Division of Neurosurgery, Department of Surgery, The University of Toronto, Toronto, ON, Canada.
Department of Neurosurgery, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Adv Exp Med Biol. 2023;1416:189-198. doi: 10.1007/978-3-031-29750-2_14.
Though meningiomas are generally regarded as benign tumors, there is increasing awareness of a large group of meningiomas that are biologically aggressive and refractory to the current standards of care treatment modalities. Coinciding with this has been increasing recognition of the important that the immune system plays in mediating tumor growth and response to therapy. To address this point, immunotherapy has been leveraged for several other cancers such as lung, melanoma, and recently glioblastoma in the context of clinical trials. However, first deciphering the immune composition of meningiomas is essential in order to determine the feasibility of similar therapies for these tumors. Here in this chapter, we review recent updates on characterizing the immune microenvironment of meningiomas and identify potential immunological targets that hold promise for future immunotherapy trials.
虽然脑膜瘤通常被认为是良性肿瘤,但人们越来越意识到一大类脑膜瘤具有很强的生物侵袭性,并且对目前的治疗标准治疗模式具有耐药性。与此同时,人们越来越认识到免疫系统在介导肿瘤生长和对治疗的反应方面起着重要作用。为了解决这一问题,免疫疗法已被用于其他几种癌症,如肺癌、黑色素瘤,最近在临床试验中也用于胶质母细胞瘤。然而,首先要破译脑膜瘤的免疫组成,以确定针对这些肿瘤的类似治疗方法的可行性。在本章中,我们回顾了脑膜瘤免疫微环境特征的最新进展,并确定了具有未来免疫治疗试验前景的潜在免疫靶点。