Vauleon Elodie, Avril Tony, Collet Brigitte, Mosser Jean, Quillien Véronique
Département de Biologie, Centre Eugène Marquis, Rennes, France.
Clin Dev Immunol. 2010;2010. doi: 10.1155/2010/689171. Epub 2010 Oct 4.
High grade gliomas (HGG) including glioblastomas (GBM) are the most common and devastating primary brain tumours. Despite important progresses in GBM treatment that currently includes surgery combined to radio- and chemotherapy, GBM patients' prognosis remains very poor. Immunotherapy is one of the new promising therapeutic approaches that can specifically target tumour cells. Such an approach could also maintain long term antitumour responses without inducing neurologic defects. Since the past 25 years, adoptive and active immunotherapies using lymphokine-activated killer cells, cytotoxic T cells, tumour-infiltrating lymphocytes, autologous tumour cells, and dendritic cells have been tested in phase I/II clinical trials with HGG patients. This paper inventories these cellular immunotherapeutic strategies and discusses their efficacy, limits, and future perspectives for optimizing the treatment to achieve clinical benefits for GBM patients.
包括胶质母细胞瘤(GBM)在内的高级别胶质瘤(HGG)是最常见且最具破坏性的原发性脑肿瘤。尽管GBM治疗取得了重要进展,目前的治疗方法包括手术联合放疗和化疗,但GBM患者的预后仍然很差。免疫疗法是一种新的有前景的治疗方法,能够特异性地靶向肿瘤细胞。这种方法还可以维持长期的抗肿瘤反应而不引起神经缺陷。在过去25年中,使用淋巴因子激活的杀伤细胞、细胞毒性T细胞、肿瘤浸润淋巴细胞、自体肿瘤细胞和树突状细胞的过继性和主动免疫疗法已在HGG患者的I/II期临床试验中进行了测试。本文盘点了这些细胞免疫治疗策略,并讨论了它们的疗效、局限性以及优化治疗以实现GBM患者临床获益的未来前景。