State of the art in immunotherapy of neuroblastoma

Parnian Jabbari1,2, Sara Hanaei1,2, Nima Rezaei1,3,2

  • 1Research Center for Immunodeficiencies (RCID), Children's Medical Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran.

Immunotherapy
|May 17, 2019
PubMed

Insights

Neuroblastoma immunotherapy has advanced with tumor-associated targets like the MYCN gene and GD2 antigen. While effective in children, research continues for broader applications and improved treatments.

Area of Science:

  • Pediatric Oncology
  • Immunotherapy
  • Molecular Biology

Background:

  • Neuroblastoma (NB) is a prevalent and aggressive childhood cancer.
  • Therapeutic strategies have evolved to include immunotherapy alongside chemotherapy.
  • Molecular discoveries have identified key targets such as the MYCN gene and GD2 antigen.

Purpose of the Study:

  • To review the evolution and current landscape of neuroblastoma immunotherapy.
  • To highlight the significance of MYCN and GD2 as therapeutic targets.
  • To discuss the limitations and future directions in neuroblastoma treatment.

Main Methods:

  • Review of existing literature on neuroblastoma immunotherapy.
  • Analysis of studies targeting MYCN and GD2 antigens.
  • Examination of clinical trials involving immunotherapeutic agents.

Main Results:

  • The MYCN gene and GD2 surface antigen are crucial discoveries for neuroblastoma immunotherapy.
  • GD2-targeted therapies, including monoclonal antibodies, have shown promise in clinical trials, particularly for pediatric NB.
  • Current immunotherapies show limitations, especially in adult-onset neuroblastoma, necessitating further research.

Conclusions:

  • Immunotherapy represents a significant advancement in neuroblastoma treatment, especially in pediatric cases.
  • Targeting antigens like GD2 has improved patient outcomes but is not universally effective.
  • Ongoing research focuses on identifying novel antigens and enhancing therapeutic efficacy for all neuroblastoma patients.

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