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胶质母细胞瘤细胞免疫诊疗方法的进展:当前趋势与未来方向

英文原题:Advances in Cellular Immune Theranostic Approaches for Glioblastoma: Current Trends and Future Directions.

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Advances in Cellular Immune Theranostic Approaches for Glioblastoma: Current Trends and Future Directions.

PubMed 2025/07/03(内容时间) Cancer Innov Q2 · IF 4.1(JCR 2025)

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中文摘要

胶质母细胞瘤是一种高度恶性的脑肿瘤,由于其侵袭性、遗传异质性和免疫抑制性肿瘤微环境,仍然是治疗最具挑战性的癌症之一。尽管手术、放疗和化疗等标准治疗取得了进展,但患者的预后仍然很差,这推动了对创新治疗方法的需求。细胞免疫诊疗一体化结合了治疗和诊断能力,已成为对抗胶质母细胞瘤的一种有前景的策略。本综述讨论了细胞免疫治疗的最新进展,包括CAR-T 细胞、嵌合抗原受体NK 细胞和基于巨噬细胞的疗法的开发与应用。

此外,本综述强调了溶瘤病毒和个性化肿瘤疫苗在改善免疫治疗结局方面的潜力。通过免疫生物标志物和成像技术实时监测治疗反应等先进诊断工具的整合,被强调为优化治疗策略的关键。

然而,重要挑战仍然存在,包括免疫细胞工程的复杂性、治疗药物跨越血脑屏障递送的困难,以及肿瘤微环境的免疫抑制特性。通过创新方法克服这些挑战,对于提高细胞免疫诊疗一体化在胶质母细胞瘤治疗中的疗效至关重要,最终目标是改善患者生存和生活质量。

展开英文摘要原文

Glioblastoma is a highly malignant type of brain tumor that remains one of the most challenging cancers to treat because of its aggressive nature, genetic heterogeneity, and immunosuppressive tumor microenvironment. Despite advances in standard treatments, such as surgery, radiation, and chemotherapy, patient outcomes remain poor, driving the need for innovative therapeutic approaches.

Cellular immune theranostics, which combines therapeutic and diagnostic capabilities, has emerged as a promising strategy to combat glioblastoma. The present review discusses recent advances in cellular immunotherapy, including the development and application of chimeric antigen receptor T cells, chimeric antigen receptor natural killer cells, and macrophage-based therapies.

In addition, this review highlights the potential of oncolytic viruses and personalized tumor vaccines for improving immunotherapy outcomes. The integration of advanced diagnostic tools, such as the real-time monitoring of therapeutic responses through immunobiomarkers and imaging techniques, is emphasized as crucial for optimizing treatment strategies.

However, important challenges remain, including the complexity of immune cell engineering, the difficulties of therapeutic delivery across the blood-brain barrier, and the immunosuppressive properties of the tumor microenvironment. Overcoming these challenges through innovative methodologies will be vital for improving the efficacy of cellular immune theranostics in the treatment of glioblastoma, with the ultimate goal of improving patient survival and quality of life.

论文信息

作者
Gong Y、Lin W、Fang X、Zhang R、Luo M、Wu H、Chu S、Li C
单位
Department of Laboratory Medicine, Guangdong Provincial Key Laboratory of Precision Medical Diagnostics, Guangdong Provincial Key Laboratory of Single-cell and Extracellular Vesicles Guangdong Engineering and Technology Research Center for Rapid Diagnostic Biosensors, Nanfang Hospital Southern Medical University Guangdong Guangzhou China.China
文献类型
综述
期刊
Cancer innovation2025 Aug
原文标识
PubMed 40620486 · DOI 10.1002/cai2.70018