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靶向胶质瘤治疗中的固有免疫

英文原题:Targeting Innate Immunity in Glioma Therapy.

查看英文原题

Targeting Innate Immunity in Glioma Therapy.

PubMed 2024/01/12(内容时间) Int J Mol Sci Q1 · IF 5.6(JCR 2025)

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中文摘要

目前,对于大多数胶质母细胞瘤(GBM)——最常见且最具恶性的原发性脑肿瘤——仍缺乏有效的治疗方法。尽管免疫疗法在治疗多种类型的癌症中显示出前景,但在改善 GBM 患者的总生存期方面取得的成功有限。因此,推进 GBM 治疗需要更深入地理解导致免疫治疗耐药的分子和细胞机制。进一步了解固有免疫反应对于开发更有效的脑肿瘤治疗方法至关重要。我们的综述简要概述了固有免疫。此外,我们讨论了当前旨在增强胶质瘤固有免疫的治疗方法。这些方法包括激活 Toll 样受体、诱导应激反应、增强固有免疫反应、利用干扰素 I 型疗法、治疗性抗体、免疫检查点抗体、自然杀伤(NK)细胞和溶瘤病毒疗法,以及调控微生物组。临床前和临床研究均表明,更好地理解 GBM 中固有免疫反应的调控机制,可能增强免疫治疗并强化化疗和放疗的效果。因此,更全面地理解针对癌症的固有免疫反应,应能带来更好的预后和 GBM 患者总生存期的提高。

展开英文摘要原文

Currently, there is a lack of effective therapies for the majority of glioblastomas (GBMs), the most common and malignant primary brain tumor. While immunotherapies have shown promise in treating various types of cancers, they have had limited success in improving the overall survival of GBM patients.

Therefore, advancing GBM treatment requires a deeper understanding of the molecular and cellular mechanisms that cause resistance to immunotherapy.

Further insights into the innate immune response are crucial for developing more potent treatments for brain tumors.

Our review provides a brief overview of innate immunity. In addition, we provide a discussion of current therapies aimed at boosting the innate immunity in gliomas. These approaches encompass strategies to activate Toll-like receptors, induce stress responses, enhance the innate immune response, leverage interferon type-I therapy, therapeutic antibodies, immune checkpoint antibodies, natural killer (NK) cells, and oncolytic virotherapy, and manipulate the microbiome.

Both preclinical and clinical studies indicate that a better understanding of the mechanisms governing the innate immune response in GBM could enhance immunotherapy and reinforce the effects of chemotherapy and radiotherapy. Consequently, a more comprehensive understanding of the innate immune response against cancer should lead to better prognoses and increased overall survival for GBM patients.

论文信息

作者
Gillard AG、Shin DH、Hampton LA、Lopez-Rivas A、Parthasarathy A、Fueyo J、Gomez-Manzano C
单位
Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.United States
文献类型
综述
期刊
International journal of molecular sciences2024 Jan 12
原文标识
PubMed 38256021 · DOI 10.3390/ijms25020947