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胶质母细胞瘤中的免疫检查点途径:一个多样化且不断发展的领域。

Immune checkpoint pathways in glioblastoma: a diverse and evolving landscape.

机构信息

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.

出版信息

Front Immunol. 2024 Sep 13;15:1424396. doi: 10.3389/fimmu.2024.1424396. eCollection 2024.


DOI:10.3389/fimmu.2024.1424396
PMID:39346924
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11427296/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e435/11427296/4998dd4c12ad/fimmu-15-1424396-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e435/11427296/4fb0ca914c08/fimmu-15-1424396-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e435/11427296/0839e2b30614/fimmu-15-1424396-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e435/11427296/4998dd4c12ad/fimmu-15-1424396-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e435/11427296/4fb0ca914c08/fimmu-15-1424396-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e435/11427296/0839e2b30614/fimmu-15-1424396-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e435/11427296/4998dd4c12ad/fimmu-15-1424396-g003.jpg

相似文献

[1]
Immune checkpoint pathways in glioblastoma: a diverse and evolving landscape.

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[2]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Immune checkpoints in immune response to glioma: two sides of the same coin.

Front Immunol. 2025-8-15

[2]
TIGIT expression dictates the immunosuppressive reprogramming of myeloid cells in glioblastoma.

bioRxiv. 2025-5-2

[3]
Overcoming barriers in glioblastoma: The potential of CAR T cell immunotherapy.

Theranostics. 2025-6-12

本文引用的文献

[1]
Soluble lymphocyte activation gene-3 (sLAG3) and CD4/CD8 ratio dynamics as predictive biomarkers in patients undergoing immune checkpoint blockade for solid malignancies.

Br J Cancer. 2024-4

[2]
Immunosuppressive M2 TAMs represent a promising target population to enhance phagocytosis of ovarian cancer cells .

Front Immunol. 2023

[3]
Lag-3 expression and clinical outcomes in metastatic melanoma patients treated with combination anti-lag-3 + anti-PD-1-based immunotherapies.

Oncoimmunology. 2023

[4]
Effective Reprogramming of Patient-Derived M2-Polarized Glioblastoma-Associated Microglia/Macrophages by Treatment with GW2580.

Clin Cancer Res. 2023-11-14

[5]
LAG-3 as the third checkpoint inhibitor.

Nat Immunol. 2023-9

[6]
Recent advancements in the B7/CD28 immune checkpoint families: new biology and clinical therapeutic strategies.

Cell Mol Immunol. 2023-7

[7]
Blockade of the immunosuppressive KIR2DL5/PVR pathway elicits potent human NK cell-mediated antitumor immunity.

J Clin Invest. 2022-11-15

[8]
Cancer cell intrinsic TIM-3 induces glioblastoma progression.

iScience. 2022-10-10

[9]
The prognostic significance of PD-L1 expression in patients with glioblastoma: A meta-analysis.

Front Oncol. 2022-10-12

[10]
Use of heparin to rescue immunosuppressive monocyte reprogramming by glioblastoma-derived extracellular vesicles.

J Neurosurg. 2022-9-16

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