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Immune checkpoint blockade in glioblastoma: from tumor heterogeneity to personalized treatment
Víctor A. Arrieta, … , Roger Stupp, Adam M. Sonabend
Víctor A. Arrieta, … , Roger Stupp, Adam M. Sonabend
Published January 17, 2023
Citation Information: J Clin Invest. 2023;133(2):e163447. https://doi.org/10.1172/JCI163447.
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Review Series Article has an altmetric score of 25

Immune checkpoint blockade in glioblastoma: from tumor heterogeneity to personalized treatment

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Abstract

Immune checkpoint blockade (ICB) has revolutionized modern cancer therapy, arousing great interest in the neuro-oncology community. While several reports show that subsets of patients with glioma exhibit durable responses to immunotherapy, the efficacy of this treatment has not been observed for unselected patient populations, preventing its broad clinical implementation for gliomas and glioblastoma (GBM). To exploit the maximum therapeutic potential of ICB for patients with glioma, understanding the different aspects of glioma-related tumor immune responses is of critical importance. In this Review, we discuss contributing factors that distinguish subsets of patients with glioma who may benefit from ICB. Specifically, we discuss (a) the complex interaction between the tumor immune microenvironment and glioma cells as a potential influence on immunotherapy responses; (b) promising biomarkers for responses to immune checkpoint inhibitors; and (c) the potential contributions of peripheral immune cells to therapeutic responses.

Authors

Víctor A. Arrieta, Crismita Dmello, Daniel J. McGrail, Daniel J. Brat, Catalina Lee-Chang, Amy B. Heimberger, Dhan Chand, Roger Stupp, Adam M. Sonabend

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Figure 1

Dynamic crosstalk between tumor and immune cells as a potential contributor to an enhanced response to immune checkpoint blockade.

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Dynamic crosstalk between tumor and immune cells as a potential contribu...
Different transcriptional programs are defined by the abundance of immune cells such as macrophages, microglia, and T cells as well as the immunogenicity of tumor cells that includes the expression of MHC class I and II. In addition, the generation of a peripheral immune response following immune checkpoint inhibitors is a critical component of a successful therapeutic response.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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