2018
DOI: 10.3389/fimmu.2018.02924
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Cancer Stem Cells and Immunosuppressive Microenvironment in Glioma

Abstract: Glioma is one of the most common malignant tumors of the central nervous system and is characterized by extensive infiltrative growth, neovascularization, and resistance to various combined therapies. In addition to heterogenous populations of tumor cells, the glioma stem cells (GSCs) and other nontumor cells present in the glioma microenvironment serve as critical regulators of tumor progression and recurrence. In this review, we discuss the role of several resident or peripheral factors with distinct tumor-p… Show more

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Cited by 182 publications
(168 citation statements)
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References 194 publications
(208 reference statements)
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“…Unfortunately, immune cells in the high grade glioblastoma (GBM) microenvironment generally assume tumor-promoting roles (47)(48)(49)(50)(51). Under the influence of GBM, microglia/macrophages are immunosuppressed and may even contribute to GBM invasion (52)(53)(54). BTICs are thought to help enforce immunosuppression (11,12,(55)(56)(57)(58).…”
Section: Discussionmentioning
confidence: 99%
“…Unfortunately, immune cells in the high grade glioblastoma (GBM) microenvironment generally assume tumor-promoting roles (47)(48)(49)(50)(51). Under the influence of GBM, microglia/macrophages are immunosuppressed and may even contribute to GBM invasion (52)(53)(54). BTICs are thought to help enforce immunosuppression (11,12,(55)(56)(57)(58).…”
Section: Discussionmentioning
confidence: 99%
“…The orchestrated immunological interactions within glioma TME have received increased focus and harnessing the immune system is becoming a hotspot in the eld of oncology. Various components of glioma TME, such as immune cells, cytokines and markers are coordinately interact with each other to establish the immunosuppressive phenotype and promote the development of glioma [5]. From this perspective, advanced clinical practices by targeting speci c immunotherapies have already showed profound outcomes compared to conventional therapy against glioma.…”
Section: Discussionmentioning
confidence: 99%
“…Patients with GBM still have dismal prognosis, with median overall survival time less than 17 months [3]. The tolerance against multiple treatments and invariably relapse of gliomas are extensively studied as consequences of molecular or chromosomal subtypes, oncogenic activations and distinct metabolic immunosuppressive tumor microenvironment (TME) [3][4][5][6]. Pursuing better understanding of molecular landscape in gliomas, novel markers are successively detected with important clinical signi cance.…”
Section: Introductionmentioning
confidence: 99%
“…This pattern of relapse and progression suggests the presence of a subpopulation of cancer cells within the initial tumor that is able to survive cytotoxic therapies and drive tumor recurrence. Data from multiple studies have supported a hypothesis that the cells responsible for GBM recurrence are cancer stem cells (CSCs) (Singh et al 2004;Sanai et al 2005;Gimple et al 2019;Ma et al 2018;Lathia and Mack 2015).…”
Section: Introductionmentioning
confidence: 99%