Iwami Ken-ichiro, Natsume Atsushi, Wakabayashi Toshihiko
Department of Neurosurgery, Nagoya University School of Medicine, 65 Tsurumai-cho, Nagoya, Japan.
Neurol Med Chir (Tokyo). 2010;50(9):727-36. doi: 10.2176/nmc.50.727.
High-grade glioma is the most frequently occurring primary brain tumor and is associated with a poor prognosis. Current treatment regimens have had only a modest effect on the progressive course despite recent advances in surgery, radiotherapy, and chemotherapy. Gene therapy for brain tumors represents a novel and promising therapeutic approach and has been investigated clinically for the last two decades. The strategies of gene therapy include suicide gene therapy, immune gene therapy, oncolytic viral therapy, tumor suppressor gene therapy, and antisense therapy. Here, we review gene therapy approaches considering the clinical results, limitations, and future directions.
高级别胶质瘤是最常见的原发性脑肿瘤,且预后较差。尽管在手术、放疗和化疗方面取得了最新进展,但目前的治疗方案对其进展过程的影响仍较为有限。脑肿瘤的基因治疗是一种新颖且有前景的治疗方法,在过去二十年中一直在进行临床研究。基因治疗的策略包括自杀基因治疗、免疫基因治疗、溶瘤病毒治疗、肿瘤抑制基因治疗和反义治疗。在此,我们结合临床结果、局限性和未来方向对基因治疗方法进行综述。