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基于细胞和病毒的免疫疗法在恶性胶质瘤中的潜力——树突状细胞疫苗、过继性细胞转移和溶瘤病毒

The Potential of Cellular- and Viral-Based Immunotherapies for Malignant Glioma-Dendritic Cell Vaccines, Adoptive Cell Transfer, and Oncolytic Viruses.

作者信息

Maxwell Russell, Luksik Andrew S, Garzon-Muvdi Tomas, Lim Michael

机构信息

Department of Neurosurgery, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Neurosurgery - Phipps 123, Baltimore, MD, 21287, USA.

出版信息

Curr Neurol Neurosci Rep. 2017 Jun;17(6):50. doi: 10.1007/s11910-017-0754-x.

Abstract

PURPOSE OF REVIEW

Malignant gliomas, including glioblastoma and anaplastic astrocytoma, are the most frequent primary brain tumors and present with many treatment challenges. In this review, we discuss the potential of cellular- and viral-based immunotherapies in the treatment of malignant glioma, specifically focusing on dendritic cell vaccines, adoptive cell therapy, and oncolytic viruses.

RECENT FINDINGS

Diverse cellular- and viral-based strategies have been engineered and optimized to generate either a specific or broad antitumor immune response in malignant glioma. Due to their successes in the preclinical arena, many of these therapies have undergone phase I and II clinical testing. These early clinical trials have demonstrated the feasibility, safety, and efficacy of these immunotherapies. Dendritic cell vaccines, adoptive cell transfer, and oncolytic viruses may have a potential role in the treatment of malignant glioma. However, these modalities must be investigated in well-designed phase III trials to prove their efficacy.

摘要

综述目的

恶性胶质瘤,包括胶质母细胞瘤和间变性星形细胞瘤,是最常见的原发性脑肿瘤,存在诸多治疗挑战。在本综述中,我们讨论基于细胞和病毒的免疫疗法在恶性胶质瘤治疗中的潜力,特别关注树突状细胞疫苗、过继性细胞疗法和溶瘤病毒。

最新发现

已设计并优化了多种基于细胞和病毒的策略,以在恶性胶质瘤中产生特异性或广泛的抗肿瘤免疫反应。由于它们在临床前领域取得的成功,其中许多疗法已进入I期和II期临床试验。这些早期临床试验已证明了这些免疫疗法的可行性、安全性和有效性。树突状细胞疫苗、过继性细胞转移和溶瘤病毒可能在恶性胶质瘤治疗中发挥潜在作用。然而,这些方法必须在精心设计的III期试验中进行研究,以证明其疗效。

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