Department of Neurological Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, United States.
Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, United States.
Front Immunol. 2024 Sep 13;15:1424396. doi: 10.3389/fimmu.2024.1424396. eCollection 2024.
Immune checkpoint (IC) inhibition in glioblastoma (GBM) has not shown promising results in the last decade compared to other solid tumors. Several factors contributing to the lack of immunotherapy response include the profound immunosuppressive nature of GBM, highly redundant signaling pathways underlying immune checkpoints, and the negative immunogenic impact of current standard of care on the tumor microenvironment. In this review, we will discuss various ICs in the context of GBM, their interplay with the tumor immune microenvironment, relevant pre-clinical and clinical studies, and the impact of current treatment modalities on GBM IC blockade therapy. Understanding the molecular mechanisms that drive ICs, and how they contribute to an immunosuppressive tumor microenvironment is critical in advancing IC inhibition therapy in GBM. Furthermore, revisiting current treatment modalities and their impact on the immune landscape is instrumental in designing future combinatorial therapies that may overcome treatment resistance.
免疫检查点(IC)抑制在胶质母细胞瘤(GBM)中的作用不如其他实体瘤那么显著,这一现象在过去十年中已经得到证实。导致免疫疗法反应缺乏的几个因素包括 GBM 具有深刻的免疫抑制特性、免疫检查点背后存在高度冗余的信号通路,以及当前标准治疗方案对肿瘤微环境的负免疫原性影响。在这篇综述中,我们将讨论 GBM 中各种 IC 的作用、它们与肿瘤免疫微环境的相互作用、相关的临床前和临床研究,以及当前治疗方式对 GBM IC 阻断治疗的影响。了解驱动 IC 的分子机制以及它们如何促进免疫抑制性肿瘤微环境的形成,对于推进 GBM 的 IC 抑制治疗至关重要。此外,重新审视当前的治疗方式及其对免疫景观的影响对于设计未来可能克服治疗抵抗的联合治疗方案具有重要意义。
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