Considering the potential for gene-based therapy in prostate cancer

Justin R Gregg1, Timothy C Thompson2

  • 1Department of Urology and Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. JRGregg@mdanderson.org.

Nature Reviews. Urology
|February 27, 2021
PubMed

Insights

Gene therapy, including CRISPR-Cas9, shows promise for treating prostate cancer by enabling genome editing. While clinical outcomes are pending, ongoing research explores vaccine-based and CAR T cell therapies for this malignancy.

Area of Science:

  • Oncology
  • Genetics
  • Immunology

Background:

  • Therapeutic gene manipulation, particularly genome editing with CRISPR-Cas9, has advanced significantly, demonstrating potential for curing diseases.
  • Prostate cancer research has a notable focus on gene therapy due to unique anatomical and immunological factors.
  • Preclinical models and identified tumor antigens support gene therapy's application in prostate cancer.

Purpose of the Study:

  • To review the current state and future potential of gene therapy in prostate cancer treatment.
  • To highlight the advantages of prostate cancer for gene therapy interventions.
  • To discuss promising gene therapy approaches like vaccines and CRISPR-Cas9-based CAR T cells.

Main Methods:

  • Review of basic and clinical research on gene therapy and CRISPR-Cas9 applications.
  • Evaluation of ongoing clinical trials in gene therapy for various diseases, with a focus on prostate cancer.
  • Analysis of factors contributing to gene therapy's appeal in prostate cancer care.

Main Results:

  • Gene therapy research, especially CRISPR-Cas9, shows potential for treating human diseases.
  • Prostate cancer is a key area for gene therapy research due to specific patient and disease characteristics.
  • Promising gene therapy strategies include vaccine-based and CRISPR-Cas9-assisted chimeric antigen receptor (CAR) T cell therapies.

Conclusions:

  • Despite current limitations in achieving oncologically relevant outcomes, gene therapy holds significant promise for prostate cancer.
  • Future research and clinical investigations are expected to establish gene therapy as a viable treatment option for prostate cancer.
  • The combination of anatomical suitability, preclinical models, and targeted antigens makes prostate cancer a strong candidate for advanced gene therapies.

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