前列腺癌免疫治疗及疫苗研究进展

Wei Zhou, Yikai Zhang
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引用次数: 0

摘要

前列腺癌是泌尿系统最常见的恶性肿瘤之一。前列腺癌在老年男性患者中发病率高,严重威胁着患者的生命和健康。近年来,通过免疫疗法激活抗癌宿主免疫细胞杀死肿瘤已成为前列腺癌治疗的一个新的研究领域。肿瘤疫苗作为免疫治疗的重要组成部分,在恶性肿瘤的精准治疗中具有独特的地位。前列腺癌疫苗种类繁多,包括单核细胞疫苗、树突状细胞疫苗、病毒疫苗、肽疫苗、DNA/mRNA疫苗等。作为最重要的基于单核细胞的癌症疫苗,是目前唯一获得美国食品药品监督管理局批准的前列腺癌治疗性疫苗,在前列腺癌的免疫治疗中发挥着极其重要的作用。然而,由于其自身的局限性,SipuleucelT并没有被广泛采用。目前,由于免疫治疗的复杂性和前列腺癌的特异性,其他前列腺癌疫苗在大型随机II期和III期试验中并未显示出预期的临床益处,仍需进一步深入研究。
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Advances in Immunotherapy and Vaccine for Prostate Cancer
Prostate cancer is one of the most common malignant tumors of the urinary system. The incidence of prostate cancer is high in the elderly male patients, which seriously threatens the life and health. In recent years, immunotherapy to activate anti-cancer host immune cells to kill tumors has become a new area of research for the treatment of prostate cancer. As an important component of immunotherapy, cancer vaccines have a unique position in the precise treatment of malignant tumors. There are many types of prostate cancer vaccines, including monocyte vaccines, dendritic cell vaccines, viral vaccines, peptide vaccines, and DNA/mRNA vaccines, etc. As the most important cancer vaccine based on monocytes, it is the only prostate cancer therapeutic vaccine approved by the US Food and Drug Administration at present, which plays an extremely important role in the immunotherapy of prostate cancer. However, due to its own limitations, SipuleucelT has not been widely adopted. Currently, the complexity of immunotherapy and the specificity of prostate cancer mean that other prostate cancer vaccines have not shown expected clinical benefits in large randomized phase II and III trials, and further in-depth studies are still needed.
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