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从雄激素剥夺到精准治疗:全球研究趋势的文献计量学综述(2008 - 2023年)

From Androgen Deprivation to Precision Therapy: A Bibliometric Review of Global Research Trends (2008-2023).

作者信息

Huang Longjun, He Wenjuan, Guo Yong

机构信息

The First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

Department of Oncology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.

出版信息

Am J Mens Health. 2025 May-Jun;19(3):15579883251346819. doi: 10.1177/15579883251346819. Epub 2025 Jun 20.

Abstract

This review employs bibliometric methods to map the evolving landscape of prostate cancer endocrine therapy research over the past 15 years. Through analysis of 961 articles from the Web of Science Core Collection, we identified key trends in therapeutic innovation and clinical translation. The United States emerged as the dominant contributor (34.96% of publications), with Harvard University and the University of California System leading institutional output. Three paradigm shifts emerged: early stage research focused on optimizing androgen deprivation therapy (ADT) efficacy (2008-2013), followed by castration-resistant prostate cancer (CRPC) drug development (2014-2016), and recent emphasis on combination therapies and molecular targeting (2017-2023). The top 50 most cited papers confirmed that keyword clusters directly corresponded to pivotal trials, including TAMPEDE (NCT00268476) and PROSPER (NCT02003924). The translational science spectrum model revealed that 68% of current clinical applications originated from basic research on androgen receptor variants. Emerging frontiers include prostate-specific membrane antigen-targeted radioligand therapy and immunotherapy-ADT synergies. This synthesis provides clinicians with an evidence-based roadmap to navigate therapeutic advancements while highlighting the critical need for international collaboration in addressing persistent challenges such as treatment resistance.

摘要

本综述采用文献计量学方法描绘过去15年前列腺癌内分泌治疗研究的演变格局。通过分析来自科学网核心合集的961篇文章,我们确定了治疗创新和临床转化的关键趋势。美国成为主要贡献者(占出版物的34.96%),哈佛大学和加利福尼亚大学系统引领机构产出。出现了三次范式转变:早期研究聚焦于优化雄激素剥夺疗法(ADT)疗效(2008 - 2013年),随后是去势抵抗性前列腺癌(CRPC)药物研发(2014 - 2016年),以及近期对联合疗法和分子靶向的重视(2017 - 2023年)。被引用次数最多的前50篇论文证实,关键词聚类直接对应关键试验,包括TAMPEDE(NCT00268476)和PROSPER(NCT02003924)。转化科学光谱模型显示,当前68%的临床应用源自对雄激素受体变体的基础研究。新兴前沿领域包括前列腺特异性膜抗原靶向放射性配体疗法和免疫疗法与ADT的协同作用。本综述为临床医生提供了一份循证路线图,以指引治疗进展,同时强调在应对诸如治疗抵抗等持续挑战方面国际合作的迫切需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8652/12181724/3a1a7e717589/10.1177_15579883251346819-fig1.jpg

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