Du Yuanning, Pollok Karen E, Shen Jia
Medical Sciences Program, Indiana University School of Medicine, Bloomington, IN 47405, USA.
Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Cancers (Basel). 2023 Dec 14;15(24):5836. doi: 10.3390/cancers15245836.
Glioblastoma (GBM) represents a paramount challenge as the most formidable primary brain tumor characterized by its rapid growth, aggressive invasiveness, and remarkable heterogeneity, collectively impeding effective therapeutic interventions. The cancer stem cells within GBM, GBM stem cells (GSCs), hold pivotal significance in fueling tumor advancement, therapeutic refractoriness, and relapse. Given their unique attributes encompassing self-renewal, multipotent differentiation potential, and intricate interplay with the tumor microenvironment, targeting GSCs emerges as a critical strategy for innovative GBM treatments. Natural killer (NK) cells, innate immune effectors recognized for their capacity to selectively detect and eliminate malignancies without the need for prior sensitization, offer substantial therapeutic potential. Harnessing the inherent capabilities of NK cells can not only directly engage tumor cells but also augment broader immune responses. Encouraging outcomes from clinical investigations underscore NK cells as a potentially effective modality for cancer therapy. Consequently, NK cell-based approaches hold promise for effectively targeting GSCs, thereby presenting an avenue to enhance treatment outcomes for GBM patients. This review outlines GBM's intricate landscape, therapeutic challenges, GSC-related dynamics, and elucidates the potential of NK cell as an immunotherapeutic strategy directed towards GSCs.
胶质母细胞瘤(GBM)作为最具侵袭性的原发性脑肿瘤,是一项重大挑战。其特点是生长迅速、侵袭性强且异质性显著,共同阻碍了有效的治疗干预。GBM中的癌症干细胞,即GBM干细胞(GSCs),在推动肿瘤进展、治疗抵抗和复发方面具有关键意义。鉴于它们具有自我更新、多能分化潜能以及与肿瘤微环境复杂相互作用等独特属性,靶向GSCs成为创新GBM治疗的关键策略。自然杀伤(NK)细胞是先天性免疫效应细胞,因其能够在无需预先致敏的情况下选择性地检测和消除恶性肿瘤的能力而受到认可,具有巨大的治疗潜力。利用NK细胞的固有能力不仅可以直接作用于肿瘤细胞,还可以增强更广泛的免疫反应。临床研究的积极结果强调了NK细胞作为一种潜在有效的癌症治疗方式。因此,基于NK细胞的方法有望有效靶向GSCs,从而为改善GBM患者的治疗效果提供一条途径。本综述概述了GBM的复杂情况、治疗挑战、与GSCs相关的动态,并阐明了NK细胞作为针对GSCs的免疫治疗策略的潜力。