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免疫疗法:高级别脊髓星形细胞瘤的一种潜在方法。

Immunotherapy: A Potential Approach for High-Grade Spinal Cord Astrocytomas.

机构信息

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Department of Neurosurgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China.

出版信息

Front Immunol. 2021 Feb 18;11:582828. doi: 10.3389/fimmu.2020.582828. eCollection 2020.

DOI:10.3389/fimmu.2020.582828
PMID:33679686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7930372/
Abstract

Spinal cord astrocytomas (SCAs) account for 6-8% of all primary spinal cord tumors. For high-grade SCAs, the prognosis is often poor with conventional therapy, thus the urgent need for novel treatments to improve patient survival. Immunotherapy is a promising therapeutic strategy and has been used to treat cancer in recent years. Several clinical trials have evaluated immunotherapy for intracranial gliomas, providing evidence for immunotherapy-mediated ability to inhibit tumor growth. Given the unique microenvironment and molecular biology of the spinal cord, this review will offer new perspectives on moving toward the application of successful immunotherapy for SCAs based on the latest studies and literature. Furthermore, we will discuss the challenges associated with immunotherapy in SCAs, propose prospects for future research, and provide a periodic summary of the current state of immunotherapy for SCAs immunotherapy.

摘要

脊髓星形细胞瘤(SCA)占所有原发性脊髓肿瘤的 6-8%。对于高级别 SCA,传统治疗的预后往往较差,因此迫切需要新的治疗方法来提高患者的生存率。免疫疗法是一种很有前途的治疗策略,近年来已被用于治疗癌症。几项临床试验已经评估了免疫疗法治疗颅内神经胶质瘤,为免疫疗法介导抑制肿瘤生长的能力提供了证据。鉴于脊髓的独特微环境和分子生物学特性,本综述将根据最新的研究和文献,为将成功的免疫疗法应用于 SCA 提供新的视角。此外,我们还将讨论 SCA 免疫疗法相关的挑战,提出未来研究的前景,并定期总结 SCA 免疫疗法的现状。

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本文引用的文献

1
The molecular characteristics of spinal cord gliomas with or without H3 K27M mutation.脊髓胶质瘤有无 H3 K27M 突变的分子特征。
Acta Neuropathol Commun. 2020 Mar 30;8(1):40. doi: 10.1186/s40478-020-00913-w.
2
T-Cell based therapies for overcoming neuroanatomical and immunosuppressive challenges within the glioma microenvironment.基于 T 细胞的疗法克服神经解剖和免疫抑制挑战在神经胶质瘤微环境中。
J Neurooncol. 2020 Apr;147(2):281-295. doi: 10.1007/s11060-020-03450-7. Epub 2020 Mar 17.
3
Brain immunology and immunotherapy in brain tumours.脑肿瘤的脑免疫学和免疫疗法。
Nat Rev Cancer. 2020 Jan;20(1):12-25. doi: 10.1038/s41568-019-0224-7. Epub 2019 Dec 5.
4
Analysis of PD-L1 expression and T cell infiltration in different molecular subgroups of diffuse midline gliomas.分析不同分子亚型弥漫性中线胶质瘤中 PD-L1 表达和 T 细胞浸润。
Neuropathology. 2019 Dec;39(6):413-424. doi: 10.1111/neup.12594. Epub 2019 Oct 17.
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Towards Immunotherapy for Pediatric Brain Tumors.迈向小儿脑肿瘤的免疫治疗。
Trends Immunol. 2019 Aug;40(8):748-761. doi: 10.1016/j.it.2019.05.009. Epub 2019 Jun 19.
6
Spinal cord high-grade infiltrating gliomas in adults: clinico-pathological and molecular evaluation.成人脊髓高级别浸润性神经胶质瘤:临床病理和分子评估。
Mod Pathol. 2019 Sep;32(9):1236-1243. doi: 10.1038/s41379-019-0271-3. Epub 2019 Apr 26.
7
Pilot Trial of Adoptive Transfer of Chimeric Antigen Receptor-transduced T Cells Targeting EGFRvIII in Patients With Glioblastoma.嵌合抗原受体修饰的 T 细胞过继转移治疗胶质母细胞瘤患者中针对 EGFRvIII 的初步临床试验
J Immunother. 2019 May;42(4):126-135. doi: 10.1097/CJI.0000000000000260.
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Neoadjuvant anti-PD-1 immunotherapy promotes a survival benefit with intratumoral and systemic immune responses in recurrent glioblastoma.新辅助抗 PD-1 免疫治疗在复发性胶质母细胞瘤中促进了肿瘤内和全身免疫应答,并带来生存获益。
Nat Med. 2019 Mar;25(3):477-486. doi: 10.1038/s41591-018-0337-7. Epub 2019 Feb 11.
9
Promising vaccines for treating glioblastoma.治疗脑胶质瘤有希望的疫苗。
Expert Opin Biol Ther. 2018 Nov;18(11):1159-1170. doi: 10.1080/14712598.2018.1531846. Epub 2018 Oct 15.
10
Chimeric Antigen Receptor Therapy.嵌合抗原受体疗法
N Engl J Med. 2018 Jul 5;379(1):64-73. doi: 10.1056/NEJMra1706169.