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当前胶质母细胞瘤的免疫治疗现状:着眼于未来。

The current state of immunotherapy for gliomas: an eye toward the future.

机构信息

1Duke Brain Tumor Immunotherapy Program, Department of Neurosurgery, and.

2The Preston Robert Tisch Brain Tumor Center at Duke, Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina.

出版信息

J Neurosurg. 2019 Sep 1;131(3):657-666. doi: 10.3171/2019.5.JNS181762.

Abstract

The last decade has seen a crescendo of FDA approvals for immunotherapies against solid tumors, yet glioblastoma remains a prominent holdout. Despite more than 4 decades of work with a wide range of immunotherapeutic modalities targeting glioblastoma, efficacy has been challenging to obtain. Earlier forms of immune-based platforms have now given way to more current approaches, including chimeric antigen receptor T-cells, personalized neoantigen vaccines, oncolytic viruses, and checkpoint blockade. The recent experiences with each, as well as the latest developments and anticipated challenges, are reviewed.

摘要

过去十年,FDA 批准了许多针对实体瘤的免疫疗法,但胶质母细胞瘤仍然是一个突出的例外。尽管 40 多年来,人们采用了广泛的免疫治疗方法来靶向胶质母细胞瘤,但疗效却难以获得。早期形式的免疫平台现在已经让位于更现代的方法,包括嵌合抗原受体 T 细胞、个性化新抗原疫苗、溶瘤病毒和检查点阻断。本文综述了每种方法的最新经验,以及最新的发展和预期的挑战。

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