Immunotherapy for Localized Prostate Cancer: The Next Frontier?

Urol Clin North Am. 2020 Nov;47(4):443-456. doi: 10.1016/j.ucl.2020.07.008. Epub 2020 Sep 9.

Abstract

Cancer vaccines, cytokines, and checkpoint inhibitors are immunotherapeutic agents that act within the cancer immunity cycle. Prostate cancer has provided unique opportunities for, and challenges to, immunotherapy drug development, including low tumor mutational burdens, limited expression of PD-L1, and minimal T-cell intratumoral infiltrates. Nevertheless, efforts are ongoing to help prime prostate tumors by turning a "cold" prostate cancer "hot" and thus rendering them more susceptible to immunotherapy. Combination treatments, use of molecular biomarkers, and use of new immunotherapeutic agents provide opportunities to enhance the immune response to prostate tumors.

Keywords: CDK12; Checkpoint inhibitors; Immunotherapy; PD-L1; ProstVac-VF; Prostate cancer; Sipuleucel-T.

Publication types

  • Review

MeSH terms

  • Aged
  • Biomarkers, Tumor / metabolism
  • Cancer Vaccines / therapeutic use*
  • Humans
  • Immunologic Factors / therapeutic use*
  • Immunotherapy / methods*
  • Male
  • Middle Aged
  • Neoplasm Invasiveness / pathology
  • Neoplasm Staging
  • Prognosis
  • Prostatic Neoplasms / mortality
  • Prostatic Neoplasms / pathology*
  • Prostatic Neoplasms / therapy*
  • Risk Assessment
  • Survival Analysis
  • Treatment Outcome

Substances

  • Biomarkers, Tumor
  • Cancer Vaccines
  • Immunologic Factors