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少突胶质细胞瘤:分子机制与免疫治疗策略的进展

Oligodendroglioma: Advances in Molecular Mechanisms and Immunotherapeutic Strategies.

作者信息

Zhao Yongxin, Yu Yan, Chen Weizhi, Zhang Xiaojun, Lv Jing, Zhao Heping

机构信息

Department of Clinical Laboratory, Honghui Hospital, Xi'an Jiaotong University, Xi'an 710054, China.

出版信息

Biomedicines. 2025 May 7;13(5):1133. doi: 10.3390/biomedicines13051133.


DOI:10.3390/biomedicines13051133
PMID:40426960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12108979/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2239/12108979/9ab62e963dec/biomedicines-13-01133-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2239/12108979/c359633349fe/biomedicines-13-01133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2239/12108979/dbba1d7b76cf/biomedicines-13-01133-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2239/12108979/ed5f84251638/biomedicines-13-01133-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2239/12108979/9ab62e963dec/biomedicines-13-01133-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2239/12108979/c359633349fe/biomedicines-13-01133-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2239/12108979/dbba1d7b76cf/biomedicines-13-01133-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2239/12108979/ed5f84251638/biomedicines-13-01133-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2239/12108979/9ab62e963dec/biomedicines-13-01133-g004.jpg

相似文献

[1]
Oligodendroglioma: Advances in Molecular Mechanisms and Immunotherapeutic Strategies.

Biomedicines. 2025-5-7

[2]
Eighty percent survival rate at 15 years for 1p/19q co-deleted oligodendroglioma treated with upfront chemotherapy irrespective of tumor grade.

J Neurooncol. 2018-12-18

[3]
Oligodendroglioma of the Hippocampus: A Case Report and Systematic Review on Therapeutic Approaches of Oligodendroglioma After WHO 2021 Classification.

Pharmaceuticals (Basel). 2025-2-28

[4]
CAR-T Therapy for Pediatric High-Grade Gliomas: Peculiarities, Current Investigations and Future Strategies.

Front Immunol. 2022

[5]
Extent of resection, molecular signature, and survival in 1p19q-codeleted gliomas.

J Neurosurg. 2021-5-1

[6]
Oncolytic Viruses for Malignant Glioma: On the Verge of Success?

Viruses. 2021-7-2

[7]
Oncolytic viruses improve cancer immunotherapy by reprogramming solid tumor microenvironment.

Med Oncol. 2023-12-8

[8]
Future perspectives in melanoma research : Meeting report from the "Melanoma Bridge". Napoli, December 1st-4th 2015.

J Transl Med. 2016-11-15

[9]
Combinatorial approaches to effective therapy in glioblastoma (GBM): Current status and what the future holds.

Int Rev Immunol. 2022

[10]
Utility of targeted next-generation sequencing assay to detect 1p/19q co-deletion in formalin-fixed paraffin-embedded glioma specimens.

Hum Pathol. 2022-8

本文引用的文献

[1]
Non-coding RNAs (ncRNAs) as therapeutic targets and biomarkers in oligodendroglioma.

Pathol Res Pract. 2024-12

[2]
CAR T-cell therapy for gliomas.

Curr Opin Neurol. 2024-12-1

[3]
Immunotherapy for glioblastoma: current state, challenges, and future perspectives.

Cell Mol Immunol. 2024-12

[4]
HOXD12 defines an age-related aggressive subtype of oligodendroglioma.

Acta Neuropathol. 2024-9-11

[5]
Oligodendroglioma patient survival is associated with circulating B-cells and age.

Neurooncol Adv. 2024-8-19

[6]
FUBP1 in human cancer: Characteristics, functions, and potential applications.

Transl Oncol. 2024-10

[7]
Immunotherapy in Breast Cancer.

Int J Mol Sci. 2024-7-9

[8]
CAR T cell combination therapies to treat cancer.

Cancer Cell. 2024-8-12

[9]
Genetic and epigenetic instability as an underlying driver of progression and aggressive behavior in IDH-mutant astrocytoma.

Acta Neuropathol. 2024-7-16

[10]
Current and future immunotherapeutic approaches in pancreatic cancer treatment.

J Hematol Oncol. 2024-6-4

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