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Repurposing the SSRI paroxetine increases lymphocyte mobilization and improves the efficacy of measles virus-based immunovirotherapy.

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Molecular therapy. Oncology 📖 저널 OA 100% 2024: 4/4 OA 2025: 33/33 OA 2026: 20/20 OA 2024~2026 2026 Vol.34(1) p. 201109 OA
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Stergiopoulos GM, Concilio SC, Viker KB, Clark SM, Robinson SI, Galanis E

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Glioblastoma (GBM) is the most common primary malignant brain tumor, with a poor prognosis and limited response to immunotherapy.

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APA Stergiopoulos GM, Concilio SC, et al. (2026). Repurposing the SSRI paroxetine increases lymphocyte mobilization and improves the efficacy of measles virus-based immunovirotherapy.. Molecular therapy. Oncology, 34(1), 201109. https://doi.org/10.1016/j.omton.2025.201109
MLA Stergiopoulos GM, et al.. "Repurposing the SSRI paroxetine increases lymphocyte mobilization and improves the efficacy of measles virus-based immunovirotherapy.." Molecular therapy. Oncology, vol. 34, no. 1, 2026, pp. 201109.
PMID 41542034 ↗

Abstract

Glioblastoma (GBM) is the most common primary malignant brain tumor, with a poor prognosis and limited response to immunotherapy. Systemic immunosuppression in GBM is a significant challenge partly driven by T cell sequestration in the bone marrow via sphingosine-1-phosphate receptor 1 (S1P1) internalization by G protein-coupled receptor kinase 2 (GRK-2). We demonstrated that immunovirotherapy based on oncolytic measles virus armed with the neutrophil-activating protein (MV-s-NAP), combined with anti-PD-1 and anti-TIGIT, increases S1P1 expression on bone marrow lymphocytes. Furthermore, repurposing paroxetine, one of the Food and Drug Administration-approved selective serotonin reuptake inhibitors (SSRIs) with GRK-2 inhibitory action, enhanced this effect, leading to greater lymphocyte circulation, activation, and improved survival in an orthotopic syngeneic mouse model. By overcoming key mechanisms of immune suppression and repurposing a widely available, clinically safe drug, this strategy represents a highly translatable approach to enhancing the efficacy of immunovirotherapy for gliomas.

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