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Updated: Sep 22, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Overcoming Immune Resistance With Radiation Therapy in Prostate Cancer
Arthur Mulvey1,2, Emilien Muggeo-Bertin3, Dominik R Berthold1
1Department of Oncology, Medical Oncology Service, Lausanne University Hospital, Lausanne, Switzerland.
Abstract:
Prostate cancer is the second most common cancer in men and represents a significant healthcare burden worldwide. Therapeutic options in the metastatic castration-resistant setting remain limited, despite advances in androgen deprivation therapy, precision medicine and targeted therapies. In this review, we summarize the role of immunotherapy in prostate cancer and offer perspectives on opportunities for future development, based on current knowledge of the immunosuppressive tumor microenvironment. Furthermore, we discuss the potential for synergistic therapeutic strategies with modern radiotherapy, through modulation of the tumor microenvironment. Emerging clinical and pre-clinical data suggest that radiation can convert immune desert tumors into an inflamed immunological hub, potentially sensitive to immunotherapy.
Insights
Immunotherapy shows promise for prostate cancer, especially when combined with radiotherapy. Radiation may transform non-responsive tumors into ones sensitive to immunotherapy by altering the tumor microenvironment.
Area of Science:
- Oncology
- Immunology
- Radiotherapy
Background:
- Prostate cancer is a leading cancer in men globally, with limited treatment options for metastatic castration-resistant disease.
- Current therapies like androgen deprivation, precision medicine, and targeted treatments have advanced but still face challenges.
- The immunosuppressive tumor microenvironment in prostate cancer hinders effective treatment responses.
Purpose of the Study:
- To review the current role and future potential of immunotherapy in prostate cancer.
- To explore synergistic strategies combining immunotherapy with radiotherapy.
- To discuss modulating the tumor microenvironment for improved treatment outcomes.
Main Methods:
- Literature review of current research on immunotherapy in prostate cancer.
- Analysis of the immunosuppressive tumor microenvironment.
- Evaluation of preclinical and clinical data on combined radiotherapy and immunotherapy.
Main Results:
- Emerging data suggest radiation can alter the tumor microenvironment, making 'immune desert' tumors inflamed and potentially responsive to immunotherapy.
- Synergistic therapeutic strategies combining radiotherapy and immunotherapy show promise.
- Modulating the tumor microenvironment is key to enhancing treatment efficacy.
Conclusions:
- Immunotherapy holds significant potential for prostate cancer treatment.
- Radiotherapy may enhance immunotherapy effectiveness by converting the tumor microenvironment.
- Further research into combined therapeutic strategies is warranted to improve patient outcomes.
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