Department of Cancer Biology, Wake Forest School of Medicine, Winston Salem, NC 27157, USA.
Brain Tumor Center of Excellence, Wake Forest Baptist Medical Center Comprehensive Cancer Center, Winston Salem, NC 27157, USA.
Int J Mol Sci. 2020 Apr 16;21(8):2759. doi: 10.3390/ijms21082759.
Glioblastoma (GBM) is the most common and aggressive malignant glioma, treatment of which has not improved significantly in many years. This is due to the unique challenges that GBM tumors present when designing and implementing therapies. Recently, immunotherapy in the form of immune checkpoint inhibition (ICI) has revolutionized the treatment of various malignancies. The application of immune checkpoint inhibition in GBM treatment has shown promising preclinical results. Unfortunately, this has met with little to no success in the clinic thus far. In this review, we will discuss the challenges presented by GBM tumors that likely limit the effect of ICI and discuss the approaches being tested to overcome these challenges.
胶质母细胞瘤(GBM)是最常见和侵袭性最强的恶性胶质瘤,多年来其治疗并未显著改善。这是由于在设计和实施治疗方案时,GBM 肿瘤带来了独特的挑战。最近,免疫检查点抑制(ICI)形式的免疫疗法彻底改变了各种恶性肿瘤的治疗方法。免疫检查点抑制在 GBM 治疗中的应用显示出有前途的临床前结果。不幸的是,迄今为止,这在临床上几乎没有成功。在这篇综述中,我们将讨论 GBM 肿瘤带来的可能限制 ICI 效果的挑战,并讨论正在测试的克服这些挑战的方法。