CD81 通过阻断 CD274/PD-L1 的选择性自噬降解驱动放射抵抗性胶质母细胞瘤的免疫逃逸
CD81 drives immune evasion in radioresistant glioblastoma by blocking selective autophagic degradation of CD274/PD-L1.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Current Advances in Immunotherapy for Glioblastoma Multiforme and Future Prospects.
Current Advances in Immunotherapy for Glioblastoma Multiforme and Future Prospects.
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胶质母细胞瘤是最常见且恶性程度最高的脑肿瘤类型。它以对当前治疗具有耐药性而闻名,预后仍然黯淡。免疫疗法已经改变了多种癌症的治疗格局,也为胶质母细胞瘤带来了巨大希望,尽管目前尚未取得成功。本文综述了对胶质母细胞瘤进行免疫靶向治疗的理论依据,以及治疗这些免疫抑制性肿瘤所面临的障碍。癌症疫苗、溶瘤病毒(OVs)、检查点阻断药物、过继性细胞转移(ACT)、嵌合抗原受体(CAR)T细胞以及基于纳米医学的免疫疗法,是胶质母细胞瘤中已研究的新型免疫靶向疗法。本文从临床角度介绍了每种方法的关键临床试验结果和当前正在进行的试验。最后,讨论了生物学层面或试验设计层面的限制,以及克服这些限制的解决方案。在胶质母细胞瘤中,免疫治疗方法的疗效尚未得到证实,但我们对这种疾病的生物学和免疫微环境迅速增长的认识,以及新型有前景的联合疗法的出现,可能使研究人员最终满足多形性胶质母细胞瘤(GBM)患者的医疗需求。
Glioblastoma is the most frequent and malignant type of brain tumor. It has a reputation for being resistant to current treatments, and the prognosis is still bleak. Immunotherapies have transformed the treatment of a variety of cancers, and they provide great hope for glioblastoma, although they have yet to be successful. The justification for immune targeting of glioblastoma and the obstacles that come with treating these immunosuppressive tumors are reviewed in this paper.
Cancer vaccines, oncolytic viruses (OVs), checkpoint blockade medications, adoptive cell transfer (ACT), chimeric antigen receptor (CAR) T-cells, and nanomedicine-based immunotherapies are among the novel immune-targeting therapies researched in glioblastoma. Key clinical trial outcomes and current trials for each method are presented from a clinical standpoint.
Finally, constraints, whether biological or due to trial design, are discussed, along with solutions for overcoming them. In glioblastoma, proof of efficacy for immunotherapy approaches has yet to be demonstrated, but our rapidly growing understanding of the disease's biology and immune microenvironment, as well as the emergence of novel promising combinatorial approaches, may allow researchers to finally meet the medical need for patients with glioblastoma multiforme (GBM).
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