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儿童脑肿瘤免疫治疗的现状。

The current landscape of immunotherapy for pediatric brain tumors.

机构信息

Division of Oncology, Brain Tumor Institute, Children's National Hospital, Washington, DC, USA.

Department of Neurosurgery, Preston A. Wells, Jr. Center for Brain Tumor Therapy, University of Florida, Gainesville, FL, USA.

出版信息

Nat Cancer. 2022 Jan;3(1):11-24. doi: 10.1038/s43018-021-00319-0. Epub 2022 Jan 20.

Abstract

Pediatric central nervous system tumors are the most common solid malignancies in childhood, and aggressive therapy often leads to long-term sequelae in survivors, making these tumors challenging to treat. Immunotherapy has revolutionized prospects for many cancer types in adults, but the intrinsic complexity of treating pediatric patients and the scarcity of clinical studies of children to inform effective approaches have hampered the development of effective immunotherapies in pediatric settings. Here, we review recent advances and ongoing challenges in pediatric brain cancer immunotherapy, as well as considerations for efficient clinical translation of efficacious immunotherapies into pediatric settings.

摘要

儿科中枢神经系统肿瘤是儿童中最常见的实体恶性肿瘤,积极的治疗方法往往会给幸存者带来长期的后遗症,这使得此类肿瘤的治疗极具挑战性。免疫疗法彻底改变了成人许多癌症类型的治疗前景,但由于儿科患者治疗的固有复杂性以及缺乏针对儿童的临床研究来提供有效的治疗方法,这阻碍了有效的免疫疗法在儿科环境中的发展。在这里,我们综述了儿科脑癌免疫疗法的最新进展和当前挑战,以及将有效的免疫疗法高效转化为儿科环境的考虑因素。

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