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Future aspects of immunotherapy and gene therapy in neuroblastoma
1Dokuz Eylul University, Institute of Oncology, Department of Basic Oncology, Izmir, Turkey. safiyeaktas@yahoo.com
Abstract:
Immunotherapy against cancer aims at stimulating the immune system or building an immune response against targeted tumor-associated antigens (TAAs). It was proposed theoretically as a potential therapy for cancer over a century ago but it became popular in the past two decades. Gene therapy represents a promising approach for reversing the neoplastic phenotype or driving tumor cells to self-destruction. Although survival rates of neuroblastoma (NB) with biologically favorable disease are greater than 90%, outcomes of patients with high risk disease are less than 40%. Stage 4 metastatic NB cases over 18 months of age are often incurable with multimodality chemotherapy regimens. In this article, translation of immuno-gene therapy strategies into clinical trials for NB are reviewed. Future aspects of immuno-gene therapy are discussed.
Insights
This review explores immuno-gene therapy for neuroblastoma (NB), a cancer with poor outcomes in high-risk patients. It discusses the translation of these advanced cancer immunotherapies into clinical trials for improved treatment strategies.
Area of Science:
- Oncology
- Immunology
- Gene Therapy
Background:
- Immunotherapy stimulates the immune system to fight cancer by targeting tumor-associated antigens (TAAs).
- Gene therapy offers a promising strategy to reverse cancer's neoplastic phenotype or induce tumor cell self-destruction.
- High-risk neuroblastoma (NB) and stage 4 metastatic cases over 18 months have poor prognoses despite current treatments.
Purpose of the Study:
- To review the translation of immuno-gene therapy strategies into clinical trials for neuroblastoma (NB).
- To discuss future directions and potential advancements in immuno-gene therapy for NB treatment.
Main Methods:
- Literature review of existing studies on immuno-gene therapy for neuroblastoma.
- Analysis of clinical trial data and outcomes for NB patients treated with immuno-gene therapy.
Main Results:
- The review synthesizes current research on the application of immuno-gene therapy in neuroblastoma.
- Identifies key challenges and successes in translating these therapies from bench to bedside.
Conclusions:
- Immuno-gene therapy holds significant promise for improving outcomes in high-risk neuroblastoma.
- Further research and clinical trials are essential to optimize and expand the use of immuno-gene therapy for NB.
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