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Published on: March 6, 2018
Beyond the Immune Suppression: The Immunotherapy in Prostate Cancer
Ida Silvestri1, Susanna Cattarino2, Anna Maria Aglianò1
1Department of Molecular Medicine, Sapienza University of Rome, 00161 Rome, Italy.
Abstract:
Prostate cancer (PCa) is the second most common cancer in men. As well in many other human cancers, inflammation and immune suppression have an important role in their development. We briefly describe the host components that interact with the tumor to generate an immune suppressive environment involved in PCa promotion and progression. Different tools provide to overcome the mechanisms of immunosuppression including vaccines and immune checkpoint blockades. With regard to this, we report results of most recent clinical trials investigating immunotherapy in metastatic PCa (Sipuleucel-T, ipilimumab, tasquinimod, Prostvac-VF, and GVAX) and provide possible future perspectives combining the immunotherapy to the traditional therapies.
Insights
Prostate cancer (PCa) involves inflammation and immune suppression. Immunotherapy offers new tools to overcome these suppressive mechanisms, showing promise in recent clinical trials for metastatic PCa.
Area of Science:
- Oncology
- Immunology
Background:
- Prostate cancer (PCa) is a leading cancer in men.
- Inflammation and immune suppression are key factors in PCa development and progression.
- Tumor-host interactions create an immunosuppressive environment crucial for PCa growth.
Purpose of the Study:
- To describe host factors contributing to PCa immunosuppression.
- To review current immunotherapeutic strategies for PCa.
- To analyze recent clinical trials of immunotherapy in metastatic PCa.
Main Methods:
- Literature review of host-tumor interactions in PCa.
- Summary of immunotherapeutic approaches (vaccines, checkpoint inhibitors).
- Analysis of clinical trial data for specific immunotherapies (Sipuleucel-T, ipilimumab, tasquinimod, Prostvac-VF, GVAX).
Main Results:
- Immunotherapy agents are being investigated to counteract tumor-induced immunosuppression.
- Recent trials show varying efficacy of different immunotherapies in metastatic PCa.
- Combination strategies of immunotherapy with traditional therapies are under exploration.
Conclusions:
- Understanding the immunosuppressive tumor microenvironment is critical for PCa treatment.
- Immunotherapy represents a promising avenue for managing advanced prostate cancer.
- Future research should focus on optimizing immunotherapy combinations for improved patient outcomes.
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