Center for Oncological Research (CORE), Integrated Personalized & Precision Oncology Network (IPPON), University of Antwerp, Universiteitsplein 1, B-2610, Antwerp, Belgium.
Laboratory of Experimental Hematology, University of Antwerp, Universiteitsplein 1, B-2610, Antwerp, Belgium.
J Exp Clin Cancer Res. 2021 Jun 25;40(1):213. doi: 10.1186/s13046-021-02017-2.
Immunotherapy is currently under intensive investigation as a potential breakthrough treatment option for glioblastoma. Given the anatomical and immunological complexities surrounding glioblastoma, lymphocytes that infiltrate the brain to develop durable immunity with memory will be key. Polyinosinic:polycytidylic acid, or poly(I:C), and its derivative poly-ICLC could serve as a priming or boosting therapy to unleash lymphocytes and other factors in the (immuno)therapeutic armory against glioblastoma. Here, we present a systematic review on the effects and efficacy of poly(I:C)/poly-ICLC for glioblastoma treatment, ranging from preclinical work on cellular and murine glioblastoma models to reported and ongoing clinical studies. MEDLINE was searched until 15 May 2021 to identify preclinical (glioblastoma cells, murine models) and clinical studies that investigated poly(I:C) or poly-ICLC in glioblastoma. A systematic review approach was conducted according to PRISMA guidelines. ClinicalTrials.gov was queried for ongoing clinical studies. Direct pro-tumorigenic effects of poly(I:C) on glioblastoma cells have not been described. On the contrary, poly(I:C) changes the immunological profile of glioblastoma cells and can also kill them directly. In murine glioblastoma models, poly(I:C) has shown therapeutic relevance as an adjuvant therapy to several treatment modalities, including vaccination and immune checkpoint blockade. Clinically, mostly as an adjuvant to dendritic cell or peptide vaccines, poly-ICLC has been demonstrated to be safe and capable of eliciting immunological activity to boost therapeutic responses. Poly-ICLC could be a valuable tool to enhance immunotherapeutic approaches for glioblastoma. We conclude by proposing several promising combination strategies that might advance glioblastoma immunotherapy and discuss key pre-clinical aspects to improve clinical translation.
免疫疗法目前正在作为胶质母细胞瘤的一种潜在突破性治疗选择进行深入研究。鉴于胶质母细胞瘤周围的解剖学和免疫学的复杂性,浸润大脑并产生具有记忆的持久免疫力的淋巴细胞将是关键。聚肌胞苷酸或聚肌苷酸和聚肌胞苷酸的衍生物聚肌胞苷酸(poly-ICLC)可以作为一种启动或增强治疗方法,释放淋巴细胞和(免疫)治疗武器库中的其他因素,对抗胶质母细胞瘤。在这里,我们对聚肌胞苷酸/聚肌胞苷酸治疗胶质母细胞瘤的效果和疗效进行了系统评价,范围从细胞和鼠胶质母细胞瘤模型的临床前研究到已报告和正在进行的临床研究。我们在 MEDLINE 上进行了搜索,直到 2021 年 5 月 15 日,以确定研究聚肌胞苷酸或聚肌胞苷酸在胶质母细胞瘤中的临床前(胶质母细胞瘤细胞、鼠模型)和临床研究。根据 PRISMA 指南进行了系统评价方法。在 ClinicalTrials.gov 上查询了正在进行的临床研究。聚肌胞苷酸对胶质母细胞瘤细胞的直接促肿瘤作用尚未描述。相反,聚肌胞苷酸改变了胶质母细胞瘤细胞的免疫特征,也可以直接杀死它们。在鼠胶质母细胞瘤模型中,聚肌胞苷酸作为几种治疗方式的辅助治疗显示出治疗相关性,包括疫苗接种和免疫检查点阻断。临床上,聚肌胞苷酸主要作为树突状细胞或肽疫苗的辅助剂,已被证明是安全的,并能够引起免疫活性,以增强治疗反应。聚肌胞苷酸可能是增强胶质母细胞瘤免疫治疗的有价值工具。我们最后提出了几种有前途的联合策略,这些策略可能会推进胶质母细胞瘤的免疫治疗,并讨论了提高临床转化的关键临床前方面。