Felthun Jonathan, Reddy Rajesh, McDonald Kerrie Leanne
Faculty of Medicine, University of New South Wales, Sydney, Australia.
Faculty of Medicine, University of New South Wales, Sydney, Australia; Department of Neurosurgery, Prince of Wales Hospital, Sydney, Australia.
J Clin Neurosci. 2018 Jan;47:20-27. doi: 10.1016/j.jocn.2017.10.019. Epub 2017 Oct 15.
The diagnosis of glioblastoma remains one of the most dismal in medical practice, with current standard care only providing a median survival of 14.6 months. The need for new therapies is desperately clear. Components of the tumour microenvironment are demonstrating growing importance in the field, given they allow the tumour to utilise pathways involved in autoimmune prevention, something that enables the tumour's establishment and growth. As with many different cancers, the search for a new standard has progressed to the design of immunotherapies, which aim to counteract the immune changes within this microenvironment. Serotherapy, adoptive lymphocyte transfer, peptide and dendritic cell vaccines and a range of other methods are currently under investigation, while intracranial infection has also been researched for its capacity to reverse glioblastoma mediated immunosuppression. Some of these new therapies have shown promise, but it is a long road ahead before their incorporation into glioblastoma standard therapy.
胶质母细胞瘤的诊断仍然是医学实践中最令人沮丧的诊断之一,目前的标准治疗方案仅能提供14.6个月的中位生存期。对新疗法的需求极其迫切。肿瘤微环境的组成部分在该领域正显示出越来越重要的作用,因为它们使肿瘤能够利用参与自身免疫预防的途径,而这有助于肿瘤的形成和生长。与许多不同类型的癌症一样,寻找新标准的工作已进展到免疫疗法的设计,其目的是对抗这种微环境内的免疫变化。血清疗法、过继性淋巴细胞转移、肽和树突状细胞疫苗以及一系列其他方法目前正在研究中,同时颅内感染因其逆转胶质母细胞瘤介导的免疫抑制的能力也得到了研究。其中一些新疗法已显示出前景,但要将它们纳入胶质母细胞瘤的标准治疗还有很长的路要走。