胶质母细胞瘤免疫治疗的临床试验研究进展
An update on the clinical trial research of immunotherapy for glioblastoma.
作者信息
Zhou Yichen, Shi Fanxing, Zhu Junyu, Yuan Yi
机构信息
School of Elderly Care Services and Management, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
School of Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
出版信息
Front Immunol. 2025 May 2;16:1582296. doi: 10.3389/fimmu.2025.1582296. eCollection 2025.
Glioblastoma multiforme (GBM) is a common primary malignant brain tumor in adults, characterized by a high rate of recurrence and mortality. The median overall survival is less than 2 years with the current standard therapy. As immunotherapy has begun to show promising results in solid tumors such as non-small cell lung cancer and melanoma in recent years, immnunotherapy for patients with glioblastoma is also in full swing, which is mainly consisted of immune checkpoint inhibitors, cancer vaccines, chimeric antigen receptor T-cell and oncolytic viral therapy. However, the application of immunotherapy in glioblastoma is severely hampered by cognitive impairment of intracerebral lymphatic system, the existence of blood-brain barrier, highly immunosuppressive tumor microenvironment and GBM's intrinsic features, including low tumor mutation burden and high heterogeneity. This review systematically evaluates recently published clinical trial outcomes of GBM immunotherapy, critically analyses both the progress and limitations of these trials, thoroughly examines current barriers to effective immunotherapy, and highlights promising preclinical studies that may guide future therapeutic development.
多形性胶质母细胞瘤(GBM)是成人常见的原发性恶性脑肿瘤,其特点是复发率和死亡率高。采用当前的标准治疗方法,总体中位生存期不到2年。近年来,由于免疫疗法在非小细胞肺癌和黑色素瘤等实体瘤中已开始显示出有前景的结果,胶质母细胞瘤患者的免疫疗法也在全面展开,主要包括免疫检查点抑制剂、癌症疫苗、嵌合抗原受体T细胞和溶瘤病毒疗法。然而,脑内淋巴系统的认知障碍、血脑屏障的存在、高度免疫抑制的肿瘤微环境以及GBM的内在特征,包括低肿瘤突变负荷和高异质性,严重阻碍了免疫疗法在胶质母细胞瘤中的应用。本综述系统地评估了最近发表的GBM免疫疗法的临床试验结果,批判性地分析了这些试验的进展和局限性,全面审视了有效免疫疗法当前的障碍,并突出了可能指导未来治疗发展的有前景的临床前研究。