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胶质母细胞瘤中的不同 T 细胞亚群及靶向免疫治疗。

Different T-cell subsets in glioblastoma multiforme and targeted immunotherapy.

机构信息

Department of Neurosurgery, The Affiliated Hospital of Yangzhou University, Yangzhou University, Yangzhou, 225012, China.

Department of Immunology, Jiangsu University, Zhenjiang, 212013, China; Department of Critical Care Medicine, Jiangyin People's Hospital, Jiangyin, 214400, China.

出版信息

Cancer Lett. 2021 Jan 1;496:134-143. doi: 10.1016/j.canlet.2020.09.028. Epub 2020 Oct 3.

Abstract

Glioblastoma multiforme (GBM) is a brain tumor with a high mortality rate. Surgical resection combined with radiotherapy and chemotherapy is the standard treatment for GBM patients, but the 5-year survival rate of patients despite this treatment is low. Immunotherapy has attracted increasing attention in recent years. As the pioneer and the main effector cells of immunotherapy, T cells play a key role in tumor immunotherapy. However, the T cells in GBM microenvironment are inhibited by the highly immunosuppressive environment of GBM, posing huge challenges to T cell-based GBM immunotherapy. This review summarizes the effects of the GBM microenvironment on the infiltration and function of different T-cell subsets and the possible strategies to overcome immunosuppression, and thus enhance the effectiveness of GBM immunotherapy.

摘要

多形性胶质母细胞瘤(GBM)是一种死亡率很高的脑肿瘤。手术切除联合放化疗是 GBM 患者的标准治疗方法,但尽管采用这种治疗方法,患者的 5 年生存率仍然较低。近年来,免疫疗法受到越来越多的关注。作为免疫疗法的先驱和主要效应细胞,T 细胞在肿瘤免疫疗法中起着关键作用。然而,GBM 微环境中的 T 细胞受到 GBM 高度免疫抑制环境的抑制,这给基于 T 细胞的 GBM 免疫疗法带来了巨大挑战。本综述总结了 GBM 微环境对不同 T 细胞亚群浸润和功能的影响,以及克服免疫抑制、从而增强 GBM 免疫治疗效果的可能策略。

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