Li Wenhao, Wang Zhihao, Chen Siliang, Zuo Mingrong, Xiang Yufan, Yuan Yunbo, He Yuze, Zhang Shuxin, Liu Yanhui
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Department of Pediatric Neurosurgery, West China Second University Hospital, Chengdu, China.
Front Oncol. 2024 Nov 29;14:1462424. doi: 10.3389/fonc.2024.1462424. eCollection 2024.
Glioblastoma (GBM) is a highly malignant tumor of the central nervous system that remains intractable despite advancements in current tumor treatment modalities, including immunotherapy. In recent years, metabolic checkpoints (aberrant metabolic pathways underlying the immunosuppressive tumor microenvironment) have gained attention as promising therapeutic targets and sensitive biomarkers across various cancers. Here, we briefly review the existing understanding of tumor metabolic checkpoints and their implications in the biology and management of GBM. Additionally, we discuss techniques that could evaluate metabolic checkpoints of GBM non-invasively, thereby potentially facilitating neo-adjuvant treatment and dynamic surveillance.
胶质母细胞瘤(GBM)是中枢神经系统的一种高度恶性肿瘤,尽管包括免疫疗法在内的当前肿瘤治疗方式取得了进展,但它仍然难以治疗。近年来,代谢检查点(免疫抑制性肿瘤微环境背后的异常代谢途径)作为各种癌症中很有前景的治疗靶点和敏感生物标志物受到了关注。在这里,我们简要回顾一下对肿瘤代谢检查点的现有认识及其在GBM生物学和管理中的意义。此外,我们还讨论了可以无创评估GBM代谢检查点的技术,从而有可能促进新辅助治疗和动态监测。