Srinivasan Visish M, Ferguson Sherise D, Lee Sungho, Weathers Shiao-Pei, Kerrigan Brittany C Parker, Heimberger Amy B
Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA.
Department of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Neurotherapeutics. 2017 Apr;14(2):345-357. doi: 10.1007/s13311-017-0522-2.
Despite continued research efforts, glioblastoma multiforme (GBM) remains the deadliest brain tumor. Immunotherapy offers a novel way to treat this disease, the genetic signature of which is not completely elucidated. Additionally, these tumors are known to induce immunosuppression in the surrounding tumor microenvironment via an array of mechanisms, making effective treatment all the more difficult. The immunotherapeutic strategy of using tumor vaccines offers a way to harness the activity of the host immune system to potentially control tumor progression. GBM vaccines can react to a variety of tumor-specific antigens, which can be harvested from the patient's unique pathological condition using selected immunotherapy techniques. This article reviews the rationale behind and development of GBM vaccines, the relevant clinical trials, and the challenges involved in this treatment strategy.
尽管一直在进行研究,但多形性胶质母细胞瘤(GBM)仍然是最致命的脑肿瘤。免疫疗法为治疗这种疾病提供了一种新方法,其基因特征尚未完全阐明。此外,已知这些肿瘤会通过一系列机制在周围肿瘤微环境中诱导免疫抑制,这使得有效治疗变得更加困难。使用肿瘤疫苗的免疫治疗策略提供了一种利用宿主免疫系统活性来潜在控制肿瘤进展的方法。GBM疫苗可以对多种肿瘤特异性抗原产生反应,这些抗原可以使用选定的免疫治疗技术从患者独特的病理状况中获取。本文综述了GBM疫苗的理论基础、发展、相关临床试验以及这种治疗策略所涉及的挑战。