Khansur Emaad M, Shah Ashish H, Lacy Kyle, Kuchakulla Manish, Komotar Ricardo J
School of Medicine, University of Mississippi Medical Center.
Department of Neurological Surgery, University of Miami Miller School of Medicine.
Cureus. 2018 Jan 30;10(1):e2130. doi: 10.7759/cureus.2130.
Despite surgical resection and adjuvant chemoradiation, survival for glioblastoma remains poor. Because of the dismal prognosis, attention has shifted to alternative adjuvant treatment modalities. Although traditionally limited to systemic malignancies (melanoma, lung and colon cancer), the field of immunotherapy has recently identified glioblastoma as a potential target for new treatments. Anti-tumor vaccines (dendritic cell/heat shock), checkpoint inhibitors, chimeric T-cell receptors, and virotherapy all have been preliminarily trialed in glioblastoma patients with reasonable success and safety. Although there are limitations due to autoimmune reactions and immune escape, immunotherapeutics hold much promise in the future treatment paradigms for malignant glioma.
尽管进行了手术切除和辅助放化疗,但胶质母细胞瘤患者的生存率仍然很低。由于预后不佳,人们的注意力已转向其他辅助治疗方式。免疫疗法领域传统上仅限于治疗全身性恶性肿瘤(黑色素瘤、肺癌和结肠癌),但最近已将胶质母细胞瘤确定为新治疗方法的潜在靶点。抗肿瘤疫苗(树突状细胞/热休克疫苗)、检查点抑制剂、嵌合T细胞受体和病毒疗法均已在胶质母细胞瘤患者中进行了初步试验,取得了一定的成功且安全性良好。尽管存在自身免疫反应和免疫逃逸等局限性,但免疫疗法在恶性胶质瘤的未来治疗模式中仍具有很大的前景。