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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.

DOI:10.1177/15579883251346819
PMID:40539499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12181724/
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/f09d5b068aa4/10.1177_15579883251346819-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8652/12181724/3a1a7e717589/10.1177_15579883251346819-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8652/12181724/f09d5b068aa4/10.1177_15579883251346819-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8652/12181724/3a1a7e717589/10.1177_15579883251346819-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8652/12181724/f09d5b068aa4/10.1177_15579883251346819-fig3.jpg

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本文引用的文献

1
Balancing Hormone Therapy: Mitigating Adverse Effects of Androgen-Deprivation Therapy and Exploring Alternatives in Prostate Cancer Management.平衡激素疗法:减轻雄激素剥夺疗法的不良反应并探索前列腺癌管理中的替代方案。
Am Soc Clin Oncol Educ Book. 2024 Jun;44(3):e433126. doi: 10.1200/EDBK_433126.
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[Lu]Lu-PSMA-617 plus enzalutamide in patients with metastatic castration-resistant prostate cancer (ENZA-p): an open-label, multicentre, randomised, phase 2 trial.[Lu]Lu-PSMA-617联合恩杂鲁胺治疗转移性去势抵抗性前列腺癌患者(ENZA-p):一项开放标签、多中心、随机、2期试验。
Lancet Oncol. 2024 May;25(5):563-571. doi: 10.1016/S1470-2045(24)00135-9. Epub 2024 Apr 12.
3
Combining enzalutamide and [Lu]Lu-PSMA-617 in metastatic castration-resistant prostate cancer.
恩杂鲁胺与[镥]镥-PSMA-617联合用于转移性去势抵抗性前列腺癌
Lancet Oncol. 2024 May;25(5):531-533. doi: 10.1016/S1470-2045(24)00179-7. Epub 2024 Apr 12.
4
EAU-EANM-ESTRO-ESUR-ISUP-SIOG Guidelines on Prostate Cancer-2024 Update. Part I: Screening, Diagnosis, and Local Treatment with Curative Intent.EAU-EANM-ESTRO-ESUR-ISUP-SIOG 前列腺癌指南-2024 更新。第一部分:筛查、诊断和以治愈为目的的局部治疗。
Eur Urol. 2024 Aug;86(2):148-163. doi: 10.1016/j.eururo.2024.03.027. Epub 2024 Apr 13.
5
Androgen Deprivation Therapy for Prostate Cancer: Focus on Cognitive Function and Mood.雄激素剥夺疗法治疗前列腺癌:关注认知功能和情绪。
Medicina (Kaunas). 2023 Dec 30;60(1):77. doi: 10.3390/medicina60010077.
6
Current Management and Future Treatment Strategies for Patients with Metastatic Hormone-Sensitive Prostate Cancer.转移性激素敏感性前列腺癌患者的当前管理及未来治疗策略
World J Urol. 2023 Aug;41(8):2005-2006. doi: 10.1007/s00345-023-04542-5.
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How to Improve the Quality of Life of Patients with Prostate Cancer Treated with Hormone Therapy?如何提高接受激素治疗的前列腺癌患者的生活质量?
Res Rep Urol. 2023 Jan 19;15:9-26. doi: 10.2147/RRU.S350793. eCollection 2023.
8
Endocrine therapies for breast and prostate cancers: Essentials for primary care.乳腺癌和前列腺癌的内分泌治疗:初级保健要点
Can Fam Physician. 2022 Apr;68(4):271-276. doi: 10.46747/cfp.6804271.
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Atezolizumab with enzalutamide versus enzalutamide alone in metastatic castration-resistant prostate cancer: a randomized phase 3 trial.阿替利珠单抗联合恩扎卢胺对比单独恩扎卢胺治疗转移性去势抵抗性前列腺癌:一项随机、3 期临床试验。
Nat Med. 2022 Jan;28(1):144-153. doi: 10.1038/s41591-021-01600-6. Epub 2022 Jan 10.
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Lancet. 2022 Jan 29;399(10323):447-460. doi: 10.1016/S0140-6736(21)02437-5. Epub 2021 Dec 23.