Department of Neurosurgery, Nara Medical University, Kashihara 634-8521, Japan.
Department of Neurosurgery, Nara City Hospital, Nara 630-8305, Japan.
Int J Mol Sci. 2023 Jan 20;24(3):2111. doi: 10.3390/ijms24032111.
Glioblastoma (GBM) is the most aggressive and malignant primary brain tumor in adults. Despite multimodality treatment involving surgical resection, radiation therapy, chemotherapy, and tumor-treating fields, the median overall survival (OS) after diagnosis is approximately 2 years and the 5-year OS is poor. Considering the poor prognosis, novel treatment strategies are needed, such as immunotherapies, which include chimeric antigen receptor T-cell therapy, immune checkpoint inhibitors, vaccine therapy, and oncolytic virus therapy. However, these therapies have not achieved satisfactory outcomes. One reason for this is that these therapies are mainly based on activating T cells and controlling GBM progression. Natural killer (NK) cell-based immunotherapy involves the new feature of recognizing GBM via differing mechanisms from that of T cell-based immunotherapy. In this review, we focused on NK cell-based immunotherapy as a novel GBM treatment strategy.
胶质母细胞瘤(GBM)是成人中最具侵袭性和恶性的原发性脑肿瘤。尽管采用了包括手术切除、放射治疗、化疗和肿瘤治疗电场在内的多模态治疗,但诊断后的中位总生存期(OS)约为 2 年,5 年 OS 较差。鉴于预后不良,需要新的治疗策略,例如免疫疗法,包括嵌合抗原受体 T 细胞疗法、免疫检查点抑制剂、疫苗疗法和溶瘤病毒疗法。然而,这些疗法并未取得令人满意的结果。其中一个原因是这些疗法主要基于激活 T 细胞和控制 GBM 进展。基于自然杀伤(NK)细胞的免疫疗法涉及通过与 T 细胞免疫疗法不同的机制识别 GBM 的新特征。在这篇综述中,我们专注于基于 NK 细胞的免疫疗法作为一种新的 GBM 治疗策略。