Immunotherapy in Glioblastoma

World Neurosurg. 2018 Aug:116:518-528. doi: 10.1016/j.wneu.2018.04.020.

Abstract

Glioblastoma evades conventional therapies through a variety of mechanisms, including suppression of the immune system. This immunosuppressive microenvironment provides a potential target for treatment. There are several immunotherapies being actively investigated, including inhibition of immune checkpoint regulators, development of antitumor vaccinations from both dendritic cell and tumor peptide components, adoptive transfer of supercharged and durable T lymphocytes, and generation of oncolytic viruses. Although immunotherapy has already demonstrated efficacy for a variety of other malignancies, its efficacy in glioblastoma is still unclear. Identifying predictive biomarkers and improving the management of immune-related adverse effects will help to realize the full potential of these therapies.

Keywords: CTLA-4; Glioblastoma; Immunotherapy; PD-1; PD-L1; Temozolomide.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal / therapeutic use*
  • Combined Modality Therapy / methods
  • Dendritic Cells / drug effects
  • Dendritic Cells / pathology
  • Glioblastoma / drug therapy*
  • Glioblastoma / immunology*
  • Glioblastoma / pathology
  • Humans
  • Immunotherapy* / methods
  • T-Lymphocytes / drug effects
  • T-Lymphocytes / immunology

Substances

  • Antibodies, Monoclonal