有效的结合免疫疗法用于抵抗割的前列腺癌
Xin Lu1, James W Horner2, Erin Paul2
1Department of Cancer Biology, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030, USA.
Nature
|March 22, 2017
概括
结合免疫检查点阻塞与骨髓衍生抑制细胞向治疗,有望治疗转移性抵抗割的前列腺癌 (mCRPC). 这种新的方法克服了抗药性并增强了mCRPC的抗瘤反应.
科学领域:
- 癌症学
- 免疫学
- 癌症治疗
背景情况:
- 转移性抵抗割的前列腺癌 (mCRPC) 往往会在抗雄激素治疗中进展.
- 免疫检查点阻塞 (ICB) 在各种癌症中表现出有效性,但在mCRPC中面临抵抗.
- 骨髓衍生抑制细胞 (MDSC) 有助于瘤免疫逃避和前列腺癌的进展.
研究的目的:
- 在mCRPC中研究ICB与MDSC向治疗的有效性.
- 在本土环境中开发一种新奇的模拟小鼠模型来测试组合疗法.
主要方法:
- 开发了一种新的mCRPC仿真小鼠模型.
- 经过测试的抗CTLA4和抗PD1 (ICB) 与MDSC向药物的联合治疗 (cabozantinib,BEZ235).
- 评估了抗瘤活性,并阐明了潜在机制.
主要成果:
- 结合ICB和MDSC向治疗在mCRPC中显示出强大的协同抗瘤反应.
- 使用ICB或MDSC向药物的单一治疗显示出极少的疗效.
- 联合治疗导致了互白素-1受体抗剂的上调和抑制MDSC促进细胞因子.
结论:
- 结合ICB与MDSC向治疗,为克服耐药性和提高mCRPC治疗效率提供了一个有希望的策略.
- 这种方法需要对mCRPC治疗进行进一步的临床研究.
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