Jiang Dongxin, Li Yunqian
Department of Neurosurgery, The First Hospital of Jilin University, Changchun, China.
Front Immunol. 2025 May 15;16:1590781. doi: 10.3389/fimmu.2025.1590781. eCollection 2025.
Glioblastoma, the most common and aggressive primary brain tumor, remains a significant challenge in oncology due to its immunosuppressive tumor microenvironment (TME). This review summarizes the complex interplay of immune cells and cytokines within the TME, which contribute to immune evasion and tumor progression. We further emphasize the synergistic crosstalk among these components and how it shapes therapeutic vulnerability. Besides, we highlight recent advancements in immunotherapy, including immune checkpoint inhibitors, CAR-T cell therapy, NK cell therapy, oncolytic viruses, and vaccine-based strategies. Despite promising preclinical and clinical results, overcoming the immunosuppressive TME remains a critical hurdle. This review underscores the potential of targeting the TME to enhance therapeutic outcomes in glioblastoma.
胶质母细胞瘤是最常见且侵袭性最强的原发性脑肿瘤,由于其免疫抑制性肿瘤微环境(TME),在肿瘤学领域仍然是一项重大挑战。本综述总结了TME内免疫细胞和细胞因子之间的复杂相互作用,这些相互作用导致免疫逃逸和肿瘤进展。我们进一步强调了这些成分之间的协同串扰以及它如何塑造治疗易损性。此外,我们突出了免疫疗法的最新进展,包括免疫检查点抑制剂、嵌合抗原受体T细胞(CAR-T)疗法、自然杀伤(NK)细胞疗法、溶瘤病毒和基于疫苗的策略。尽管临床前和临床结果很有前景,但克服免疫抑制性TME仍然是一个关键障碍。本综述强调了靶向TME以提高胶质母细胞瘤治疗效果的潜力。
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