grade iv glioblastoma

  • 文章类型: Journal Article
    多形性胶质母细胞瘤(GBM)是一种原发性脑肿瘤,以其短的生存期而闻名。通常从诊断到死亡14-18个月。由于强大的血脑屏障等因素,管理GBM构成了重大挑战,GBM内的免疫抑制状况,以及外科手术的复杂性.目前,GBM的典型治疗方法是结合外科手术,放射治疗,和使用替莫唑胺的化疗。不幸的是,这种常规方法在显著延长GBM患者的生命方面尚未被证明是有效的.因此,研究人员正在探索GBM管理的替代方法。近年来受到关注的一个有希望的途径是免疫疗法。这种方法已经成功治疗了癌症类型,如非小细胞肺癌和血液相关恶性肿瘤。目前正在研究GBM治疗的各种免疫治疗策略,包括检查点抑制剂,疫苗,嵌合抗原受体(CAR)T细胞疗法,和溶瘤病毒。全面回顾了过去十年进行的26项高质量研究,涉及对PubMed和GoogleScholar等数据库的彻底搜索,已经进行了。这篇综述的结果表明,虽然免疫治疗策略显示出希望,它们在GBM治疗的实际应用中面临着巨大的局限性和挑战。这项研究强调了结合不同方法的重要性,为个别患者定制治疗方法,以及正在进行的研究努力,以改善GBM患者的前景。
    Glioblastoma multiforme (GBM) is a primary brain tumor known for its short survival time, typically 14-18 months from diagnosis to fatality. Managing GBM poses significant challenges due to factors like the formidable blood-brain barrier, the immunosuppressive conditions within GBM, and the intricacies of surgical procedures. Currently, the typical treatment for GBM combines surgical procedures, radiation therapy, and chemotherapy using temozolomide. Unfortunately, this conventional approach has not proven effective in substantially extending the lives of GBM patients. Consequently, researchers are exploring alternative methods for GBM management. One promising avenue receiving attention in recent years is immunotherapy. This approach has successfully treated cancer types like non-small cell lung cancer and blood-related malignancies. Various immunotherapeutic strategies are currently under investigation for GBM treatment, including checkpoint inhibitors, vaccines, chimeric antigen receptor (CAR) T-cell therapy, and oncolytic viruses. A comprehensive review of 26 high-quality studies conducted over the past decade, involving thorough searches of databases such as PubMed and Google Scholar, has been conducted. The findings from this review suggest that while immunotherapeutic strategies show promise, they face significant limitations and challenges in practical application for GBM treatment. The study emphasizes the importance of combining diverse approaches, customizing treatments for individual patients, and ongoing research efforts to improve GBM patients\' outlook.
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