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Immune microenvironment of medulloblastoma:The association between its molecular subgroups and potential targeted immunotherapeutic receptors

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World Journal of Clinical Oncology 2023年第3期14卷 117-130页

作者： Maher Kurdi Nasser Mulla husam malibary Ahmed K Bamaga Motaz M Fadul Eyad Faizo Sahar Hakamy Saleh Baeesa Department of Pathology Faculty of MedicineKing Abdulaziz UniversityRabigh 213733Saudi Arabia Neuromuscular Unit King Fahad Medical Research CenterKing Abdulaziz UniversityJeddah 213733Saudi Arabia Department of Internal Medicine Faculty of MedicineTaibah UniversityMedina 213733Saudi Arabia Department of Internal Medicine Faculty of MedicineKing Abdulaziz UniversityJeddah 213733Saudi Arabia Department of Paediatrics Faculty of MedicineKing Abdulaziz UniversityJeddah 213733Saudi Arabia Division of Neurosurgery Department of SurgeryFaculty of MedicineTabuk UniversityTabuk 213733Saudi Arabia Neurmuscular Unit Center of Excellence of Genomic MedicineJeddah 21423Saudi Arabia Department of Neuroscience King Faisal Specialist Hospital and Research CenterJeddahSaudi Arabia

Medulloblastoma(MB)is considered the commonest malignant brain tumor in *** treatments consisting of surgery,radiation,and chemotherapy have improved patients’***,the recurrence occurs in 30%of *** persistent mortality rates,the failure of current therapies to extend life expectancy,and the serious complications of non-targeted cytotoxic treatment indicate the need for more refined therapeutic *** MBs originating from the neurons of external granular layer line the outer surface of neocerebellum and responsible for the afferent and efferent ***,MBs have been segregated into four molecular subgroups:Wingless-activated(WNT-MB)(Group 1);Sonichedgehog-activated(SHH-MB)(Group 2);Group 3 and 4 *** molecular alterations follow specific gene mutations and disease-risk *** current treatment protocols and ongoing clinical trials against these molecular subgroups are still using common chemotherapeutic agents by which their efficacy have improved the progression-free survival but did not change the overall ***,the need to explore new therapies targeting specific receptors in MB microenvironment became *** immune microenvironment of MBs consists of distinctive cellular heterogeneities including immune cells and none-immune *** associate macrophage and tumour infiltrating lymphocyte are considered the main principal cells in tumour microenvironment,and their role are still under *** this review,we discuss the mechanism of interaction between MB cells and immune cells in the microenvironment,with an overview of the recent investigations and clinical trials.

关键词： Medulloblastoma Tumour microenvironment Tumour associated macrophages Tumour infiltrating lymphocyte Immunotherapies

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