向诊疗一体化技术的最新进展及其对前列腺癌管理未来的影响,重点介绍了关键临床试验和新兴治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23db/11394180/65a203c7edb2/cancers-16-03039-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23db/11394180/40e66eed5362/cancers-16-03039-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23db/11394180/3c62c449b40a/cancers-16-03039-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23db/11394180/65a203c7edb2/cancers-16-03039-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23db/11394180/40e66eed5362/cancers-16-03039-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23db/11394180/3c62c449b40a/cancers-16-03039-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23db/11394180/65a203c7edb2/cancers-16-03039-g003.jpg

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本文引用的文献

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Current state of theranostics in metastatic castrate-resistant prostate cancer.转移性去势抵抗性前列腺癌的诊疗一体化现状
J Med Imaging Radiat Oncol. 2024 Jun;68(4):412-420. doi: 10.1111/1754-9485.13658. Epub 2024 Apr 17.
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Lutetium-177 Labelled Anti-PSMA Monoclonal Antibody (Lu-TLX591) Therapy for Metastatic Prostate Cancer: Treatment Toxicity and Outcomes.镥-177标记的抗前列腺特异性膜抗原单克隆抗体(Lu-TLX591)治疗转移性前列腺癌:治疗毒性和结果
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Differences and Common Ground in Lu-PSMA Radioligand Therapy Practice Patterns: International Survey of 95 Theranostic Centers.
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J Nucl Med. 2024 Mar 1;65(3):438-445. doi: 10.2967/jnumed.123.266391.
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Overall survival with [Lu]Lu-PSMA-617 versus cabazitaxel in metastatic castration-resistant prostate cancer (TheraP): secondary outcomes of a randomised, open-label, phase 2 trial.LuLu-PSMA-617 对比卡巴他赛用于转移性去势抵抗性前列腺癌(TheraP)的总生存期:一项随机、开放标签、2 期临床试验的次要结局。
Lancet Oncol. 2024 Jan;25(1):99-107. doi: 10.1016/S1470-2045(23)00529-6. Epub 2023 Nov 30.
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Administering [Lu]Lu-PSMA-617 Prior to Radical Prostatectomy in Men with High-risk Localised Prostate Cancer (LuTectomy): A Single-centre, Single-arm, Phase 1/2 Study.高危局限性前列腺癌男性患者在根治性前列腺切除术之前给予[镥]镥-PSMA-617(LuTectomy):一项单中心、单臂、1/2期研究。
Eur Urol. 2024 Mar;85(3):217-226. doi: 10.1016/j.eururo.2023.08.026. Epub 2023 Oct 26.
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PSMA PET/CT for Response Assessment and Overall Survival Prediction in Patients with Metastatic Castration-Resistant Prostate Cancer Treated with Androgen Receptor Pathway Inhibitors.PSMA PET/CT 用于评估转移性去势抵抗性前列腺癌患者接受雄激素受体通路抑制剂治疗的反应和总体生存预测。
J Nucl Med. 2023 Dec 1;64(12):1869-1875. doi: 10.2967/jnumed.123.265874.
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A look into the future: the role of PSMA beyond prostate cancer.展望未来:前列腺特异性膜抗原在前列腺癌之外的作用。
Eur J Nucl Med Mol Imaging. 2023 Dec;51(1):278-280. doi: 10.1007/s00259-023-06388-w.
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A Novel Role of Prostate-Specific Membrane Antigen in Telomere Stability in Prostate Cancer Cells.前列腺特异性膜抗原在前列腺癌细胞端粒稳定性中的新作用
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A Review of Theranostics: Perspectives on Emerging Approaches and Clinical Advancements.治疗学综述:新兴方法和临床进展的观点。
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