Current Studies of Immunotherapy on Glioblastoma.

Neena Stephanie Agrawal, Rickey Miller, Richa Lal, Harshini Mahanti, Yaenette N Dixon-Mah, Michele L DeCandio, W Alex Vandergrift, Abhay K Varma, Sunil J Patel, Naren L Banik, Scott M Lindhorst, Pierre Giglio, Arabinda Das
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Abstract

Glioblastoma is a form of brain tumor with a very high morbidity and mortality. Despite decades of research, the best treatments currently in clinical practice only extend survival by a number of months. A promising alternative to conventional treatment for glioblastomas is immunotherapy. Although proposed over a century ago, the field of cancer immunotherapy has historically struggled to translate it into effective clinical treatments. Better understanding is needed of the various regulatory and co-stimulatory factors in the glioblastoma patient for more efficient immunotherapy treatments. The tumor microenvironment is anatomically shielded from normal immune-surveillance by the blood-brain barrier, irregular lymphatic drainage system, and it's in a potently immunosuppressive environment. Immunotherapy can potentially manipulate these forces effectively to enhance anti-tumor immune response and clinical benefit. New treatments utilizing the immune system show promise in terms of targeting and efficacy. This review article attempts to discuss current practices in glioblastoma treatment, the theory behind immunotherapy, and current research into various clinical trials.

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胶质母细胞瘤免疫治疗的研究进展。
胶质母细胞瘤是一种发病率和死亡率都很高的脑肿瘤。尽管经过了几十年的研究,目前临床实践中最好的治疗方法只能延长几个月的生存期。免疫疗法是胶质母细胞瘤的一种有希望的替代传统治疗方法。虽然在一个多世纪前提出,但癌症免疫治疗领域一直在努力将其转化为有效的临床治疗。为了更有效的免疫治疗,需要更好地了解胶质母细胞瘤患者的各种调节和共刺激因子。肿瘤微环境在解剖学上被血脑屏障、不规则淋巴排水系统屏蔽,不受正常免疫监测的影响,它处于一个强有力的免疫抑制环境中。免疫治疗可以有效地控制这些作用力,从而提高抗肿瘤免疫应答和临床疗效。利用免疫系统的新疗法在靶向性和有效性方面显示出希望。这篇综述文章试图讨论目前胶质母细胞瘤治疗的实践,免疫治疗背后的理论,以及目前各种临床试验的研究。
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