Immune Therapy for Central Nervous System Metastasis

Neurosurg Clin N Am. 2020 Oct;31(4):627-639. doi: 10.1016/j.nec.2020.06.014. Epub 2020 Aug 15.

Abstract

Brain metastases lead to substantial morbidity and mortality among patients with advanced malignancies. Although treatment options have traditionally included largely palliative measures, studies of brain metastasis response to immunotherapy are promising. Immune checkpoint inhibitors have shown efficacy in studies of patients with melanoma, renal cell carcinoma, and lung cancer brain metastases. Patients with brain metastases are more frequently included in clinical trials, ushering in a new era in immunotherapy and management for patients with brain metastases. Gaining an understanding of the molecular determination for response to immunotherapies remains a major challenge and is an active area of future research.

Keywords: Abscopal effect; Brain metastasis; Checkpoint inhibitors; Immunotherapy.

Publication types

  • Review

MeSH terms

  • Animals
  • Brain Neoplasms / immunology
  • Brain Neoplasms / physiopathology
  • Brain Neoplasms / therapy*
  • Central Nervous System Neoplasms / immunology
  • Central Nervous System Neoplasms / physiopathology
  • Central Nervous System Neoplasms / therapy*
  • Combined Modality Therapy / methods
  • Humans
  • Immunotherapy*
  • Treatment Outcome
  • Tumor Microenvironment