Immunotherapy rau Prostate Cancer

Cov txheej txheem:

Immunotherapy rau Prostate Cancer
Immunotherapy rau Prostate Cancer
Anonim

Kev phais thiab hluav taws xob kho mob qog noj ntshav prostate los ntawm kev tshem tawm lossis tua cov qog nqaij hlav cancer. Immunotherapy yog txawv. Nws cob qhia koj lub cev tiv thaiv kab mob los tua kab mob cancer.

tshuaj tiv thaiv kab mob qog noj ntshav thiab cov tshuaj tiv thaiv kab mob yog pom zoo siv tshuaj tiv thaiv kab mob qog noj ntshav prostate. CAR T-cell therapy yog ib qho kev kho tshiab uas cov kws kho mob tau kawm ntxiv txog hauv kev sim tshuaj.

Koj yuav yog ib tus neeg sib tw zoo rau ib qho ntawm cov kev kho mob no yog tias koj tus mob qog noj ntshav tsis tso tseg lossis nws rov qab los tom qab phais lossis kho tshuaj hormone. Kev txhaj tshuaj tiv thaiv kab mob tuaj yeem pab qee cov neeg mob qog noj ntshav prostate nyob ntev, tab sis nws muaj qee qhov kev pheej hmoo los tham nrog koj tus kws kho mob.

Tshuaj Tiv Thaiv Kab Mob Prostate - Sipuleucel-T (Provenge)

Cov tshuaj tiv thaiv feem ntau tiv thaiv koj kom tsis txhob muaj mob. Lawv txhawb koj lub cev tiv thaiv kab mob kom paub txog cov kab mob thiab tiv thaiv lawv. Sipuleucel-T yog ib hom tshuaj tiv thaiv. Nws kho mob qog noj ntshav los ntawm kev qhia koj lub cev tiv thaiv kab mob kom pom thiab tua cov qog nqaij hlav cancer.

Sipuleucel-T pab tsis tau txhua tus neeg uas muaj mob qog noj ntshav prostate. Tej zaum nws yuav yog ib qho kev xaiv rau koj yog:

  • Koj tus mob qog noj ntshav prostate tau kis.
  • Koj muaj ob peb lossis tsis muaj tsos mob.
  • Kev kho tshuaj hormone rau koj tus mob qog noj ntshav prostate tsis tau pab. Txoj kev kho ntawd siv tshuaj los yog phais kom txo qis cov tshuaj hormones uas koj cov qog nqaij hlav loj tuaj.

Sipuleucel-T tsuas yog pom zoo txhaj tshuaj tiv thaiv kab mob qog noj ntshav prostate. Nws yog tsim los rau koj siv koj lub cev tiv thaiv kab mob.

Yuav muab kev kho mob no rau koj, ua ntej koj pab neeg kho mob txuas koj mus rau lub tshuab uas lim qee lub cev tiv thaiv kab mob tawm ntawm koj cov ntshav. Koj rov qab mus tsev. Cov qauv ntawm cov cell mus rau ib lub chaw kuaj mob. Cov neeg ua haujlwm hauv chaw kuaj mob nthuav tawm lawv mus rau cov protein uas txhawb nqa lub hlwb thiab pab lawv tiv thaiv qog noj ntshav prostate.

Thaum cov hlwb npaj tau 3 hnub tom qab, koj mus ntsib koj tus kws kho mob lub chaw haujlwm lossis tsev kho mob dua. Lawv muab lub zog-up hlwb rov qab rau koj hauv IV. Koj tau txais peb koob tshuaj tag nrho, 2 lub lis piam sib nrug. Txhua koob yuav siv li ib teev.

Sipuleucel-T tsis txwv cov qog nqaij hlav qog noj ntshav kom loj hlob. Nws kuj tsis txo koj cov qib PSA, cov protein hauv koj cov ntshav uas qhia txog kev mob qog noj ntshav prostate. Tab sis nws yuav pab tau koj nyob ntev.

Yog tias koj muaj kev phiv los ntawm sipuleucel-T, lawv feem ntau pib tom qab koj tau txais IV ntawm cov hlwb kho. Cov kev mob tshwm sim feem ntau los ntawm sipuleucel-T zoo li mob khaub thuas:

Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.

  • Mob nraub qaum thiab pob qij txha
  • Nausea
  • Headache
  • Lawv yuav tsum tawm hauv 1 mus rau 2 hnub thiab feem ntau mob me me mus rau nruab nrab. Cov neeg tsawg tsawg muaj cov tsos mob hnyav dua xws li ua tsis taus pa thiab ntshav siab. Koj pab neeg kho mob tuaj yeem kho cov tsos mob no.

    Checkpoint Inhibitors

    Cov tshuaj ntsuam xyuas yog cov proteins uas pab kho mob qog noj ntshav prostate zais ntawm koj lub cev tiv thaiv kab mob. Checkpoint inhibitors thaiv cov proteins no los txhawb koj lub cev tiv thaiv kab mob qog noj ntshav. Lawv tuaj yeem pab txo qis PSA hauv cov neeg uas twb tau siv lwm yam kev kho mob qog noj ntshav prostate.

    Pembrolizumab (Keytruda) thiab dostarlimab (Jemperli) yog cov tshuaj tiv thaiv kab mob. Lawv thaiv cov protein hu ua PD-1 ntawm lub cev tiv thaiv kab mob. Thaiv PD-1 zoo li tshem tawm cov kab mob tiv thaiv kab mob kom lawv tuaj yeem tua cov qog nqaij hlav prostate. Koj tau txais kev kho mob no los ntawm IV ib zaug txhua 3 lub lis piam.

    Ib daim checkpoint inhibitor tej zaum yuav yog ib qho kev xaiv rau koj yog:

    • Koj mob qog noj ntshav tau kis.
    • Tus mob qog noj ntshav pib loj hlob dua tom qab siv tshuaj khomob lossis tshuaj kho tshuaj hormone.
    • Koj tsis tuaj yeem phais.

    Cov kev kho mob no tsuas yog ua haujlwm rau cov neeg uas muaj qee yam kev hloov pauv rau cov noob uas kho DNA puas. Txog li 10% ntawm cov txiv neej uas mob qog nqaij hlav prostate lig muaj cov noob hloov pauv, uas qee zaum cuam tshuam rau cov neeg uas muaj tus mob hu ua Lynch syndrome.

    Koj pab neeg kho mob yuav kuaj xyuas cov noob hloov pauv hauv koj cov qog nqaij hlav uas lawv tshem tawm thaum kuaj ntshav. Qhov kev ntsuam xyuas tuaj yeem qhia tau tias qhov chaw kuaj xyuas qhov thaiv puas yog rau koj.

    Yog tias koj muaj kev phiv los ntawm qhov chaw kuaj xyuas qhov inhibitor, lawv yuav hnov zoo li mob khaub thuas. Qee cov tsos mob feem ntau yog nkees, hnoos, xeev siab, raws plab, thiab tsis qab los noj mov.

    Checkpoint inhibitors txhawb koj lub cev tiv thaiv kab mob kom nws tuaj yeem tiv thaiv koj tus mob qog noj ntshav. Tsis tshua muaj, lub cev tiv thaiv kab mob rov qab ntau dhau thiab tawm tsam cov kab mob noj qab haus huv zoo li lub ntsws, ob lub raum, lossis daim siab. Yog tias qhov ntawd tshwm sim, koj pab neeg saib xyuas yuav muab tshuaj steroids rau koj kom ua rau koj lub cev tsis muaj zog.

    CAR T-Cell Therapy

    T hlwb yog koj lub cev tiv thaiv kab mob cov tub rog ntawm cov neeg tua kabmob. CAR T-cell therapy yog ib qho kev sim kho mob uas cob qhia koj cov T hlwb kom pom thiab tua cov qog nqaij hlav prostate. Tam sim no, koj tsuas tuaj yeem tau txais kev kho mob no hauv kev sim tshuaj.

    Kom tau txais CAR T-cell kho, ua ntej, koj pab neeg kho mob yuav txuas koj mus rau lub tshuab uas lim T cells tawm ntawm koj cov ntshav. Hauv chav kuaj, cov neeg ua haujlwm tso cov protein hu ua chimeric antigen receptor nyob rau sab nraud ntawm koj lub hlwb. Cov protein no yuav pab tau koj lub hlwb T pom cov qog nqaij hlav.

    Lub chaw sim ua ntau ntxiv ntawm CAR T hlwb tshiab, uas tuaj yeem siv sijhawm li ob peb lub lis piam. Thaum cov hlwb npaj tau lawm, koj rov qab mus rau koj tus kws kho mob lub chaw ua haujlwm thiab tau txais lawv los ntawm IV.

    Kev kho mob no tuaj yeem ua rau muaj kev phiv. Raws li CAR T hlwb ntau, koj lub cev tso cov proteins hu ua cytokines. Kev nyab xeeb ntawm cytokines tuaj yeem ua rau lub cev tiv thaiv kab mob ntau dhau. Lub npe rau cov kev mob tshwm sim no yog cytokine release syndrome (CRS). Nws ua rau cov tsos mob xws li:

    • Tshuaj ua pa
    • xeev siab, ntuav, thiab raws plab
    • kiv taub hau
    • Headache
    • Lub plawv dhia nrawm

    CAR T-cell therapy tuaj yeem cuam tshuam rau lub hlwb. Yog tias ua tau, koj yuav muaj cov tsos mob xws li mob taub hau, tsis meej pem, lossis qaug dab peg. Koj pab neeg kho mob yuav saib xyuas koj zoo thiab kho txhua yam teeb meem tshwm sim.

    CAR T-cell therapy tau pab qee cov neeg mob qog noj ntshav mus rau kev kho mob, txhais tau tias tsis muaj cov tsos mob ntawm lawv cov qog noj ntshav. Nws tsis tau ua haujlwm zoo li tiv thaiv mob qog noj ntshav prostate. Ib qho laj thawj yog tias cov qog nqaij hlav muaj ntau qhov thaiv uas thaiv T cell kom tsis txhob kis mus rau mob qog noj ntshav. Mob qog noj ntshav prostate kuj tseem ua rau lub cev tsis muaj zog tiv thaiv kab mob.

    Cov kws kho mob tab tom sim lwm yam kev kho mob CAR T-cell kom pom tias lawv ua haujlwm zoo dua tiv thaiv qog noj ntshav. CAR T-cell therapy hu ua P-PSMA-101 pab txo PSA ntau dua 50% hauv ob peb tus txiv neej, thiab nws ua rau ib cov qog ploj.

    Yav Tom Ntej ntawm Immunotherapy

    Cov kws kho mob tab tom kawm cov kev kho mob immunotherapy tshiab hauv kev sim tshuaj. Ib tug hu ua PROSTVAC. Nws yog ib qho tshuaj tiv thaiv rau cov neeg uas muaj mob qog noj ntshav prostate lig. PROSTVAC ua haujlwm zoo li sipuleucel-T, tab sis nws tsis yog tsim rau txhua tus neeg.

    Kev tshawb fawb tab tom sim nrhiav seb puas ntxiv CAR T-cell therapy rau kev kho mob xws li kev kho tshuaj, kev kho tshuaj hormones, lossis kev kho cov phiaj xwm yuav pab tau nws ua haujlwm zoo dua. Yog tias koj xav sim tshuaj tiv thaiv kab mob tshiab, koj tus kws kho mob tuaj yeem qhia rau koj seb puas muaj kev sim uas haum rau koj.

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