The Tumor Microenvironment and Immunotherapy in Prostate and Bladder Cancer

Urol Clin North Am. 2020 Nov;47(4S):e17-e54. doi: 10.1016/j.ucl.2020.10.005.

Abstract

Bladder cancer has been successfully treated with immunotherapy, whereas prostate cancer is a cold tumor with inadequate immune-related treatment response. A greater understanding of the tumor microenvironment and methods for harnessing the immune system to address tumor growth will be needed to improve immunotherapies for both prostate and bladder cancer. Here, we provide an overview of prostate and bladder cancer, including fundamental aspects of the disease and treatment, the elaborate cellular makeup of the tumor microenvironment, and methods for exploiting relevant pathways to develop more effective treatments.

Keywords: Bladder cancer; Immunoediting; Immunotherapy; Neoadjuvant treatment; Prostate cancer; Tumor microenvironment; Vaccines.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents, Immunological / immunology
  • Antineoplastic Agents, Immunological / therapeutic use
  • Cancer Vaccines / immunology
  • Cancer Vaccines / therapeutic use
  • Combined Modality Therapy
  • Female
  • Humans
  • Immunologic Factors / immunology
  • Immunologic Factors / therapeutic use
  • Immunotherapy* / methods
  • Male
  • Prostatic Neoplasms / diagnosis
  • Prostatic Neoplasms / immunology*
  • Prostatic Neoplasms / therapy
  • Receptors, Androgen / immunology
  • Signal Transduction / immunology
  • Tumor Escape / immunology
  • Tumor Microenvironment / immunology*
  • Urinary Bladder Neoplasms / diagnosis
  • Urinary Bladder Neoplasms / immunology*
  • Urinary Bladder Neoplasms / therapy

Substances

  • Antineoplastic Agents, Immunological
  • Cancer Vaccines
  • Immunologic Factors
  • Receptors, Androgen