Engineering challenges for brain tumor immunotherapy.

Engineering challenges for brain tumor immunotherapy.
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DOI:
10.1016/j.addr.2017.06.006
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发表时间:
2017-05-15
影响因子:
16.1
通讯作者:
Bellamkonda RV
Bellamkonda RV
中科院分区:
医学1区
文献类型:
--
作者:
Lyon JG;Mokarram N;Saxena T;Carroll SL;Bellamkonda RV

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恶性脑肿瘤是最具破坏性的癌症之一,其生存率在过去60年中没有改变。这部分是因为大脑是一个关键器官,并构成独特的解剖学,生理学和免疫学屏障。这些障碍的独特相互作用也为创造性的工程解决方案提供了机会。癌症免疫疗法,一种利用宿主免疫系统获得抗肿瘤功效的手段,正在成为治疗许多癌症的标准方法。然而,它在脑肿瘤中的应用并不广泛。这篇综述讨论了目前治疗脑肿瘤的方法,以及这些方法的障碍,重点是免疫治疗。我们确定了免疫工程脑肿瘤治疗的关键障碍,并讨论了应对这些挑战的可能解决方案。
Malignant brain tumors represent one of the most devastating forms of cancer with abject survival rates that have not changed in the past 60 years. This is partly because the brain is a critical organ, and poses unique anatomical, physiological, and immunological barriers. The unique interplay of these barriers also provides an opportunity for creative engineering solutions. Cancer immunotherapy, a means of harnessing the host immune system for anti-tumor efficacy, is becoming a standard approach for treating many cancers. However, its use in brain tumors is not widespread. This review discusses the current approaches, and hurdles to these approaches in treating brain tumors, with a focus on immunotherapies. We identify critical barriers to immunoengineering brain tumor therapies and discuss possible solutions to these challenges.
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