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2014 ; 16
(11
): 1441-58
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Immunotherapy advances for glioblastoma
#MMPMID25190673
Reardon DA
; Freeman G
; Wu C
; Chiocca EA
; Wucherpfennig KW
; Wen PY
; Fritsch EF
; Curry WT Jr
; Sampson JH
; Dranoff G
Neuro Oncol
2014[Nov]; 16
(11
): 1441-58
PMID25190673
show ga
Survival for patients with glioblastoma, the most common high-grade primary CNS
tumor, remains poor despite multiple therapeutic interventions including
intensifying cytotoxic therapy, targeting dysregulated cell signaling pathways,
and blocking angiogenesis. Exciting, durable clinical benefits have recently been
demonstrated for a number of other challenging cancers using a variety of
immunotherapeutic approaches. Much modern research confirms that the CNS is
immunoactive rather than immunoprivileged. Preliminary results of clinical
studies demonstrate that varied vaccine strategies have achieved encouraging
evidence of clinical benefit for glioblastoma patients, although multiple
variables will likely require systematic investigation before optimal outcomes
are realized. Initial preclinical studies have also revealed promising results
with other immunotherapies including cell-based approaches and immune checkpoint
blockade. Clinical studies to evaluate a wide array of immune therapies for
malignant glioma patients are being rapidly developed. Important considerations
going forward include optimizing response assessment and identifiying correlative
biomarkers for predict therapeutic benefit. Finally, the potential of
complementary combinatorial immunotherapeutic regimens is highly exciting and
warrants expedited investigation.