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脑膜瘤的免疫微环境与治疗

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脑膜瘤是发病率最高的一类原发性颅内肿瘤,根据2021年WHO分级为I、II和III级.随着级别增加,肿瘤复发率越高,预后越差.治疗以手术为主,对于残留或复发肿瘤采用放疗.尽管如此,部分脑膜瘤患者常常经历多次手术或放疗后再次复发,失去手术及放疗机会,内科治疗有限,因此寻找有效的治疗方式是亟待解决的问题.近年来,免疫治疗在多种恶性肿瘤中获得了不错的疗效,随着对脑膜瘤分子基因特征及肿瘤微环境的深入研究,脑膜瘤同样具有丰富的免疫微环境,因此免疫治疗可能也适用于复发或难治性脑膜瘤的治疗.本文主要综述脑膜瘤免疫微环境特点及免疫治疗进展,总结近几年脑膜瘤微环境中免疫检查点蛋白表达及其应用情况,旨在找出有效免疫靶点用以临床转化,为脑膜瘤患者带来新的希望.
Immune microenvironment and immunotherapy of meningioma
Meningioma is the most common type of primary intracranial tumor and includes grade I,II and III by the world health organization(WHO)classification in 2021.With the increase of grade,the higher the recurrence rate of tumor,the worse the prognosis.Surgery is the main treatment,and radiotherapy is used for residual or recurrent tumors.However,some patients often lost the opportunity of surgery and radiotherapy who recurred after multiple surgeries or radiotherapy.Medical treatment is limited.Therefore,effective treatment is an urgent problem to be solved.In recent years,immunotherapy has achieved good efficacy in a variety of malignant tumors.Meningioma also harbors abundant immune microenvironment basing on the large of evidence of genome and infiltrated immune cells of meningioma,immunotherapy may be a choice for the treatment of recurrent or refractory meningioma.This article mainly reviews the components of the immune microenvironment in meningioma and the progress of immunotherapy,and summarizes the expression and application of immune checkpoint proteins in the meningioma in the past years,aiming to find out effective immune targets for clinical transformation and bring new hope for meningioma patients.

MeningiomaTumor microenvironmentImmunotherapyImmune checkpoints

佘春华、王晓光

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天津医科大学肿瘤医院脑系肿瘤科,国家恶性肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津市恶性肿瘤临床医学研究中心,天津 300060

脑膜瘤 肿瘤微环境 免疫治疗 免疫检查点

2024

肿瘤
上海市肿瘤研究所

肿瘤

CSTPCD
影响因子:1.112
ISSN:1000-7431
年,卷(期):2024.44(5)