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:Glioblastoma Vaccines as Promising Immune-Therapeutics: Challenges and Current Status.
Glioblastoma Vaccines as Promising Immune-Therapeutics: Challenges and Current Status.
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胶质母细胞瘤(GBM)是最常见且最具侵袭性的恶性脑肿瘤。包括手术切除、放疗和化疗在内的标准治疗未能显著改善胶质母细胞瘤患者的预后。目前,基于疫苗、CAR-T 细胞、检查点抑制剂和溶瘤病毒疗法的免疫治疗方法在临床试验中显示出有希望的结果。不同免疫治疗方法的联合应用被证明是令人满意且有前景的。鉴于免疫治疗面临的挑战和胶质母细胞瘤的耐药性,这些肿瘤的治疗需要进一步努力。在这篇综述中,我们探讨了可能影响免疫治疗应答疗效且应在临床试验中加以考虑的障碍。本文对胶质母细胞瘤的疫苗治疗进行了全面综述。此外,我们还确定了主要生物标志物,包括异柠檬酸脱氢酶、表皮生长因子受体和端粒酶逆转录酶,这些被认为是胶质母细胞瘤中潜在的免疫治疗靶点,以及临床试验的当前状况。本文还列出了克服胶质母细胞瘤免疫治疗所面临障碍的拟议解决方案。
Glioblastoma (GBM) is the most common and aggressive malignant brain tumor. Standard treatments including surgical resection, radiotherapy, and chemotherapy, have failed to significantly improve the prognosis of glioblastoma patients. Currently, immunotherapeutic approaches based on vaccines, chimeric antigen-receptor T-cells, checkpoint inhibitors, and oncolytic virotherapy are showing promising results in clinical trials.
The combination of different immunotherapeutic approaches is proving satisfactory and promising. In view of the challenges of immunotherapy and the resistance of glioblastomas, the treatment of these tumors requires further efforts. In this review, we explore the obstacles that potentially influence the efficacy of the response to immunotherapy and that should be taken into account in clinical trials. This article provides a comprehensive review of vaccine therapy for glioblastoma.
In addition, we identify the main biomarkers, including isocitrate dehydrogenase, epidermal growth factor receptor, and telomerase reverse transcriptase, known as potential immunotherapeutic targets in glioblastoma, as well as the current status of clinical trials. This paper also lists proposed solutions to overcome the obstacles facing immunotherapy in glioblastomas.
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