BlueRock Therapeutics, Department of Process Development, Cambridge, MA, United States.
Metagenomi Inc., Department of Cell Therapy, Emeryville, CA, United States.
Front Immunol. 2022 Aug 16;13:904133. doi: 10.3389/fimmu.2022.904133. eCollection 2022.
The sheer ubiquity of Gioblastoma (GBM) cases would lead you to believe that there should have been many opportunities for the discovery of treatments to successfully render it into remission. Unfortunately, its persistent commonality is due in large part to the fact that it is the most treatment-resistant tumors in adults. That completely changes the treatment plan of attack. Long established and accepted treatment therapies such as surgical resection, radiation, and aggressive chemotherapy, (and any combination thereof) have only confirmed that the disease lives up to its treatment-resistant reputation. To add to the seemingly insurmountable task of finding a cure, GBM has also proven to be a very stubborn and formidable opponent to newer immunotherapies. Across the board, regardless of the therapy combination, the five-year survival rate of GBM patients is still very poor at a heartbreaking 5.6%. Obviously, the present situation cannot be tolerated or deemed acceptable. The grave situation calls for researchers to be more innovative and find more efficient strategies to discover new and successful strategies to treat GBM. Inspired by researchers worldwide attempting to control GBM, we provide in this review a comprehensive overview of the many diverse cell therapies currently being used to treat GBM. An overview of the treatments include: CAR T cells, CAR NK cells, gamma-delta T cells, NKT cells, dendritic cells, macrophages, as well stem cell-based strategies. To give you the complete picture, we will discuss the efficacy, safety, and developmental stages, the mechanisms of action and the challenges of each of these therapies and detail their potential to be the next-generation immunotherapeutic to eliminate this dreadful disease.
胶质母细胞瘤(GBM)的病例如此普遍,以至于人们会认为应该有很多机会发现能够成功缓解这种疾病的治疗方法。不幸的是,它之所以如此普遍,在很大程度上是因为它是成人中最具耐药性的肿瘤。这完全改变了治疗方案。长期以来确立并被广泛接受的治疗方法,如手术切除、放疗和强化化疗(以及它们的任何组合),仅证实了这种疾病名副其实的耐药性。为了增加治愈疾病的希望,GBM 也被证明是一种非常顽固且强大的对手,对新型免疫疗法也是如此。无论采用哪种治疗方案,GBM 患者的五年生存率仍然非常低,令人心碎,仅为 5.6%。显然,目前的情况是无法容忍的,也不能被认为是可以接受的。严峻的形势要求研究人员更具创新性,找到更有效的策略,以发现新的、成功的治疗 GBM 的策略。受全球研究人员试图控制 GBM 的启发,我们在这篇综述中全面概述了目前用于治疗 GBM 的多种不同的细胞疗法。治疗方法概述包括:嵌合抗原受体 T 细胞(CAR T 细胞)、嵌合抗原受体自然杀伤细胞(CAR NK 细胞)、γδ T 细胞、NKT 细胞、树突状细胞、巨噬细胞以及基于干细胞的策略。为了让您全面了解情况,我们将讨论每种疗法的疗效、安全性和发展阶段、作用机制以及面临的挑战,并详细阐述它们作为下一代免疫疗法消除这种可怕疾病的潜力。