Tanase Cristiana Pistol, Enciu Ana-Maria, Mihai Simona, Neagu Ana Iulia, Calenic Bogdan, Cruceru Maria Linda
Victor Babes National Institute of Pathology, Department of Biochemistry-Proteomics, no 99-101 Splaiul Inde-pendentei, 050096 sect 5 Bucharest, Romania;
Curr Proteomics. 2013 Sep;10(3):246-260. doi: 10.2174/1570164611310030007.
High grade gliomas represent one of the most aggressive and treatment-resistant types of human cancer, with only 1-2 years median survival rate for patients with grade IV glioma. The treatment of glioblastoma is a considerable therapeutic challenge; combination therapy targeting multiple pathways is becoming a fast growing area of research. This review offers an up-to-date perspective of the literature about current molecular therapy targets in high grade glioma, that include angiogenic signals, tyrosine kinase receptors, nodal signaling proteins and cancer stem cells related approaches. Simultaneous identification of proteomic signatures could provide biomarker panels for diagnostic and personalized treatment of different subsets of glioblastoma. Personalized medicine is starting to gain importance in clinical care, already having recorded a series of successes in several types of cancer; nonetheless, in brain tumors it is still at an early stage.
高级别胶质瘤是人类癌症中最具侵袭性和治疗抵抗性的类型之一,IV级胶质瘤患者的中位生存率仅为1至2年。胶质母细胞瘤的治疗是一项重大的治疗挑战;针对多种途径的联合治疗正成为一个快速发展的研究领域。本综述提供了关于高级别胶质瘤当前分子治疗靶点的文献最新观点,这些靶点包括血管生成信号、酪氨酸激酶受体、节点信号蛋白以及与癌症干细胞相关的方法。蛋白质组学特征的同时鉴定可为胶质母细胞瘤不同亚组的诊断和个性化治疗提供生物标志物面板。个性化医疗在临床护理中开始变得重要,已经在几种癌症类型中取得了一系列成功;然而,在脑肿瘤中仍处于早期阶段。