4.6 Article

Cell-based therapies for glioblastoma: Promising tools against tumor heterogeneity

Journal

NEURO-ONCOLOGY
Volume 25, Issue 9, Pages 1551-1562

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/neuonc/noad092

Keywords

cell therapy; glioblastoma; immunotherapy; stem cell therapy; tumor heterogeneity

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Glioblastoma (GBM) is a highly aggressive tumor with limited treatment options. Despite advances in understanding its molecular and immune characteristics, GBM remains resistant to targeted therapies. Cellular therapies, such as immunotherapies and stem cell-based therapies, offer potential solutions to overcome GBM's challenges. This review article focuses on evaluating the utility of these cellular therapies, categorizing them based on specificity and analyzing preclinical and clinical data to guide future development.
Glioblastoma (GBM) is a highly aggressive tumor with a devastating impact on quality-of-life and abysmal survivorship. Patients have very limited effective treatment options. The successes of targeted small molecule drugs and immune checkpoint inhibitors seen in various solid tumors have not translated to GBM, despite significant advances in our understanding of its molecular, immune, and microenvironment landscapes. These discoveries, however, have unveiled GBM's incredible heterogeneity and its role in treatment failure and survival. Novel cellular therapy technologies are finding successes in oncology and harbor characteristics that make them uniquely suited to overcome challenges posed by GBM, such as increased resistance to tumor heterogeneity, modularity, localized delivery, and safety. Considering these advantages, we compiled this review article on cellular therapies for GBM, focusing on cellular immunotherapies and stem cell-based therapies, to evaluate their utility. We categorize them based on their specificity, review their preclinical and clinical data, and extract valuable insights to help guide future cellular therapy development.

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