Kim Won, Liau Linda M
UCLA Department of Neurosurgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, CHS 74-145, Los Angeles, CA 90095-6901, USA.
Neurosurg Clin N Am. 2010 Jan;21(1):139-57. doi: 10.1016/j.nec.2009.09.005.
Over the past decade, dendritic cell-based immunotherapy for central nervous system tumors has progressed from preclinical rodent models and safety assessments to phase I/II clinical trials in over 200 patients, which have produced measurable immunologic responses and some prolonged survival rates. Many questions regarding the methods and molecular mechanisms behind this new treatment option, however, remain unanswered. Results from currently ongoing and future studies will help to elucidate which dendritic cell preparations, treatment protocols, and adjuvant therapeutic regimens will optimize the efficacy of dendritic cell vaccination. As clinical studies continue to report results on dendritic cell-mediated immunotherapy, it will be critical to continue refining treatment methods and developing new ways to augment this promising form of glioma treatment.
在过去十年中,基于树突状细胞的中枢神经系统肿瘤免疫疗法已从临床前啮齿动物模型和安全性评估发展到针对200多名患者的I/II期临床试验,这些试验产生了可测量的免疫反应和一些延长的生存率。然而,关于这种新治疗选择背后的方法和分子机制的许多问题仍未得到解答。目前正在进行的和未来的研究结果将有助于阐明哪种树突状细胞制剂、治疗方案和辅助治疗方案将优化树突状细胞疫苗接种的疗效。随着临床研究不断报告树突状细胞介导的免疫疗法的结果,持续改进治疗方法并开发新方法以增强这种有前景的胶质瘤治疗形式将至关重要。