Shaping the Future of Prostate Cancer Care: The Promise and Pitfalls of Gene- and Cell-Based Therapeutics.

IF 4.1 4区 医学 Q2 GENETICS & HEREDITY
Dherya Guleria, Navjot Kaur Sandhu
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Abstract

Prostate Cancer (PCa) affects the population worldwide on a large scale in men. This paper presents a comprehensive overview of the evolving therapeutic landscape for PCa and highlights the promise and challenges of gene- and cell-based strategies. There are various limitations to conventional modalities, such as radiotherapy, chemotherapy, and surgery; however, the growing impact of molecular precision, immunotherapies, and innovative gene-editing tools, such as the clustered regularly interspaced short palindromic repeat (CRISPR)-associated (Cas) system, minimizes the limitations of these conventional therapies. Comparisons of the current progress in Oncolytic Virus (OV) based therapies, viral and non-viral gene delivery systems, and cell-based immunotherapies including Chimeric Antigen Receptor (CAR) T cells and Dendritic Cell (DC) therapies demonstrate both their therapeutic potentials and key challenges to their effectiveness that include Tumor Heterogeneity (TH), immune evasion, and the immunosuppressive Tumor Microenvironment (TME). The combination approach integrates the control point blockade, radiosensitizing chemotherapeutics, and biomarker-guided interventions to improve treatment outcomes. It also provides a perspective for analyzing the future roles of Artificial Intelligence (AI), multi-omics integration, and collaborative research networks in shaping standards that are more personalized to enhance care for PCa patients.

塑造前列腺癌治疗的未来:基因和细胞治疗的希望和陷阱。
前列腺癌(PCa)在世界范围内大规模地影响着男性人群。本文介绍了PCa不断发展的治疗前景的全面概述,并强调了基于基因和细胞的策略的希望和挑战。传统的治疗方式,如放疗、化疗和手术有各种限制;然而,分子精度、免疫疗法和创新基因编辑工具(如聚集规律间隔短回文重复(CRISPR)相关(Cas)系统)的影响越来越大,使这些传统疗法的局限性最小化。基于溶瘤病毒(OV)的治疗方法、病毒和非病毒基因传递系统以及基于细胞的免疫疗法(包括嵌合抗原受体(CAR) T细胞和树突状细胞(DC)疗法)的当前进展的比较,显示了它们的治疗潜力和其有效性的关键挑战,包括肿瘤异质性(TH)、免疫逃避和免疫抑制肿瘤微环境(TME)。该联合方法整合了控制点阻断、放射增敏化疗和生物标志物引导的干预措施,以改善治疗结果。它还为分析人工智能(AI)、多组学集成和协作研究网络在塑造更加个性化的标准以增强对PCa患者的护理方面的未来作用提供了一个视角。
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来源期刊
Current gene therapy
Current gene therapy 医学-遗传学
CiteScore
6.70
自引率
2.80%
发文量
46
期刊介绍: Current Gene Therapy is a bi-monthly peer-reviewed journal aimed at academic and industrial scientists with an interest in major topics concerning basic research and clinical applications of gene and cell therapy of diseases. Cell therapy manuscripts can also include application in diseases when cells have been genetically modified. Current Gene Therapy publishes full-length/mini reviews and original research on the latest developments in gene transfer and gene expression analysis, vector development, cellular genetic engineering, animal models and human clinical applications of gene and cell therapy for the treatment of diseases. Current Gene Therapy publishes reviews and original research containing experimental data on gene and cell therapy. The journal also includes manuscripts on technological advances, ethical and regulatory considerations of gene and cell therapy. Reviews should provide the reader with a comprehensive assessment of any area of experimental biology applied to molecular medicine that is not only of significance within a particular field of gene therapy and cell therapy but also of interest to investigators in other fields. Authors are encouraged to provide their own assessment and vision for future advances. Reviews are also welcome on late breaking discoveries on which substantial literature has not yet been amassed. Such reviews provide a forum for sharply focused topics of recent experimental investigations in gene therapy primarily to make these results accessible to both clinical and basic researchers. Manuscripts containing experimental data should be original data, not previously published.
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