Ren Pei-Pei, Li Ming, Li Tian-Fang, Han Shuang-Yin
Translational Research Center, People's Hospital of Henan Province, Zhengzhou University, Zhengzhou 450003, China.
Departmentt of Neurosurgery, People's Hospital of Henan Province, Zhengzhou University, Zhengzhou 450003, China.
Curr Pharm Des. 2017;23(14):2113-2116. doi: 10.2174/1381612823666170316125402.
Glioblastoma (GBM) is one of the most devastating brain tumors with poor prognosis and high mortality. Although radical surgical treatment with subsequent radiation and chemotherapy can improve the survival, the efficacy of such regimens is insufficient because the GBM cells can spread and destroy normal brain structures. Moreover, these non-specific treatments may damage adjacent healthy brain tissue. It is thus imperative to develop novel therapies to precisely target invasive tumor cells without damaging normal tissues. Immunotherapy is a promising approach due to its capability to suppress the growth of various tumors in preclinical model and clinical trials. Adoptive cell therapy (ACT) using T cells engineered with chimeric antigen receptor (CAR) targeting an ideal molecular marker in GBM, e.g. epidermal growth factor receptor type III (EGFRvIII) has demonstrated a satisfactory efficacy in treating malignant brain tumors. Here we summarize the recent progresses in immunotherapeutic strategy using CAR-modified T cells oriented to EGFRvIII against GBM.
胶质母细胞瘤(GBM)是最具毁灭性的脑肿瘤之一,预后差且死亡率高。尽管后续进行放疗和化疗的根治性手术治疗可提高生存率,但由于GBM细胞会扩散并破坏正常脑结构,此类治疗方案的疗效并不充分。此外,这些非特异性治疗可能会损害相邻的健康脑组织。因此,开发能够精确靶向侵袭性肿瘤细胞而不损伤正常组织的新型疗法势在必行。免疫疗法因其在临床前模型和临床试验中抑制各种肿瘤生长的能力,是一种很有前景的方法。使用靶向GBM中理想分子标志物(如III型表皮生长因子受体(EGFRvIII))的嵌合抗原受体(CAR)工程化T细胞进行过继性细胞治疗(ACT),已在治疗恶性脑肿瘤方面显示出令人满意的疗效。在此,我们总结了针对GBM的、以EGFRvIII为导向的CAR修饰T细胞免疫治疗策略的最新进展。