Immune Modulation in Prostate Cancer Patients Treated with Androgen Receptor (AR)-Targeted Therapy.

abiraterone androgen deprivation therapy autoimmunity enzalutamide prognosis prostate cancer

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
22 Jun 2020
Historique:
received: 14 05 2020
revised: 12 06 2020
accepted: 19 06 2020
entrez: 26 6 2020
pubmed: 26 6 2020
medline: 26 6 2020
Statut: epublish

Résumé

Androgen deprivation therapy (ADT) is a cornerstone of treatment for prostate cancer and, in recent years, androgen receptor (AR)-targeted therapies (abiraterone and enzalutamide) have both been used for the treatment of castration-resistant prostate cancer (CRPC). In our study, we sought to investigate the association between ADT and immune disorders, considering a potential role of androgens in the immune modulation. We retrospectively evaluated CRPC patients treated with abiraterone/enzalutamide between July 2011 and December 2018. We assessed the risk of developing immune alterations and their impact on outcome. We included 844 CRPC patients receiving AR-directed therapies, of whom 36 (4.3%) had autoimmune diseases and 47 (5.6%) second tumors as comorbidities. Median age was 70 years [interquartile range (IQR) = 63-75)]. We showed higher significant incidence of autoimmune diseases during their hormone sensitive status (

Identifiants

pubmed: 32580478
pii: jcm9061950
doi: 10.3390/jcm9061950
pmc: PMC7356925
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Vincenza Conteduca (V)

Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via Piero Maroncelli 40, 47014 Meldola, Italy.

Orazio Caffo (O)

Department of Oncology, Ospedale Santa Chiara, 38122 Trento, Italy.

Emanuela Scarpi (E)

Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via Piero Maroncelli 40, 47014 Meldola, Italy.

Pierangela Sepe (P)

Medical Oncology Department, Fondazione Istituto Nazionale dei Tumori, 20133 Milano, Italy.

Luca Galli (L)

Medical Oncology Unit 2, Polo Oncologico, Azienda Ospedaliero-Universitaria Pisana, 56126 Pisa, Italy.

Lucia Fratino (L)

Department of Medical Oncology, Centro di Riferimento Oncologico di Aviano, 33081 Aviano-Pordenone, Italy.

Francesca Maines (F)

Department of Oncology, Ospedale Santa Chiara, 38122 Trento, Italy.

Vincenzo Emanuele Chiuri (VE)

Department of Oncology, Ospedale Vito Fazzi, 73100 Lecce, Italy.

Matteo Santoni (M)

Oncology Unit, Macerata Hospital, 62100 Macerata, Italy.

Elisa Zanardi (E)

Academic Unit of Medical Oncology, IRCCS San Martino Polyclinic Hospital, 16132 Genoa, Italy.
Department of Internal Medicine and Medical Specialties (DIMI), School of Medicine, University of Genoa, 16132 Genoa, Italy.

Francesco Massari (F)

Division of Oncology, S.Orsola-Malpighi Hospital, 40138 Bologna, Italy.

Ilaria Toma (I)

Clinical Oncology, Arcispedale Sant'Anna University Hospital, 44124 Ferrara, Italy.

Cristian Lolli (C)

Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via Piero Maroncelli 40, 47014 Meldola, Italy.

Giuseppe Schepisi (G)

Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via Piero Maroncelli 40, 47014 Meldola, Italy.

Andrea Sbrana (A)

Medical Oncology Unit 2, Polo Oncologico, Azienda Ospedaliero-Universitaria Pisana, 56126 Pisa, Italy.

Stefania Kinspergher (S)

Department of Oncology, Ospedale Santa Chiara, 38122 Trento, Italy.

Maria Concetta Cursano (MC)

Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via Piero Maroncelli 40, 47014 Meldola, Italy.
Department of Medical Oncology, Campus Bio-Medico University of Rome, 00128 Rome, Italy.

Chiara Casadei (C)

Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via Piero Maroncelli 40, 47014 Meldola, Italy.

Caterina Modonesi (C)

Ospedali Riuniti Padova SUD, 35043 Padua, Italy.

Daniele Santini (D)

Department of Medical Oncology, Campus Bio-Medico University of Rome, 00128 Rome, Italy.

Giuseppe Procopio (G)

Medical Oncology Department, Fondazione Istituto Nazionale dei Tumori, 20133 Milano, Italy.

Ugo De Giorgi (U)

Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via Piero Maroncelli 40, 47014 Meldola, Italy.

Classifications MeSH