Abstract
Gliomas such as glioblastoma have a complex relationship with the immune system. Glioblastomas have a harshly immunosuppressive microenvironment due in large part to the expression of multiple factors by tumor cells that inhibit T-cell responses. In addition, glioblastomas are heavily infiltrated with monocytic cells. These cells appear to have become immunosuppressive under the influence of the tumor and share characteristics with myeloid-derived suppressor cells. To a lesser degree, gliomas have T-cell infiltrates. Similarly, these largely appear to have adopted the immunosuppressive phenotype of regulatory T cells. Glioblastoma patients also have marked systemic immunosuppression characterized by globally reduced T-cell counts and impaired T-cell function coupled with increased circulating immunosuppressive regulatory T cells and myeloid-derived suppressor cells. The relationships between these various immunosuppressive cell populations, their impact on T cells, and their implications for immunotherapies are reviewed in this chapter.
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Abbreviations
- APC:
-
Antigen-presenting cell
- BBB:
-
Blood–brain barrier
- CNS:
-
Central nervous system
- CSF:
-
Colony-stimulating factor-1
- EGFR:
-
Epidermal growth factor receptor
- GBM:
-
Glioblastoma multiforme
- HLA:
-
Human leukocyte antigen
- IFN:
-
Interferon
- IL:
-
Interleukin
- LAK:
-
Lymphokine-activated killer cells
- MDSC:
-
Myeloid-derived suppressor cell
- MHC:
-
Major histocompatibility complex
- PG:
-
Prostaglandin
- PTEN:
-
Phosphatase and tensin homologue deleted from chromosome 10
- RANTES:
-
Regulated on activation normal T cell expressed and secreted, CCL5
- STAT:
-
Signal transducer and activator of transcription signal transduction and transcription
- TGF:
-
Transforming growth factor
- TIL:
-
Tumor-infiltrating lymphocytes
- TNF:
-
Tumor necrosis factor
- Treg :
-
Regulatory T cell
- VEGF:
-
Vascular endothelial cell growth factor
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Chen, S., Parney, I.F. (2014). Immune Response: Glioma-Associated Immunosuppression. In: Sedo, A., Mentlein, R. (eds) Glioma Cell Biology. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1431-5_8
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