%0 Journal Article %T Tipping a favorable CNS intratumoral immune response using immune stimulation combined with inhibition of tumor-mediated immune suppression %A Amy B. Heimberger %A Brett Schrand %A Eli Gilboa %A Ganesh Rao %A George Calin %A Gregory N. Fuller %A Jun Wei %A Konrad Gabrusiewicz %A Ling-Yuan Kong %A Shouhao Zhou %J Archive of "Oncoimmunology". %D 2016 %R 10.1080/2162402X.2015.1117739 %X High-grade gliomas are notoriously heterogeneous regarding antigen expression, effector responses, and immunosuppressive mechanisms. Therefore, combinational immune therapeutic approaches are more likely to impact a greater number of patients and result in longer, durable responses. We have previously demonstrated the monotherapeutic effects of miR-124, which inhibits the signal transducer and activator of transcription 3 (STAT3) immune suppressive pathway, and immune stimulatory 4¨C1BB aptamers against a variety of malignancies, including genetically engineered immune competent high-grade gliomas. To evaluate potential synergy, we tested an immune stimulatory aptamer together with microRNA-124 (miRNA-124), which blocks tumor-mediated immune suppression, and found survival to be markedly enhanced, including beyond that produced by monotherapy. The synergistic activity appeared to be not only secondary to enhanced CD3+ cell numbers but also to reduced macrophage immune tumor trafficking, indicating that a greater therapeutic benefit can be achieved with approaches that both induce immune activation and inhibit tumor-mediated immune suppression within the central nervous system (CNS) tumors %K Aptamer %K CNS %K gliomas %K microRNA %K STAT3 %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4910740/