前列腺癌                        
                
                                
                        
                            嵌合抗原受体                        
                
                                
                        
                            医学                        
                
                                
                        
                            免疫疗法                        
                
                                
                        
                            雄激素剥夺疗法                        
                
                                
                        
                            临床试验                        
                
                                
                        
                            抗原                        
                
                                
                        
                            转移                        
                
                                
                        
                            免疫系统                        
                
                                
                        
                            肿瘤科                        
                
                                
                        
                            癌症研究                        
                
                                
                        
                            癌症                        
                
                                
                        
                            内科学                        
                
                                
                        
                            免疫学                        
                
                        
                    
                    
            出处
            
                                    期刊:PubMed
                                                                        日期:2023-10-01
                                                        卷期号:50 (10): 1038-1042
                                                
         
        
    
            
        
                
            摘要
            
            Prostate cancer is basically hormone sensitive tumor. However, once it turns to metastatic castration-resistant prostate cancer(mCRPC), it is hard to suppress tumor growth and metastasis. Despite chemotherapy and novel androgen-receptor signalling inhibitors, mCRPC remains a lethal disease with poor clinical outcomes. Immunotherapy with chimeric antigen receptor T(CAR-T)cells redirects a patient's immune cells against the tumor antigen. CAR-T cell therapy has demonstrated promise in treating patients with several haematological malignancies. On the other hand, solid tumors impose immunologic and physical barriers to the efficacy of CAR-T cell therapy. As a new strategy to mCRPC, CAR-T cells with targeting prostate-specific membrane antigen(PSMA)has been developed. Several clinical trials using anti PSMA-CAR-T cells against mCRPC are going on overseas. A few of the trials showed promising results on the safety and efficacy of this therapy in mCRPC. Herein, we review strategies of constructing CAR-T cells to mCRPC, and the latest reports of international clinical trials of anti PSMA-CAR-T therapy.
         
            
 
                 
                
                    
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