T Cell Exhaustion in Glioblastoma: Intricacies of Immune Checkpoints.

Abstract:

:Glioblastoma is an aggressive and incurable primary brain tumor. While the blockade of immune checkpoints leads to reversal of T cell exhaustion in many cancers, the efficacy of this therapy in glioblastoma requires further consideration of the brain microenvironment beyond T cell activity. Neural cells are crucially dependent on glucose for survival, and tumor cells rabidly consume glucose; the glucose-deprived microenvironment further elevates immune checkpoint molecules to benefit tumor growth and exacerbate T cell exhaustion. We review here how immune checkpoints drive exhaustion in T cells while favoring tumor metabolism, and discuss how glucose competition in the unique CNS milieu is an important consideration to improve the outcomes of immune checkpoint blockade in glioblastoma.

journal_name

Trends Immunol

journal_title

Trends in immunology

authors

Mirzaei R,Sarkar S,Yong VW

doi

10.1016/j.it.2016.11.005

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

104-115

issue

2

eissn

1471-4906

issn

1471-4981

pii

S1471-4906(16)30195-8

journal_volume

38

pub_type

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