Immunotherapy for Neuro-oncology.

Brain metastases Cell therapy Cell vaccines Checkpoint inhibitors GBM immune microenvironment Glioblastoma Immunosuppressive macrophages Immunotherapy combinations Oncolytic viral therapies Peptide vaccines Tumor mutational load Tumor-infiltrating lymphocytes

Journal

Advances in experimental medicine and biology
ISSN: 0065-2598
Titre abrégé: Adv Exp Med Biol
Pays: United States
ID NLM: 0121103

Informations de publication

Date de publication:
2021
Historique:
entrez: 1 1 2022
pubmed: 2 1 2022
medline: 5 1 2022
Statut: ppublish

Résumé

Immunotherapy has changed the landscape of treatment of many solid and hematological malignancies and is at the forefront of cancer breakthroughs. Several circumstances unique to the central nervous system (CNS) such as limited space for an inflammatory response, difficulties with repeated sampling, corticosteroid use for management of cerebral edema, and immunosuppressive mechanisms within the tumor and brain parenchyma have posed challenges in clinical development of immunotherapy for intracranial tumors. Nonetheless, the success of immunotherapy in brain metastases (BMs) from solid cancers such as melanoma and non-small cell lung cancer (NSCLC) proves that the CNS is not an immune-privileged organ and is capable of initiating and regulating immune responses that lead to tumor control. However, the development of immunotherapeutics for the most malignant primary brain tumor, glioblastoma (GBM), has been challenging due to systemic and profound tumor-mediated immunosuppression unique to GBM, intratumoral and intertumoral heterogeneity, and lack of stably expressed clonal antigens. Here, we review recent advances in the field of immunotherapy for neuro-oncology with a focus on BM, GBM, and rare CNS cancers.

Identifiants

pubmed: 34972967
doi: 10.1007/978-3-030-79308-1_7
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

233-258

Informations de copyright

© 2021. The Author(s), under exclusive license to Springer Nature Switzerland AG.

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Auteurs

Nazanin K Majd (NK)

Department of Neuro-Oncology, MD Anderson Cancer Center, Houston, TX, USA.

Pushan R Dasgupta (PR)

Department of Neurology, University of Texas Austin Dell Medical School, Austin, TX, USA.

John F de Groot (JF)

Department of Neuro-Oncology, MD Anderson Cancer Center, Houston, TX, USA. jdegroot@mdanderson.org.

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