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Published on: January 11, 2020
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.
Abstract:
Neuroblastoma (NB) is a common and deadly malignancy mostly observed in children. Evolution of therapeutic options for NB led to the addition of immunotherapeutic modalities to the previously recruited chemotherapeutic options. Molecular studies of the NB cells resulted in the discovery of many tumor-associated genes and antigens such as MYCN gene and GD2. MYCN gene and GD2 surface antigen are two of the most practical discoveries regarding immunotherapy of neuroblastoma. The GD2 antigen has been targeted in many animal and human studies including Phase III clinical trials. Even though these antigens have changed the face of pediatric neuroblastoma, they do not take as much credit in immunotherapy of adult-onset neuroblastoma. Monoclonal antibodies have been designed to detect this antigen on the surface of NB tumor cells. Despite bettering the outcomes for NB patients, current therapies still fail in many cases. Studies are underway to discover more specific tumor-associated antigens and more effective treatment options. In the current narrative, immunotherapy of NB - from emerging of this therapeutic backbone in NB to the latest discoveries regarding this malignancy - has been reviewed.
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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