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胶质母细胞瘤的微环境:追寻通用多模式免疫治疗

英文原题:The microenvironment of glioblastoma: in pursuit of universal multimodal immunotherapy.

查看英文原题

The microenvironment of glioblastoma: in pursuit of universal multimodal immunotherapy.

PubMed 2025/10/27(内容时间) Acta Neurol Belg Q3 · IF 2(JCR 2025)

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中文摘要

胶质母细胞瘤(GBM)是一种高度恶性的原发性脑肿瘤,具有异质性、浸润性生长和预后不良等特点。标准治疗包括手术、放疗和化疗。尽管治疗选择仍有限,免疫治疗可通过增强免疫系统抑制肿瘤生长,为标准治疗后复发的GBM患者带来新希望。肿瘤免疫微环境(TME)在GBM进展和免疫治疗耐药中发挥关键作用。活化免疫细胞能够穿透远处及难以进入的肿瘤区域,因此免疫治疗是一种可行的替代方案。免疫治疗已改善多种癌症患者的结局,也可能为GBM患者提供更有效的新治疗选择。为应对GBM患者的先天和获得性免疫应答,研究者目前正在探索多种免疫治疗方法。免疫检查点机制正成为有前景的靶点,此外,CAR-T 细胞疗法也为提高治疗效果带来新希望。深入理解TME、免疫检查点和治疗方式之间的相互作用,对于制定新的治疗标准至关重要。因此,本综述讨论胶质母细胞瘤免疫治疗的近期进展、挑战和未来方向。

展开英文摘要原文

Glioblastoma (GBM) is a highly malignant primary brain tumor known for its heterogeneity, infiltrative growth, and poor prognosis. Standard treatment includes surgery, radiation, and chemotherapy. Although the therapeutic options remain limited, immunotherapy provides new hope for treating GBM that has relapsed following standard therapies by boosting the immune system to inhibit tumor growth. The tumor immune microenvironment (TME) plays crucial roles in GBM progression and immunotherapy resistance.

Since activated immune cells can penetrate far-off and impenetrable tumor cells, immunotherapy is a viable alternative. Immunotherapy has improved patient outcomes for a number of cancers and may offer GBM patients new, more efficient treatment options. To address both the innate and acquired immune responses in GBM patients, researchers are currently investigating a variety of immunotherapeutic approaches. Immune checkpoint mechanisms are emerging as promising targets.

Furthermore, CAR-T-cell therapy offers new hope for enhancing treatment efficacy. Understanding the interplay between the TME, immune checkpoints, and therapeutic modalities is crucial for developing new standards of treatment.

Thus, this review discusses recent advancements, challenges, and future directions in immunotherapy for patients with glioblastoma.

论文信息

作者
Kharwar RK、Loginova N、Aniskin D、Tskhovrebova S、Mitrofanov A、Ulasov I、Antoshina K
单位
Endocrine Research Laboratory, Department of Zoology, University of Lucknow, Lucknow, India. rkkharwar1982@gmail.com.India
文献类型
综述
期刊
Acta neurologica Belgica2026 Jun
原文标识
PubMed 41144130 · DOI 10.1007/s13760-025-02929-2