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:Progress in phase III clinical trials of molecular targeted therapy and immunotherapy for glioblastoma.
Progress in phase III clinical trials of molecular targeted therapy and immunotherapy for glioblastoma.
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胶质母细胞瘤(GBM)是最常见的原发性中枢神经系统肿瘤,在序贯标准治疗下,如神经外科手术后继以替莫唑胺同步放化疗和辅助替莫唑胺化疗,伴或不伴肿瘤电场治疗,其预后仍然很差。因此,分子靶向治疗和免疫治疗的出现开启了肿瘤管理的新时代。多种靶向药物已在 GBM 患者的 III 期临床试验中进行了测试。然而,这些药物并非对所有患者都有效,这些试验中只有少数患者表现出生存期延长即为明证。此外,还有多项已发表的 III 期临床试验涉及免疫检查点抑制剂、肽疫苗、树突状细胞疫苗和病毒治疗。因此,本综述全面概述了现有的胶质瘤靶向药物和免疫治疗研究,并讨论了胶质瘤靶向药物和免疫治疗面临的挑战与前景,以阐明未来的方向。
Glioblastoma (GBM) is the most common primary central nervous system tumor, whose prognosis remains poor under the sequential standard of care, such as neurosurgery followed by concurrent temozolomide radiochemotherapy and adjuvant temozolomide chemotherapy in the presence or absence of tumor treating fields. Accordingly, the advent of molecular targeted therapy and immunotherapy has opened a new era of tumor management. A diverse range of targeted drugs have been tested in patients with GBM in phase III clinical trials.
However, these drugs are ineffective for all patients, as evidenced by the fact that only a minority of patients in these trials showed prolonged survival.
Furthermore, there are several published phase III clinical trials that involve immune checkpoint inhibitors, peptide vaccines, dendritic cell vaccines, and virotherapy. Accordingly, this review comprehensively overviews existing studies of targeted drugs and immunotherapy for glioma and discusses the challenge and perspective of targeted drugs and immunotherapy for glioma to clarify future directions.
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