Exploiting Radiation Immunostimulatory Effects To Improve Glioblastoma Outcome.
Hala AwadaFrançois ParisClaire PecqueurPublished in: Neuro-oncology (2022)
Cancer treatment protocols depend on tumor type, localization, grade and patient. Despite aggressive treatments, median survival of patients with Glioblastoma (GBM), the most common primary brain tumor in adults, does not exceed 18 months, and all patients eventually relapse. Thus, novel therapeutic approaches are urgently needed. Radiotherapy induces a multitude of alterations within the tumor ecosystem, ultimately modifying the degree of tumor immunogenicity at GBM relapse. The present manuscript reviews the diverse effects of RT radiotherapy on tumors, with a special focus on its immunomodulatory impact to finally discuss how RT could be exploited in GBM treatment through immunotherapy targeting. Indeed, while further experimental and clinical studies are definitively required to successfully translate preclinical results in clinical trials, current studies highlight the therapeutic potential of immunotherapy to uncover novel avenues to fight GBM.
Keyphrases
- clinical trial
- early stage
- end stage renal disease
- free survival
- radiation induced
- ejection fraction
- locally advanced
- newly diagnosed
- randomized controlled trial
- case report
- stem cells
- peritoneal dialysis
- risk assessment
- cancer therapy
- patient reported outcomes
- drug delivery
- bone marrow
- patient reported
- study protocol
- open label
- case control