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前列腺癌的免疫检查点抑制剂疗法:现状与未来展望

Immune Checkpoint Inhibitor Therapy for Prostate Cancer: Present and Future Prospectives.

作者信息

Rai Vikrant

机构信息

Department of Translational Research, Western University of Health Sciences, Pomona, CA 91762, USA.

出版信息

Biomolecules. 2025 May 22;15(6):751. doi: 10.3390/biom15060751.

Abstract

Prostate cancer, a slow-growing tumor, develops through the over-proliferation of malignant cells in the prostate and is one of the most common types of cancer. Active surveillance, radical prostatectomy, external beam radiation, brachytherapy, cryotherapy, stereotactic body radiation therapy, hormone therapy, and chemotherapy are common treatment strategies for prostate cancer. However, resistance to treatment in advanced prostate cancer is a concerning issue in the use of these therapies. Immune checkpoint inhibitor (ICI) therapy for prostate cancer is an emerging strategy for the treatment of advanced prostate cancers but the resistance and limited efficacy to ICIs observed in metastatic castration-resistant prostate cancer (mCRPC) raises concerns. The ongoing clinical trials for combination therapies for mCRPC have provided some hope. This review concisely discusses the molecular and cellular mechanisms, immunotherapy, the limitations of ICIs, combination therapies, and the prospects of developing novel therapeutics for prostate cancer.

摘要

前列腺癌是一种生长缓慢的肿瘤,由前列腺中恶性细胞过度增殖而形成,是最常见的癌症类型之一。主动监测、根治性前列腺切除术、外照射放疗、近距离放射治疗、冷冻疗法、立体定向体部放射治疗、激素疗法和化疗是前列腺癌的常见治疗策略。然而,晚期前列腺癌对治疗产生耐药性是这些疗法应用中一个令人担忧的问题。前列腺癌的免疫检查点抑制剂(ICI)疗法是治疗晚期前列腺癌的一种新兴策略,但在转移性去势抵抗性前列腺癌(mCRPC)中观察到的对ICI的耐药性和疗效有限引发了关注。正在进行的mCRPC联合疗法临床试验带来了一些希望。本综述简要讨论了前列腺癌的分子和细胞机制、免疫疗法、ICI的局限性、联合疗法以及开发新型治疗方法的前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53aa/12190701/26bd28a9363b/biomolecules-15-00751-g001.jpg

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