2017
DOI: 10.1016/j.addr.2017.06.006
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Engineering challenges for brain tumor immunotherapy

Abstract: Malignant brain tumors represent one of the most devastating forms of cancer with abject survival rates that have not changed in the past 60 years. This is partly because the brain is a critical organ, and poses unique anatomical, physiological, and immunological barriers. The unique interplay of these barriers also provides an opportunity for creative engineering solutions. Cancer immunotherapy, a means of harnessing the host immune system for anti-tumor efficacy, is becoming a standard approach for treating … Show more

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Cited by 61 publications
(61 citation statements)
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“…This study demonstrates that it is possible to leverage endogenous mechanisms of scar formation to moderate tumor growth by modulating the behavior of cells other than those of the tumor. We have previously demonstrated similar containment by targeting brain tumor cells directly using a small cytostatic molecule, although that strategy is hindered by the typical constraints of drug delivery to the brain, often failing to deliver the therapeutic payload to the entire tumor mass . Here, we report the targeting of endogenous inflammatory mechanisms for the induced expressed of inhibitory matrix in the stromal space using the EPR effect via gold nanoparticles.…”
Section: Discussionmentioning
confidence: 95%
“…This study demonstrates that it is possible to leverage endogenous mechanisms of scar formation to moderate tumor growth by modulating the behavior of cells other than those of the tumor. We have previously demonstrated similar containment by targeting brain tumor cells directly using a small cytostatic molecule, although that strategy is hindered by the typical constraints of drug delivery to the brain, often failing to deliver the therapeutic payload to the entire tumor mass . Here, we report the targeting of endogenous inflammatory mechanisms for the induced expressed of inhibitory matrix in the stromal space using the EPR effect via gold nanoparticles.…”
Section: Discussionmentioning
confidence: 95%
“…In addition to the BBB, there are other barriers that maintain the CNS as an immune-privileged system, including the blood-meningeal barriers and the blood-cerebrospinal fluid (CSF) barriers [141,142]. During homeostasis, these barriers do not allow entry of pathogens or blood-borne immune cells.…”
Section: Astrocytes As An Immune Regulator In the Tumor Microenvironmentmentioning
confidence: 99%
“…Currently, researchers are now looking for ways to modulate this therapy so it can be applied to more tumors, including tumors in the CNS [141]. Importantly, the effectiveness of strategies such as vaccine and immune checkpoint therapies rely on a strong response and presence of tumor infiltrating immune cells for antigen presentation, which is low in most brain tumors due to the limited presence of resident immune cells within the brain [141,181]. Some strategies to stimulate the immune response, such as adjuvants or tetanus and diphtheria boosters with vaccine administration have increased effectiveness [141,182,183].…”
Section: Cns Tumor Immunotherapies and Astrocytesmentioning
confidence: 99%
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“…Crossing the blood brain barrier remains a challenge for the treatment of glioblastoma and other malignant brain tumors [377].…”
Section: Future Perspectives: Characterizing Membrane Active Peptidesmentioning
confidence: 99%