Department of Clinical and Experimental Oncology, Medical Oncology 1, Veneto Institute of Oncology, IOV - IRCCS, Padua, Italy.
Immunlogy and Molecolar Oncology Unit, Veneto Institute of Oncology, IOV - IRCCS, Padua, Italy.
Crit Rev Oncol Hematol. 2019 Mar;135:128-134. doi: 10.1016/j.critrevonc.2018.12.002. Epub 2019 Feb 1.
Glioblastoma is the most aggressive and most common primary brain tumor in adults, with a very poor prognosis, due to limited therapeutic efficacy of available treatments. The promising data deriving from the use of immune checkpoint inhibitors (ICI) in other cancers have prompted evaluation of its efficacy and possible use in patients with glioblastoma. In this review, we analyzed the available data about these drugs in glioblastoma. Although data are not yet mature and preliminary studies do not show a clear-cut benefit, we are far from excluding the concrete possibility of using ICI as potential treatment in patients with glioblastoma. Moreover, many molecular and immunological aspects of this approach have yet to be clarified. For this reason, it is essential to identify potential predictive biomarkers for the selection of patients who will benefit most from treatment with ICI. Additional effort is needed to better understand the mechanisms that will allow us to establish whether ICI have a place in the treatment of patients with glioblastoma.
胶质母细胞瘤是成人中最具侵袭性和最常见的原发性脑肿瘤,由于现有治疗方法的疗效有限,预后非常差。免疫检查点抑制剂(ICI)在其他癌症中的应用带来了有希望的数据,促使人们评估其在胶质母细胞瘤患者中的疗效和可能的应用。在这篇综述中,我们分析了这些药物在胶质母细胞瘤中的现有数据。尽管数据尚未成熟,初步研究并未显示出明显的获益,但我们远不能排除将 ICI 用作胶质母细胞瘤潜在治疗方法的具体可能性。此外,这种方法的许多分子和免疫学方面仍有待阐明。因此,确定潜在的预测生物标志物以选择最受益于 ICI 治疗的患者至关重要。需要进一步努力来更好地理解这些机制,以确定 ICI 是否在胶质母细胞瘤患者的治疗中有一席之地。