Table 2: Immunotherapy strategies, description, mechanism of action, and clinical status in prostate cancer.

Immunotherapy

Description

Mechanism of action and clinical status

References

Checkpoint Inhibitors

Drugs that block proteins used by tumors to evade immune detection, such as PD-1/PD-L1 inhibitors.

Restore T cell function and enhance the immune response against tumor cells. Nivolumab (PD-1) and atezolizumab (PD-L1) have shown promise in trials.

[7,8]

Prostate Cancer Vaccines

Vaccines are designed to elicit an immune response specifically against prostate cancer cells.

Stimulate the immune system to recognize and attack prostate cancer cells.

Sipuleucel-T is FDA-approved for advanced prostate cancer.

[9,10]

CAR-T Cell Therapy

T cells are genetically modified to express chimeric antigen receptors (CARs) targeting prostate cancer antigens.

Enhance T cell recognition and killing of prostate cancer cells.

Under investigation, with early trials showing promise.

[29]

Oncolytic Virus Therapy

Use of genetically modified viruses to selectively infect and kill tumor cells.

Directly lyse tumor cells and stimulate an anti-tumor immune response.

Early phase trials are ongoing, showing potential.

[30,31]

Immune Modulators

Agents that modulate the immune response to enhance anti-tumor activity.

Enhance the overall immune response against prostate cancer.

Agents like Interleukin-2 and various experimental drugs.

 [32]