人胶质瘤微环境中的免疫检查点抑制剂

Immune Checkpoint Inhibitors in Human Glioma Microenvironment.

作者信息

Ghouzlani Amina, Kandoussi Sarah, Tall Mariam, Reddy Konala Priyanka, Rafii Soumaya, Badou Abdallah

机构信息

Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Faculty of Medicine, Medical University of Pleven, Pleven, Bulgaria.

出版信息

Front Immunol. 2021 Jul 9;12:679425. doi: 10.3389/fimmu.2021.679425. eCollection 2021.

Abstract

Gliomas are the most common primary brain tumors in adults. Despite the fact that they are relatively rare, they cause significant morbidity and mortality. High-grade gliomas or glioblastomas are rapidly progressing tumors with a very poor prognosis. The presence of an intrinsic immune system in the central nervous system is now more accepted. During the last decade, there has been no major progress in glioma therapy. The lack of effective treatment for gliomas can be explained by the strategies that cancer cells use to escape the immune system. This being said, immunotherapy, which involves blockade of immune checkpoint inhibitors, has improved patients' survival in different cancer types. This novel cancer therapy appears to be one of the most promising approaches. In the present study, we will start with a review of the general concept of immune response within the brain and glioma microenvironment. Then, we will try to decipher the role of various immune checkpoint inhibitors within the glioma microenvironment. Finally, we will discuss some promising therapeutic pathways, including immune checkpoint blockade and the body's effective anti-glioma immune response.

摘要

胶质瘤是成人中最常见的原发性脑肿瘤。尽管它们相对罕见,但会导致严重的发病率和死亡率。高级别胶质瘤或胶质母细胞瘤是进展迅速、预后极差的肿瘤。中枢神经系统中存在内在免疫系统这一观点现在已被更广泛接受。在过去十年中,胶质瘤治疗没有取得重大进展。胶质瘤缺乏有效治疗可归因于癌细胞用于逃避免疫系统的策略。话虽如此,涉及阻断免疫检查点抑制剂的免疫疗法已改善了不同癌症类型患者的生存率。这种新型癌症治疗方法似乎是最有前途的方法之一。在本研究中,我们将首先回顾大脑和胶质瘤微环境中免疫反应的一般概念。然后,我们将尝试解读各种免疫检查点抑制剂在胶质瘤微环境中的作用。最后,我们将讨论一些有前景的治疗途径,包括免疫检查点阻断和机体有效的抗胶质瘤免疫反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9fe/8301219/8e6c15186a54/fimmu-12-679425-g001.jpg

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