Subtirelu Robert C, Teichner Eric M, Ashok Arjun, Parikh Chitra, Talasila Sahithi, Matache Irina-Mihaela, Alnemri Ahab G, Anderson Victoria, Shahid Osmaan, Mannam Sricharvi, Lee Andrew, Werner Thomas, Revheim Mona-Elisabeth, Alavi Abass
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA, United States.
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States.
Front Neurol. 2023 Oct 31;14:1271822. doi: 10.3389/fneur.2023.1271822. eCollection 2023.
Glioblastomas (GBM) are highly invasive, malignant primary brain tumors. The overall prognosis is poor, and management of GBMs remains a formidable challenge, necessitating novel therapeutic strategies such as dendritic cell vaccinations (DCVs). While many early clinical trials demonstrate an induction of an antitumoral immune response, outcomes are mixed and dependent on numerous factors that vary between trials. Optimization of DCVs is essential; the selection of GBM-specific antigens and the utilization of F-fludeoxyglucose Positron Emission Tomography (FDG-PET) may add significant value and ultimately improve outcomes for patients undergoing treatment for glioblastoma. This review provides an overview of the mechanism of DCV, assesses previous clinical trials, and discusses future strategies for the integration of DCV into glioblastoma treatment protocols. To conclude, the review discusses challenges associated with the use of DCVs and highlights the potential of integrating DCV with standard therapies.
胶质母细胞瘤(GBM)是具有高度侵袭性的恶性原发性脑肿瘤。总体预后较差,GBM的治疗仍然是一项艰巨的挑战,因此需要诸如树突状细胞疫苗接种(DCV)等新型治疗策略。虽然许多早期临床试验表明诱导了抗肿瘤免疫反应,但结果参差不齐,且取决于试验之间各不相同的众多因素。优化DCV至关重要;选择GBM特异性抗原以及利用氟代脱氧葡萄糖正电子发射断层扫描(FDG-PET)可能会增加显著价值,并最终改善胶质母细胞瘤患者的治疗效果。本综述概述了DCV的机制,评估了先前的临床试验,并讨论了将DCV纳入胶质母细胞瘤治疗方案的未来策略。最后,本综述讨论了与使用DCV相关的挑战,并强调了将DCV与标准疗法相结合的潜力。