Prionisti Ioanna, Bühler Léo H, Walker Paul R, Jolivet Renaud B
Division of Digestive and Transplantation Surgery, Geneva University Hospitals, Geneva, Switzerland.
Lemanic Neuroscience Doctoral School, Geneva, Switzerland.
Front Pharmacol. 2019 Jun 5;10:506. doi: 10.3389/fphar.2019.00506. eCollection 2019.
Glioblastoma multiforme (GBM) is the most malignant form of brain tumors, with a dismal prognosis. During the course of the disease, microglia and macrophages both infiltrate the tumor microenvironment and contribute considerably in glioma development. Thus, tumor-associated microglia and macrophages have recently emerged as potentially key therapeutic targets. Here, we review the physiology of microglia and their responses in brain cancer. We further discuss current treatment options for GBM using radiotherapy, and novel advances in our knowledge of microglia physiology, with emphasis on the recently discovered pathway that controls the baseline motility of microglia processes. We argue that the latter pathway is an interesting therapeutic avenue to pursue for the treatment of glioblastoma.
多形性胶质母细胞瘤(GBM)是脑肿瘤中最恶性的类型,预后很差。在疾病过程中,小胶质细胞和巨噬细胞都会浸润肿瘤微环境,并在胶质瘤发展中发挥重要作用。因此,肿瘤相关的小胶质细胞和巨噬细胞最近已成为潜在的关键治疗靶点。在此,我们综述小胶质细胞的生理学及其在脑癌中的反应。我们还将进一步讨论使用放疗治疗GBM的当前治疗方案,以及我们对小胶质细胞生理学认识的新进展,重点是最近发现的控制小胶质细胞突起基线运动的途径。我们认为,后一种途径是治疗胶质母细胞瘤的一个有吸引力的治疗途径。