Immune niche-associated and niche-regulated plasticity in glioblastoma: state transitions, immune escape, and therapeutic vulnerabilities - Report - MDSpire

Immune niche-associated and niche-regulated plasticity in glioblastoma: state transitions, immune escape, and therapeutic vulnerabilities

  • By

  • Haijun Zhang

  • Xiaofang Wu

  • Haojie Liao

  • Yifan Zhang

  • June 26, 2026

  • 0 min

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Plasticity in Glioblastoma Driven by Immune Microenvironment

Overview

This review discusses the significant role of the immune microenvironment in glioblastoma (GBM) plasticity, highlighting how immune interactions influence tumor cell-state transitions and contribute to treatment resistance.

Background

Glioblastoma is the most aggressive form of diffuse glioma and is characterized by high recurrence rates and resistance to therapy. Understanding the tumor microenvironment, particularly the immune components, is critical as it plays a significant role in tumor behavior and treatment outcomes.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

  • GBM cells exhibit plasticity, shifting among various states influenced by immune and therapeutic pressures.
  • Tumor-associated macrophages and microglia contribute to the maintenance of immunosuppressive ecosystems within GBM.
  • Adaptive reprogramming in surviving tumor cells post-therapy fosters recurrence-associated states with increased resistance.
  • Single-cell and spatial studies indicate that glioma-associated myeloid cells are spatially organized within the tumor microenvironment.

Clinical Implications

Clinicians should consider the dynamic interactions between glioblastoma cells and the immune microenvironment when developing treatment strategies.

Conclusion

The review emphasizes the importance of understanding the immune microenvironment's role in glioblastoma plasticity and treatment resistance.

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  3. Journal of Neuro-Oncology, 2025 -- Altering the glioma microenvironment through laser interstitial thermal therapy: underlying mechanisms and clinical significance
  4. Frontiers in Immunology, 2026 -- Meningeal immunity and “Interstitial” therapy: a new paradigm for immunotherapy in glioblastoma
  5. Updated EANO guideline on rational molecular testing of gliomas, glioneuronal, and neuronal tumors in adults for targeted therapy selection—Update 1 - PMC
  6. Phase III trial of chemoradiotherapy with temozolomide plus nivolumab or placebo for newly diagnosed glioblastoma with methylated MGMT promoter - PMC
  7. Therapeutic approaches to modulate the immune microenvironment in gliomas | npj Precision Oncology
  8. Updated EANO guideline on rational molecular testing of gliomas, glioneuronal, and neuronal tumors in adults for targeted therapy selection—Update 1 - PMC
  9. Phase III trial of chemoradiotherapy with temozolomide plus nivolumab or placebo for newly diagnosed glioblastoma with methylated MGMT promoter - PMC
  10. Therapeutic approaches to modulate the immune microenvironment in gliomas | npj Precision Oncology

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