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Understanding the glioblastoma immune microenvironment as basis for the development of new immunotherapeutic strategies

Cancer immunotherapy by immune checkpoint blockade has proven its great potential by saving the lives of a proportion of late stage patients with immunogenic tumor types. However, even in these sensitive tumor types, the majority of patients do not sufficiently respond to the therapy. Furthermore, o...

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Published in:eLife 2020-02, Vol.9
Main Authors: Pombo Antunes, Ana Rita, Scheyltjens, Isabelle, Duerinck, Johnny, Neyns, Bart, Movahedi, Kiavash, Van Ginderachter, Jo A
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description Cancer immunotherapy by immune checkpoint blockade has proven its great potential by saving the lives of a proportion of late stage patients with immunogenic tumor types. However, even in these sensitive tumor types, the majority of patients do not sufficiently respond to the therapy. Furthermore, other tumor types, including glioblastoma, remain largely refractory. The glioblastoma immune microenvironment is recognized as highly immunosuppressive, posing a major hurdle for inducing immune-mediated destruction of cancer cells. Scattered information is available about the presence and activity of immunosuppressive or immunostimulatory cell types in glioblastoma tumors, including tumor-associated macrophages, tumor-infiltrating dendritic cells and regulatory T cells. These cell types are heterogeneous at the level of ontogeny, spatial distribution and functionality within the tumor immune compartment, providing insight in the complex cellular and molecular interplay that determines the immune refractory state in glioblastoma. This knowledge may also yield next generation molecular targets for therapeutic intervention.
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subjects Brain - cytology
Brain - immunology
Brain - metabolism
Brain cancer
Brain Neoplasms - immunology
Brain Neoplasms - therapy
Cancer
Cancer Biology
Cancer cells
Cancer immunotherapy
Cancer therapies
Cancer treatment
Dendritic cells
Dendritic Cells - cytology
Dendritic Cells - immunology
Destruction
Glioblastoma
Glioblastoma - immunology
Glioblastoma - therapy
Glioblastomas
Gliomas
Health aspects
Humans
Immune checkpoint
Immune response
Immunogenicity
Immunoglobulins
Immunoregulation
Immunostimulation
Immunosuppressive agents
Immunotherapy
Lymphocytes
Lymphocytes T
Macrophages
Macrophages - cytology
Macrophages - immunology
Melanoma
microenvironment
Nivolumab
Ontogeny
Pembrolizumab
Radiation therapy
regulatory T cell
Review
Spatial distribution
Stem cells
T cells
T-Lymphocytes, Regulatory - cytology
T-Lymphocytes, Regulatory - immunology
Tumor Microenvironment - immunology
tumor-associated dendritic cell
tumor-associated macrophage
Tumors
title Understanding the glioblastoma immune microenvironment as basis for the development of new immunotherapeutic strategies
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