Exploring the tumor microenvironment in diffuse intrinsic pontine glioma: immunological insights and therapeutic challenges.

IF 10.3 1区 医学 Q1 IMMUNOLOGY
Bieke Van den Ende, Matteo Riva, Frederik De Smet, Sandra Jacobs, Esther Hulleman, An Coosemans
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引用次数: 0

Abstract

Diffuse intrinsic pontine glioma (DIPG) is a rare and highly aggressive pediatric brain tumor with a median survival of less than 12 months. The tumor arises in the pons, making surgical resection unfeasible and limiting treatment options to palliative radiation, which offers minimal survival benefit. One of the major challenges in treating DIPG is the poorly understood tumor immune microenvironment, which has hindered the development of effective immunotherapies. DIPG tumors are considered to be immunologically cold with limited immune cell infiltration. Recent studies have begun to reveal the complex and heterogeneous immune landscape of DIPG, highlighting distinct immunological subgroups. This review aims to provide a comprehensive overview of the immune landscape of DIPG based on the latest insights, identify research gaps, and suggest potential areas for future investigation to improve treatment outcomes for patients with DIPG.

探讨弥漫性脑桥内胶质瘤的肿瘤微环境:免疫学见解和治疗挑战。
弥漫性内在脑桥胶质瘤(DIPG)是一种罕见且高度侵袭性的儿童脑肿瘤,中位生存期小于12个月。肿瘤起源于脑桥,使得手术切除不可行,并限制了姑息性放疗的治疗选择,这提供了最小的生存效益。治疗DIPG的主要挑战之一是对肿瘤免疫微环境的了解不足,这阻碍了有效免疫疗法的发展。DIPG肿瘤被认为是免疫冷的,免疫细胞浸润有限。最近的研究已经开始揭示DIPG的复杂和异质性免疫景观,突出不同的免疫亚群。本综述旨在基于最新见解提供DIPG免疫景观的全面概述,确定研究空白,并提出未来研究的潜在领域,以改善DIPG患者的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal for Immunotherapy of Cancer
Journal for Immunotherapy of Cancer Biochemistry, Genetics and Molecular Biology-Molecular Medicine
CiteScore
17.70
自引率
4.60%
发文量
522
审稿时长
18 weeks
期刊介绍: The Journal for ImmunoTherapy of Cancer (JITC) is a peer-reviewed publication that promotes scientific exchange and deepens knowledge in the constantly evolving fields of tumor immunology and cancer immunotherapy. With an open access format, JITC encourages widespread access to its findings. The journal covers a wide range of topics, spanning from basic science to translational and clinical research. Key areas of interest include tumor-host interactions, the intricate tumor microenvironment, animal models, the identification of predictive and prognostic immune biomarkers, groundbreaking pharmaceutical and cellular therapies, innovative vaccines, combination immune-based treatments, and the study of immune-related toxicity.
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