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Stereotactic Adoptive Transfer of Cytotoxic Immune Cells in Murine Models of Orthotopic Human Glioblastoma Multiforme Xenografts
Published on: September 1, 2018
Immune and viral therapies for malignant primary brain tumors
Andrew M Gardeck1, Jordan Sheehan2, Walter C Low1,2,3,4,5,6
1a Departments of Neurosurgery , University of Minnesota , Minneapolis , MN , USA.
Introduction:
Glioblastoma multiforme (GBM) is a primary brain tumor with great lethality. Current standard of care with surgery, radiation therapy, and chemotherapy are ineffective in curing this disease. Recent advancements in biological therapies show promise in treating brain tumors. Areas covered: This article provides a review of: the peripheral activation of antigen presenting cells such as dendritic cells to stimulate T cells to recognize and destroy tumor cells within the brain; the ex vivo expansion and transfer of dendritic cells, T cells, and engineered T cells expressing chimeric antigen receptors to target cells bearing specific tumor antigens as well as monoclonal antibodies as immune check point inhibitors. Gene therapy approaches have also been utilized to employ viral vectors in transducing cells to express cytokines for activating immune responses to brain tumors. Finally, the article reviews engineering of viruses for oncolytic targeting and destruction of malignant tumors within the brain. Expert opinion: The ultimate goal of immune and viral approaches for treating malignant brain tumors is to cure this disease. Preclinical and clinical studies utilizing these biological therapeutic approaches for treating brain tumors have the potential to augment the current standard of care to provide potential curative therapies.
Insights
New immune and viral therapies show promise for treating deadly glioblastoma (GBM) brain tumors. These advanced biological treatments aim to improve upon current standards of care for potential cures.
Area of Science:
- Neuro-oncology
- Immunotherapy
- Virology
Background:
- Glioblastoma multiforme (GBM) is a highly lethal primary brain tumor.
- Current treatments (surgery, radiation, chemotherapy) are insufficient for a cure.
- Biological therapies offer new hope for brain tumor treatment.
Purpose of the Study:
- To review current advancements in immune and viral-based therapies for glioblastoma.
- To explore novel strategies for stimulating anti-tumor immune responses in the brain.
- To discuss the potential of these therapies to augment existing treatment protocols.
Main Methods:
- Review of peripheral activation of antigen-presenting cells (e.g., dendritic cells) to stimulate T cells.
- Ex vivo expansion and transfer of immune cells (dendritic cells, T cells, CAR-T cells).
- Gene therapy using viral vectors for cytokine expression and oncolytic virotherapy.
Main Results:
- Immune cell-based strategies aim to enhance T cell recognition and destruction of tumor cells.
- Engineered T cells (CAR-T) and monoclonal antibodies target specific tumor antigens and immune checkpoints.
- Gene therapy and oncolytic viruses are explored for activating immune responses and directly destroying tumor cells.
Conclusions:
- Immune and viral therapies represent promising avenues for treating malignant brain tumors.
- These approaches have the potential to augment the current standard of care.
- Further preclinical and clinical studies are crucial to realizing the curative potential of these biological therapies.
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