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疫苗接种在胶质母细胞瘤的免疫治疗中的应用。

Vaccination in the immunotherapy of glioblastoma.

机构信息

a Department of Neurosurgery , Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing , China.

出版信息

Hum Vaccin Immunother. 2018 Feb 1;14(2):255-268. doi: 10.1080/21645515.2017.1388481. Epub 2017 Dec 11.

Abstract

Glioblastoma remains one of the most common central nervous system tumors with an extremely poor prognosis. Recently, rapid progress in immunotherapy has provided new options for the treatment of glioblastoma. Vaccination, the primary method of immunotherapy, stimulates the body's tumor-specific immune response by the injection of foreign antigens. Peptide vaccines involve the injection of tumor-specific antigens, such as EGFRvIII or heat-shock proteins. Cell-based vaccines, which primarily include dendritic cell vaccines and tumor cell vaccines, involve injections of ex vivo-modified cells. Despite the encouraging results of phase I/II clinical trials, no successful phase III clinical trials involving glioblastoma immunotherapy, including glioblastoma vaccinations, have been reported to date. In this review, the authors summarize the published outcomes of glioblastoma vaccine therapy, explore its future prospects based on ongoing clinical trials, and discuss combined therapy as a future direction for glioblastoma treatment.

摘要

胶质母细胞瘤仍然是最常见的中枢神经系统肿瘤之一,预后极差。最近,免疫疗法的快速发展为胶质母细胞瘤的治疗提供了新的选择。接种疫苗是免疫疗法的主要方法,通过注射外源抗原刺激机体的肿瘤特异性免疫反应。肽疫苗涉及注射肿瘤特异性抗原,如 EGFRvIII 或热休克蛋白。基于细胞的疫苗主要包括树突状细胞疫苗和肿瘤细胞疫苗,涉及注射体外修饰细胞。尽管 I/II 期临床试验的结果令人鼓舞,但迄今为止,尚无成功的 III 期临床试验涉及胶质母细胞瘤免疫治疗,包括胶质母细胞瘤疫苗接种。在这篇综述中,作者总结了已发表的胶质母细胞瘤疫苗治疗结果,根据正在进行的临床试验探讨其未来前景,并讨论联合治疗作为胶质母细胞瘤治疗的未来方向。

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