Chowdhury Selia, Bappy Mehedi Hasan, Clocchiatti-Tuozzo Santiago, Cheeti Srinidhi, Chowdhury Samia, Patel Vraj
Internal Medicine, Dhaka Medical College, Dhaka, BGD.
Basic Sciences, University of Iowa, Iowa City, USA.
Cureus. 2021 Dec 22;13(12):e20604. doi: 10.7759/cureus.20604. eCollection 2021 Dec.
Glioblastoma is the most frequent and malignant type of brain tumor. It has a reputation for being resistant to current treatments, and the prognosis is still bleak. Immunotherapies have transformed the treatment of a variety of cancers, and they provide great hope for glioblastoma, although they have yet to be successful. The justification for immune targeting of glioblastoma and the obstacles that come with treating these immunosuppressive tumors are reviewed in this paper. Cancer vaccines, oncolytic viruses (OVs), checkpoint blockade medications, adoptive cell transfer (ACT), chimeric antigen receptor (CAR) T-cells, and nanomedicine-based immunotherapies are among the novel immune-targeting therapies researched in glioblastoma. Key clinical trial outcomes and current trials for each method are presented from a clinical standpoint. Finally, constraints, whether biological or due to trial design, are discussed, along with solutions for overcoming them. In glioblastoma, proof of efficacy for immunotherapy approaches has yet to be demonstrated, but our rapidly growing understanding of the disease's biology and immune microenvironment, as well as the emergence of novel promising combinatorial approaches, may allow researchers to finally meet the medical need for patients with glioblastoma multiforme (GBM).
胶质母细胞瘤是最常见且恶性程度最高的脑肿瘤类型。它因对当前治疗具有抗性而声名狼藉,预后仍然不容乐观。免疫疗法已经改变了多种癌症的治疗方式,尽管尚未取得成功,但它们为胶质母细胞瘤的治疗带来了巨大希望。本文回顾了针对胶质母细胞瘤进行免疫靶向治疗的依据以及治疗这些免疫抑制性肿瘤所面临的障碍。癌症疫苗、溶瘤病毒(OVs)、检查点阻断药物、过继性细胞转移(ACT)、嵌合抗原受体(CAR)T细胞以及基于纳米医学的免疫疗法等都是在胶质母细胞瘤研究中采用的新型免疫靶向治疗方法。从临床角度介绍了每种方法的关键临床试验结果和当前正在进行的试验。最后,讨论了无论是生物学方面还是由于试验设计导致的限制因素,以及克服这些因素的解决方案。在胶质母细胞瘤中,免疫治疗方法的疗效尚未得到证实,但我们对该疾病生物学和免疫微环境的快速深入了解,以及新出现的有前景的联合治疗方法,可能会使研究人员最终满足多形性胶质母细胞瘤(GBM)患者的医疗需求。