PMID- 18363995 OWN - NLM STAT- MEDLINE DCOM- 20090210 LR - 20211020 IS - 1600-065X (Electronic) IS - 0105-2896 (Print) IS - 0105-2896 (Linking) VI - 222 DP - 2008 Apr TI - Immunotherapy of malignant brain tumors. PG - 70-100 LID - 10.1111/j.1600-065X.2008.00603.x [doi] AB - Despite aggressive multi-modality therapy including surgery, radiation, and chemotherapy, the prognosis for patients with malignant primary brain tumors remains very poor. Moreover, the non-specific nature of conventional therapy for brain tumors often results in incapacitating damage to surrounding normal brain and systemic tissues. Thus, there is an urgent need for the development of therapeutic strategies that precisely target tumor cells while minimizing collateral damage to neighboring eloquent cerebral cortex. The rationale for using the immune system to target brain tumors is based on the premise that the inherent specificity of immunologic reactivity could meet the clear need for more specific and precise therapy. The success of this modality is dependent on our ability to understand the mechanisms of immune regulation within the central nervous system (CNS), as well as counter the broad defects in host cell-mediated immunity that malignant gliomas are known to elicit. Recent advances in our understanding of tumor-induced and host-mediated immunosuppressive mechanisms, the development of effective strategies to combat these suppressive effects, and a better understanding of how to deliver immunologic effector molecules more efficiently to CNS tumors have all facilitated significant progress toward the realization of true clinical benefit from immunotherapeutic treatment of malignant gliomas. FAU - Mitchell, Duane A AU - Mitchell DA AD - Division of Neurosurgery, Department of Surgery, The Preston Robert Tisch Brain Tumor Center, Duke, NC 27710, USA. d.mitchell@duke.edu FAU - Fecci, Peter E AU - Fecci PE FAU - Sampson, John H AU - Sampson JH LA - eng GR - P50 NS020023/NS/NINDS NIH HHS/United States GR - R01 CA235612/CA/NCI NIH HHS/United States PT - Journal Article PT - Review PL - England TA - Immunol Rev JT - Immunological reviews JID - 7702118 RN - 0 (Adjuvants, Immunologic) RN - 0 (Amyloid beta-Peptides) RN - 0 (Antigens, Neoplasm) RN - 0 (Cancer Vaccines) RN - 0 (Toll-Like Receptors) SB - IM MH - Adjuvants, Immunologic MH - Amyloid beta-Peptides/immunology MH - Animals MH - Antigen-Presenting Cells/immunology MH - Antigens, Neoplasm/*immunology MH - Blood-Brain Barrier/immunology MH - Brain Neoplasms/*immunology/pathology/therapy MH - Cancer Vaccines MH - Cell Culture Techniques MH - Humans MH - Immune Tolerance MH - Immunity, Innate MH - Immunologic Memory MH - Immunologic Surveillance MH - Immunotherapy/*methods/trends MH - Immunotherapy, Adoptive/methods MH - Killer Cells, Lymphokine-Activated MH - Lymphocytes, Tumor-Infiltrating/immunology/transplantation MH - Mice MH - Models, Animal MH - Rats MH - Toll-Like Receptors/agonists PMC - PMC3418681 MID - NIHMS396799 EDAT- 2008/03/28 09:00 MHDA- 2009/02/12 09:00 PMCR- 2012/08/14 CRDT- 2008/03/28 09:00 PHST- 2008/03/28 09:00 [pubmed] PHST- 2009/02/12 09:00 [medline] PHST- 2008/03/28 09:00 [entrez] PHST- 2012/08/14 00:00 [pmc-release] AID - IMR603 [pii] AID - 10.1111/j.1600-065X.2008.00603.x [doi] PST - ppublish SO - Immunol Rev. 2008 Apr;222:70-100. doi: 10.1111/j.1600-065X.2008.00603.x.