Yu Catherine, Hsieh Kristin, Cherry Daniel R, Nehlsen Anthony D, Resende Salgado Lucas, Lazarev Stanislav, Sindhu Kunal K
Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Biology (Basel). 2023 Dec 15;12(12):1528. doi: 10.3390/biology12121528.
Glioblastoma, the most common primary brain cancer in adults, is characterized by a poor prognosis and resistance to standard treatments. The advent of immunotherapy has revolutionized the treatment of several cancers in recent years but has failed to demonstrate benefit in patients with glioblastoma. Understanding the mechanisms by which glioblastoma exerts tumor-mediated immune suppression in both the tumor microenvironment and the systemic immune landscape is a critical step towards developing effective immunotherapeutic strategies. In this review, we discuss the current understanding of immune escape mechanisms in glioblastoma that compromise the efficacy of immunotherapies, with an emphasis on immune checkpoint inhibitors and chimeric antigen receptor T-cell therapy. In parallel, we review data from preclinical studies that have identified additional therapeutic targets that may enhance overall treatment efficacy in glioblastoma when administered alongside existing immunotherapies.
胶质母细胞瘤是成人中最常见的原发性脑癌,其特点是预后不良且对标准治疗有抗性。近年来,免疫疗法的出现彻底改变了几种癌症的治疗方式,但在胶质母细胞瘤患者中未能显示出益处。了解胶质母细胞瘤在肿瘤微环境和全身免疫格局中发挥肿瘤介导的免疫抑制作用的机制,是制定有效的免疫治疗策略的关键一步。在这篇综述中,我们讨论了目前对胶质母细胞瘤中免疫逃逸机制的理解,这些机制会影响免疫疗法的疗效,重点是免疫检查点抑制剂和嵌合抗原受体T细胞疗法。同时,我们回顾了临床前研究的数据,这些研究确定了其他治疗靶点,当与现有的免疫疗法联合使用时,可能会提高胶质母细胞瘤的整体治疗效果。
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