CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Immunotherapy of glioblastoma: Recent advances and future prospects.
Immunotherapy of glioblastoma: Recent advances and future prospects.
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胶质母细胞瘤(GBM)是最常见、最具侵袭性的原发性恶性脑肿瘤,预后极差。尽管采用手术切除联合替莫唑胺放化疗的积极标准治疗,患者的中位总生存期仍不超过15个月,原因在于显著的肿瘤异质性、肿瘤免疫微环境诱导的免疫抑制以及低突变负荷。免疫治疗方法的进展已彻底改变了多种癌症类型的治疗,在概念上对胶质母细胞瘤也具有吸引力。在本综述中,我们概述了免疫靶向的基础知识以及近期在胶质母细胞瘤中研究的有前景的免疫治疗策略,包括CAR-T 细胞、溶瘤病毒、癌症疫苗和检查点阻断抑制剂。我们讨论了当前的临床试验和既往临床试验发现,为克服各种局限性和挑战的新策略提供启示。
Glioblastoma (GBM) stands out as the most common, aggressive form of primary malignant brain tumor conferring a devastatingly poor prognosis. Despite aggressive standard-of-care in surgical resection and chemoradiation with temozolomide, the median overall survival of patients still remains no longer than 15 months, due to significant tumor heterogeneity, immunosuppression induced by the tumor immune microenvironment and low mutational burden.
Advances in immunotherapeutic approaches have revolutionized the treatment of various cancer types and become conceptually attractive for glioblastoma. In this review, we provide an overview of the basic knowledge underlying immune targeting and promising immunotherapeutic strategies including CAR T cells, oncolytic viruses, cancer vaccines, and checkpoint blockade inhibitors that have been recently investigated in glioblastoma.
Current clinical trials and previous clinical trial findings are discussed, shedding light on novel strategies to overcome various limitations and challenges.
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