Department of Neurosurgery, The University of Alabama at Birmingham, 1060 Faculty Office Tower 510 20th Street South, Birmingham, AL, USA.
Department of Neurosurgery, The University of Alabama at Birmingham, 1060 Faculty Office Tower 510 20th Street South, Birmingham, AL, USA; Department of Pediatrics, Division of Pediatric Hematology-Oncology, The University of Alabama at Birmingham.
Neurosurg Clin N Am. 2021 Apr;32(2):265-281. doi: 10.1016/j.nec.2020.12.008. Epub 2021 Feb 18.
Glioblastoma multiforme (GBM) represents one of the most challenging malignancies due to many factors including invasiveness, heterogeneity, and an immunosuppressive microenvironment. Current treatment modalities have resulted in only modest effect on outcomes. The development of viral vectors for oncolytic immunovirotherapy and targeted drug delivery represents a promising therapeutic prospect for GBM and other brain tumors. A host of genetically engineered viruses, herpes simplex virus, poliovirus, measles, and others, have been described and are at various stages of clinical development. Herein we provide a review of the advances and current state of oncolytic virotherapy for the targeted treatment of GBM and malignant gliomas.
多形性胶质母细胞瘤(GBM)是最具挑战性的恶性肿瘤之一,原因包括侵袭性、异质性和免疫抑制性微环境。目前的治疗方法仅对结果产生了适度的影响。病毒载体用于溶瘤免疫病毒疗法和靶向药物输送的开发为 GBM 和其他脑肿瘤的治疗提供了有前途的治疗前景。一系列经过基因工程改造的病毒,如单纯疱疹病毒、脊髓灰质炎病毒、麻疹病毒等,已经被描述出来,并处于不同的临床开发阶段。本文综述了溶瘤病毒治疗 GBM 和恶性胶质瘤的靶向治疗的进展和现状。