Najafi Masoumeh, Jahanbakhshi Amin, Finocchi Ghersi Sebastiano, Giaccherini Lucia, Botti Andrea, Cavallieri Francesco, Rossi Jessica, Iori Federico, Iotti Cinzia, Ciammella Patrizia, Nabiuni Mohsen, Gomar Marzieh, Rezaie Omid, Cozzi Salvatore
Skull Base Research Center, Iran University of Medical Sciences, Tehran 1997667665, Iran.
Stem Cell and Regenerative Medicine Research Center, Iran University of Medical Sciences, Tehran 1997667665, Iran.
Brain Sci. 2023 Jan 17;13(2):159. doi: 10.3390/brainsci13020159.
The most prevalent and deadly primary malignant glioma in adults is glioblastoma (GBM), which has a median survival time of about 15 months. Despite the standard of care for glioblastoma, which includes gross total resection, high-dose radiation, and temozolomide chemotherapy, this tumor is still one of the most aggressive and difficult to treat. So, it is critical to find more potent therapies that can help glioblastoma patients have better clinical outcomes. Additionally, the prognosis for recurring malignant gliomas is poor, necessitating the need for innovative therapeutics. Immunotherapy is a rather new treatment for glioblastoma and its effects are not well studied when it is combined with standard chemoradiation therapy. We conducted this study to evaluate different glioblastoma immunotherapy approaches in terms of feasibility, efficacy, and safety. We conducted a computer-assisted literature search of electronic databases for essays that are unique, involve either prospective or retrospective research, and are entirely written and published in English. We examined both observational data and randomized clinical trials. Eighteen studies met the criteria for inclusion. In conclusion, combining immunotherapy with radiochemotherapy and tumor removal is generally possible and safe, and rather effective in the prolongation of survival measures.
成人大脑中最常见且致命的原发性恶性胶质瘤是胶质母细胞瘤(GBM),其平均生存时间约为15个月。尽管胶质母细胞瘤的标准治疗方案包括全切除、高剂量放疗和替莫唑胺化疗,但这种肿瘤仍是最具侵袭性且最难治疗的肿瘤之一。因此,找到更有效的治疗方法以帮助胶质母细胞瘤患者获得更好的临床结果至关重要。此外,复发性恶性胶质瘤的预后很差,需要创新的治疗方法。免疫疗法是一种相对较新的胶质母细胞瘤治疗方法,当它与标准放化疗联合使用时,其效果尚未得到充分研究。我们开展这项研究以评估不同的胶质母细胞瘤免疫治疗方法在可行性、疗效和安全性方面的情况。我们利用计算机辅助对电子数据库进行文献检索,查找独特的、涉及前瞻性或回顾性研究且完全用英文撰写和发表的文章。我们审查了观察性数据和随机临床试验。18项研究符合纳入标准。总之,将免疫疗法与放化疗及肿瘤切除相结合通常是可行且安全的,并且在延长生存指标方面相当有效。
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