2021
DOI: 10.1038/s41417-021-00320-w
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Engineered cells as glioblastoma therapeutics

Abstract: In spite of significant recent advances in our understanding of the genetics and cell biology of glioblastoma, to date, this has not led to improved treatments for this cancer. In addition to small molecule, antibody, and engineered virus approaches, engineered cells are also being explored as glioblastoma therapeutics. This includes CAR-T cells, CAR-NK cells, as well as engineered neural stem cells and mesenchymal stem cells. Here we review the state of this field, starting with clinical trial studies. These … Show more

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Cited by 9 publications
(6 citation statements)
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References 93 publications
(98 reference statements)
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“…Glioblastoma multiforme (GBM) is one of the most aggressive types of cancer that initiates in the brain. Despite advancements in our understanding of GBM pathogenesis, the development of new diagnostic tools and innovative targeted therapeutics, GBM remains an incurable disease with a median overall survival (OS) approximately ranging from 7 to 15 months [ 1 , 2 ]. The lack of an effective treatment has been linked to different factors, including target selection, tumour heterogeneity, immunosuppressive tumour microenvironment (TME) and poor penetration of therapeutic agents through the blood–brain barrier (BBB) [ 2 , 3 , 4 , 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…Glioblastoma multiforme (GBM) is one of the most aggressive types of cancer that initiates in the brain. Despite advancements in our understanding of GBM pathogenesis, the development of new diagnostic tools and innovative targeted therapeutics, GBM remains an incurable disease with a median overall survival (OS) approximately ranging from 7 to 15 months [ 1 , 2 ]. The lack of an effective treatment has been linked to different factors, including target selection, tumour heterogeneity, immunosuppressive tumour microenvironment (TME) and poor penetration of therapeutic agents through the blood–brain barrier (BBB) [ 2 , 3 , 4 , 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…GBM is the most invasive primary brain tumor with poor clinical outcomes. The poor outcome for GBM patients is partly due to the lack of new therapeutic approaches (Ramanathan & Lorimer, 2021; Tamimi & Juweid, 2017). HSV‐TK/GCV gene therapy is one of the hopeful options for GBM treatment (Li et al, 2021).…”
Section: Discussionmentioning
confidence: 99%
“…Several studies have already established the importance of NK cells in cancer research by highlighting how NK cell deficiency leads to a greater risk of developing cancer [ 102 , 103 , 104 , 105 ]. Incidentally, these cells have not been as well explored as T cells for treating glioblastoma [ 106 ]. Interestingly, in GBM patients, NK cells have shown to behave differently compared with healthy patients by expressing low levels of the NKG2D receptor that usually activates the NK cells to carry out cell-mediated killing of the tumor cells [ 82 , 107 ].…”
Section: Glioma Immune Landscapementioning
confidence: 99%