Glioma cells |
Secrete immunosuppressive cytokines
Downregulate major histocompatibility complex (MHC) class I expression
Upregulate programmed death-ligand 1 (PD-L1) expression
Remodel the extracellular matrix
Release growth factors that promote angiogenesis, proliferation, invasion and immune evasion
|
[13,14,15] |
Tumour-associated macrophages and microglia (TAMs) |
Mostly M2 phenotype promoting glioma growth and immune suppression
Release interleukin 10 (IL-10), tumour growth factor beta (TGF-β) and IL-12
Suppress T-cell and NK-cell activity
|
[13,14,15] |
Regulatory T (Treg) cells |
Inhibit effector T-cell activity and promote immune evasion
Increase cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and programme cell death protein 1 (PD-1) expression, suppressing anti-tumour pathways
|
[13,14,15] |
Natural killer (NK) cells |
Recognise and kill glioma cells
Produce interferon gamma (IFN-γ), tumour necrosis factor alpha (TNF-α) and IL-12, promoting anti-tumour immune responses
|
[13,14,15] |
Dendritic cells (DCs) |
|
[13,14,15] |
Myeloid-derived suppressor cells (MDSCs) |
|
[13,14,15] |