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