Loya Joshua, Zhang Charlie, Cox Emily, Achrol Achal S, Kesari Santosh
Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI 48202, USA.
Buffalo School of Medicine, State University of New York, Buffalo, NY 14202, USA.
CNS Oncol. 2019 Nov 1;8(3):CNS40. doi: 10.2217/cns-2019-0002. Epub 2019 Nov 21.
Management of high-grade gliomas (HGGs) remains a complex challenge with an overall poor prognosis despite aggressive multimodal treatment. New translational research has focused on maximizing tumor cell eradication through improved tumor cell targeting while minimizing collateral systemic side effects. In particular, biological intratumoral therapies have been the focus of novel translational research efforts due to their inherent potential to be both dynamically adaptive and target specific. This two part review will provide an overview of biological intratumoral therapies that have been evaluated in human clinical trials in HGGs, and summarize key advances and remaining challenges in the development of these therapies as a potential new paradigm in the management of HGGs. Part II discusses vector-based therapies, cell-based therapies and radioimmunotherapy.
尽管采用了积极的多模式治疗,但高级别胶质瘤(HGGs)的管理仍然是一项复杂的挑战,总体预后较差。新的转化研究致力于通过改进肿瘤细胞靶向性来最大程度地根除肿瘤细胞,同时将全身性副作用降至最低。特别是,生物瘤内疗法因其具有动态适应性和靶向特异性的内在潜力,一直是新型转化研究努力的重点。这篇分为两部分的综述将概述在HGGs的人体临床试验中评估过的生物瘤内疗法,并总结这些疗法作为HGGs管理潜在新范式开发中的关键进展和剩余挑战。第二部分讨论基于载体的疗法、基于细胞的疗法和放射免疫疗法。