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Optimizing T Cell-Based Therapy for Glioblastoma

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FRONTIERS IN IMMUNOLOGY
卷 12, 期 -, 页码 -

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FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2021.705580

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T cell dysfunction; exhaustion; glioblastoma; glioma; CAR T cells; adoptive T cell transfer

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Evading T cell surveillance is a key aspect of cancer development. Patients with solid tissue malignancies like glioblastoma often experience immune dysfunction, particularly in T cell function. Standard treatments can worsen T cell dysfunction, but strategies like adoptive T cell transfer, including CAR T cells, offer potential for reinvigorating immune responses against cancer. However, there are risks of depletion and dysfunction in these adoptively transferred T cells.
Evading T cell surveillance is a hallmark of cancer. Patients with solid tissue malignancy, such as glioblastoma (GBM), have multiple forms of immune dysfunction, including defective T cell function. T cell dysfunction is exacerbated by standard treatment strategies such as steroids, chemotherapy, and radiation. Reinvigoration of T cell responses can be achieved by utilizing adoptively transferred T cells, including CAR T cells. However, these cells are at risk for depletion and dysfunction as well. This review will discuss adoptive T cell transfer strategies and methods to avoid T cell dysfunction for the treatment of brain cancer.

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