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应对胶质母细胞瘤的免疫挑战:探索克服免疫抑制的免疫治疗途径

英文原题:Navigating the Immune Challenge in Glioblastoma: Exploring Immunotherapeutic Avenues for Overcoming Immune Suppression.

查看英文原题

Navigating the Immune Challenge in Glioblastoma: Exploring Immunotherapeutic Avenues for Overcoming Immune Suppression.

PubMed 2023/09/27(内容时间) Cureus

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中文摘要

多形性胶质母细胞瘤(GBM)是一种原发性脑肿瘤,从确诊至死亡的生存时间通常仅为14至18个月。血脑屏障难以穿透、GBM内部免疫抑制状态以及手术操作复杂等因素,使GBM治疗面临重大挑战。目前典型治疗方案为手术、放疗及替莫唑胺化疗联合应用,但尚未能显著延长患者生存。因此,研究人员正探索GBM治疗的替代方法,近年来备受关注的一条途径是免疫治疗。免疫疗法已成功用于非小细胞肺癌和血液系统恶性肿瘤。当前正在研究的GBM免疫治疗策略包括免疫检查点抑制剂、疫苗、嵌合抗原受体(CAR)T细胞疗法及溶瘤病毒。本文系统回顾了过去10年发表的26项高质量研究,全面检索了PubMed和Google Scholar等数据库。综述结果提示,尽管免疫治疗策略显示出希望,其在GBM治疗实际应用中仍面临显著局限和挑战。研究强调,多种策略联合、根据患者个体情况定制治疗及持续开展研究,对于改善GBM患者预后十分重要。

展开英文摘要原文

Glioblastoma multiforme (GBM) is a primary brain tumor known for its short survival time, typically 14-18 months from diagnosis to fatality. Managing GBM poses significant challenges due to factors like the formidable blood-brain barrier, the immunosuppressive conditions within GBM, and the intricacies of surgical procedures. Currently, the typical treatment for GBM combines surgical procedures, radiation therapy, and chemotherapy using temozolomide. Unfortunately, this conventional approach has not proven effective in substantially extending the lives of GBM patients. Consequently, researchers are exploring alternative methods for GBM management. One promising avenue receiving attention in recent years is immunotherapy. This approach has successfully treated cancer types like non-small cell lung cancer and blood-related malignancies.

Various immunotherapeutic strategies are currently under investigation for GBM treatment, including checkpoint inhibitors, vaccines, chimeric antigen receptor (CAR) T-cell therapy, and oncolytic viruses. A comprehensive review of 26 high-quality studies conducted over the past decade, involving thorough searches of databases such as PubMed and Google Scholar, has been conducted.

The findings from this review suggest that while immunotherapeutic strategies show promise, they face significant limitations and challenges in practical application for GBM treatment. The study emphasizes the importance of combining diverse approaches, customizing treatments for individual patients, and ongoing research efforts to improve GBM patients' outlook.

论文信息

作者
Jain P、Vashist S、Panjiyar BK
第一作者单位
Internal Medicine, Maulana Azad Medical College, Delhi, IND.
通讯作者单位
Medicine, Harvard Medical School, Boston, USA.United States
文献类型
综述
期刊
Cureus2023 Sep
原文标识
PubMed 37900496 · DOI 10.7759/cureus.46089