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运动疗法在增强胶质瘤药物治疗中的作用和机制:一篇综述

英文原题:Role and mechanisms of exercise therapy in enhancing drug treatment for glioma: a review.

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Role and mechanisms of exercise therapy in enhancing drug treatment for glioma: a review.

PubMed 2025/04/30(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

胶质瘤,尤其是胶质母细胞瘤(GBM),是治疗难度最大、侵袭性最强的脑肿瘤之一。尽管当前化疗、放疗和靶向治疗等手段在一定程度上延长了患者的生存期,但其疗效仍然有限,且常伴随严重的副作用。近年来,运动疗法作为一种辅助治疗手段在临床和研究中受到越来越多的关注。运动不仅能够改善患者的身体功能和认知能力,还可能通过调节免疫系统、抑制炎症反应以及改善血脑屏障通透性来增强常规药物治疗的疗效。本综述总结了运动在胶质瘤治疗中的潜在机制,包括通过激活自然杀伤(NK)细胞和T细胞增强免疫监视,以及通过改善血脑屏障功能增加药物渗透。此外,研究表明运动可与化疗和免疫治疗产生协同作用,在改善治疗效果的同时减少药物相关副作用。尽管运动疗法在胶质瘤患者中的应用仍处于探索阶段,但现有证据表明其作为辅助手段具有重要的临床价值,未来有望成为胶质瘤治疗的新标准。

展开英文摘要原文

Gliomas, particularly glioblastoma (GBM), are among the most aggressive and challenging brain tumors to treat. Although current therapies such as chemotherapy, radiotherapy, and targeted treatments have extended patient survival to some extent, their efficacy remains limited and is often accompanied by severe side effects. In recent years, exercise therapy has gained increasing attention as an adjunctive treatment in clinical and research settings.

Exercise not only improves patients' physical function and cognitive abilities but may also enhance the efficacy of conventional drug treatments by modulating the immune system, suppressing inflammatory responses, and improving blood-brain barrier permeability. This review summarizes the potential mechanisms of exercise in glioma treatment, including enhancing immune surveillance through activation of natural killer (NK) cells and T cells, and increasing drug penetration by improving blood-brain barrier function.

Additionally, studies suggest that exercise can synergize with chemotherapy and immunotherapy, improving treatment outcomes while reducing drug-related side effects. Although the application of exercise therapy in glioma patients is still in the exploratory phase, existing evidence indicates its significant clinical value as an adjunctive approach, with the potential to become a new standard in glioma treatment in the future.

论文信息

作者
Wu G、Chen Y、Chen C、Liu J、Wu Q、Zhang Y、Chen R、Xiao J
单位
Department of Neurosurgery, Ningde Clinical Medical College, Fujian Medical University, Ningde, Fujian, China.China
文献类型
综述
期刊
Frontiers in immunology2025
原文标识
PubMed 40370453 · DOI 10.3389/fimmu.2025.1576283