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胶质母细胞瘤基于 NKT 的免疫治疗最新进展:从实验室到临床

英文原题:Recent Development in NKT-Based Immunotherapy of Glioblastoma: From Bench to Bedside.

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Recent Development in NKT-Based Immunotherapy of Glioblastoma: From Bench to Bedside.

PubMed 2022/01/24(内容时间) Int J Mol Sci Q1 · IF 5.6(JCR 2025)

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中文摘要

多形性胶质母细胞瘤(GBM)是一种侵袭性强且预后极差的疾病,中位总生存期约为15个月,5年生存率为7.2%。由于基因突变、耐药性、血脑屏障(BBB)/血脑肿瘤屏障(BBTB)的破坏以及免疫抑制环境的复杂性,GBM的治疗方法仍面临重大挑战。传统疗法,包括手术、放疗和替莫唑胺标准化疗,并未使GBM患者的总生存期获得令人满意的改善。在癌症免疫治疗方法中,我们提出,采用恒定自然杀伤T(iNKT)细胞和细胞因子诱导的杀伤(CIK)细胞的辅助NKT免疫治疗可能改善这一毁灭性疾病的临床状况。鉴于此,本文主要基于体外/体内实验、临床试验以及具有未来治疗潜力的联合方案,讨论当前针对GBM的NKT治疗策略。

展开英文摘要原文

Glioblastoma multiforme (GBM) is an aggressive and dismal disease with a median overall survival of around 15 months and a 5-year survival rate of 7. 2%. Owing to genetic mutations, drug resistance, disruption to the blood-brain barrier (BBB)/blood-brain tumor barrier (BBTB), and the complexity of the immunosuppressive environment, the therapeutic approaches to GBM represent still major challenges. Conventional therapies, including surgery, radiotherapy, and standard chemotherapy with temozolomide, have not resulted in satisfactory improvements in the overall survival of GBM patients.

Among cancer immunotherapeutic approaches, we propose that adjuvant NKT immunotherapy with invariant NKT (iNKT) and cytokine-induced killer (CIK) cells may improve the clinical scenario of this devastating disease. Considering this, herein, we discuss the current strategies of NKT therapy for GBM based primarily on in vitro/in vivo experiments, clinical trials, and the combinatorial approaches with future therapeutic potential.

论文信息

作者
Li Y、Sharma A、Maciaczyk J、Schmidt-Wolf IGH
单位
Center for Integrated Oncology (CIO), Department of Integrated Oncology, University Hospital Bonn, 53127 Bonn, Germany.Germany
文献类型
综述
期刊
International journal of molecular sciences2022 Jan 24
原文标识
PubMed 35163235 · DOI 10.3390/ijms23031311