Zhao Yongxin, Yu Yan, Chen Weizhi, Zhang Xiaojun, Lv Jing, Zhao Heping
Department of Clinical Laboratory, Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, China.
Biomedicines. 2025 May 7;13(5):1133. doi: 10.3390/biomedicines13051133.
Oligodendroglioma is a central nervous system tumor defined by mutations and 1p/19q co-deletion. Current management involves maximal resection followed by radiotherapy/chemotherapy, yielding a 20-year survival rate of 37% for grade 3 tumors according to the WHO 2021 classification. As these tumors primarily affect young to middle-aged patients, novel therapies are urgently needed to improve outcomes. Immunotherapy has revolutionized tumor treatment by modulating immune responses. However, its application in oligodendrogliomas faces two major hurdles, including the immunosuppressive tumor microenvironment (TME) and the blood-brain barrier's restrictive properties. This review first examines oligodendroglioma's molecular alterations to refine diagnosis and guide targeted therapies. Next, we focus on the oligodendroglioma TME to evaluate emerging immunotherapies, including oncolytic viruses, immune checkpoint blockade, chimeric antigen receptor (CAR) T-cell therapy, and cancer vaccines. Finally, we discuss current challenges and future directions to overcome therapeutic limitations and advance treatment strategies.
少突胶质细胞瘤是一种由基因突变和1p/19q共缺失所定义的中枢神经系统肿瘤。目前的治疗方法包括最大限度的切除,随后进行放疗/化疗,根据世界卫生组织2021年分类,3级肿瘤的20年生存率为37%。由于这些肿瘤主要影响年轻至中年患者,迫切需要新的治疗方法来改善治疗效果。免疫疗法通过调节免疫反应彻底改变了肿瘤治疗。然而,其在少突胶质细胞瘤中的应用面临两个主要障碍,包括免疫抑制性肿瘤微环境(TME)和血脑屏障的限制特性。本综述首先研究少突胶质细胞瘤的分子改变,以完善诊断并指导靶向治疗。接下来,我们关注少突胶质细胞瘤TME,以评估新兴的免疫疗法,包括溶瘤病毒、免疫检查点阻断、嵌合抗原受体(CAR)T细胞疗法和癌症疫苗。最后,我们讨论当前的挑战和未来的方向,以克服治疗局限性并推进治疗策略。
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