Laboratory of Vascular Biology, Institute of Molecular Medicine, College of Future Technology, Beijing Key Laboratory of Cardiometabolic Molecular Medicine, Peking University, Beijing, 100871, China.
Cell Mol Life Sci. 2024 Jun 22;81(1):275. doi: 10.1007/s00018-024-05300-5.
While conventional cancer modalities, such as chemotherapy and radiotherapy, act through direct killing of tumor cells, cancer immunotherapy elicits potent anti-tumor immune responses thereby eliminating tumors. Nevertheless, promising outcomes have not been reported in patients with glioblastoma (GBM) likely due to the immune privileged status of the central nervous system and immunosuppressive micro-environment within GBM. In the past years, several exciting findings, such as the re-discovery of meningeal lymphatic vessels (MLVs), three-dimensional anatomical reconstruction of MLV networks, and the demonstration of the promotion of GBM immunosurveillance by lymphatic drainage enhancement, have revealed an intricate communication between the nervous and immune systems, and brought hope for the development of new GBM treatment. Based on conceptual framework of the updated cancer-immunity (CI) cycle, here we focus on GBM antigen drainage and immune activation, the early events in driving the CI cycle. We also discuss the implications of these findings for developing new therapeutic approaches in tackling fatal GBM in the future.
虽然传统的癌症治疗方法,如化疗和放疗,通过直接杀死肿瘤细胞来发挥作用,但癌症免疫疗法能引发强大的抗肿瘤免疫反应,从而消除肿瘤。然而,由于中枢神经系统的免疫特权状态和 GBM 内的免疫抑制微环境,在胶质母细胞瘤 (GBM) 患者中并未报告有令人鼓舞的结果。在过去的几年中,一些令人兴奋的发现,如脑膜淋巴管 (MLV) 的重新发现、MLV 网络的三维解剖重建,以及淋巴引流增强促进 GBM 免疫监视的证明,揭示了神经系统和免疫系统之间错综复杂的交流,并为开发新的 GBM 治疗方法带来了希望。基于更新的癌症免疫 (CI) 循环的概念框架,我们在这里重点关注 GBM 抗原引流和免疫激活,这是驱动 CI 循环的早期事件。我们还讨论了这些发现对未来开发治疗致命 GBM 的新治疗方法的意义。
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