Department of Neurosurgery, Beijing Electric Power Hospital, Beijing, China.
Department of Neurosurgery, Huizhou Third People's Hospital, Guangzhou Medical University, Huizhou, China.
Front Immunol. 2021 Mar 9;11:603911. doi: 10.3389/fimmu.2020.603911. eCollection 2020.
Glioblastoma multiforme (GBM) is the most common and aggressive malignant tumor found in the central nervous system. Currently, standard treatments in the clinic include maximal safe surgical resection, radiation, and chemotherapy and are mostly limited by low therapeutic efficiency correlated with poor prognosis. Immunotherapy, which predominantly focuses on peptide vaccines, dendritic cell vaccines, chimeric antigen receptor T cells, checkpoint inhibitor therapy, and oncolytic virotherapy, have achieved some promising results in both preclinical and clinical trials. The future of immune therapy for GBM requires an integrated effort with rational combinations of vaccine therapy, cell therapy, and radio- and chemotherapy as well as molecule therapy targeting the tumor microenvironment.
多形性胶质母细胞瘤(GBM)是中枢神经系统中最常见和最具侵袭性的恶性肿瘤。目前,临床上的标准治疗方法包括最大限度的安全手术切除、放疗和化疗,但这些方法大多受到与预后不良相关的治疗效果不佳的限制。免疫疗法主要集中在肽疫苗、树突状细胞疫苗、嵌合抗原受体 T 细胞、检查点抑制剂治疗和溶瘤病毒治疗上,在临床前和临床试验中都取得了一些有希望的结果。GBM 的免疫治疗的未来需要与疫苗治疗、细胞治疗以及放疗和化疗的合理联合,并针对肿瘤微环境的分子治疗进行综合努力。