Dieli Costanza, Maugeri Rosario, Corsale Anna Maria, Di Simone Marta, Avellone Claudia, Dieli Francesco, Iacopino Domenico Gerardo, Brunasso Lara, Cannarozzo Alessandra, Costanzo Roberta, Tumbiolo Silvana, Meraviglia Serena
Central Laboratory of Advanced Diagnosis and Biomedical Research (CLADIBIOR), University of Palermo, 90133 Palermo, Italy.
Department of Precision Medicine in Medical, Surgical and Critical Care (MePreCC), University of Palermo, 90133 Palermo, Italy.
Cancers (Basel). 2025 Aug 15;17(16):2660. doi: 10.3390/cancers17162660.
Glioblastoma multiforme (GBM) is one of the most aggressive cancers, with limited treatment options due to its highly immunosuppressive microenvironment and resistance to conventional therapies. γδ T cells, known for their potent antitumor activity and ability to recognize tumor antigens independently of HLA molecules, have emerged as a promising therapeutic strategy. This review explores the role of γδ T cells in glioblastoma, focusing on their functional plasticity, cytotoxic mechanisms, and interactions with components of the tumor microenvironment. We examine the factors that influence γδ T cell polarization toward pro- or anti-tumor phenotypes and analyze preclinical findings that support their application in GBM treatment. Furthermore, we discuss potential combinatory approaches-including immune checkpoint inhibitors, cytokine stimulation, and adoptive cell transfer techniques-to enhance the therapeutic effectiveness and persistence of γδ T cells. Understanding the dynamics between GBM and γδ T cells may pave the way for innovative immunotherapeutic strategies aimed at overcoming immune evasion and improving clinical outcomes.
多形性胶质母细胞瘤(GBM)是最具侵袭性的癌症之一,由于其高度免疫抑制的微环境和对传统疗法的抗性,治疗选择有限。γδ T细胞以其强大的抗肿瘤活性和独立于HLA分子识别肿瘤抗原的能力而闻名,已成为一种有前景的治疗策略。本综述探讨了γδ T细胞在胶质母细胞瘤中的作用,重点关注其功能可塑性、细胞毒性机制以及与肿瘤微环境成分的相互作用。我们研究了影响γδ T细胞向促肿瘤或抗肿瘤表型极化的因素,并分析了支持其在GBM治疗中应用的临床前研究结果。此外,我们讨论了潜在的联合方法,包括免疫检查点抑制剂、细胞因子刺激和过继性细胞转移技术,以提高γδ T细胞的治疗效果和持久性。了解GBM与γδ T细胞之间的动态关系可能为旨在克服免疫逃逸和改善临床结果的创新免疫治疗策略铺平道路。