Ngadiono Eko, Hardiany Novi Silvia
International Class Program, Faculty of Medicines Universitas Indonesia, Jakarta, Indonesia.
Department of Biochemistry & Molecular Biology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Malays J Med Sci. 2019 Jul;26(4):5-16. doi: 10.21315/mjms2019.26.4.2. Epub 2019 Aug 29.
A glioma, especially a grade IV glioblastoma, is a malignant tumour with a poor prognosis despite growing medical advancements. Researchers have been looking for better and more effective treatments targeting the molecular pathways of gliomas due to glioblastomas' ability to develop resistance to chemotherapies. Moreover, glioma stem cells (GSC) contribute to maintaining the glioma population, which benefits from its ability to self-renew and differentiate. Recent research has reported that through the introduction of umbilical cord mesenchymal stem cells (UCMSC) into glioma cells, the growth and development of the glioma cells can be downregulated. It has more currently been found out that UCMSC release extracellular vesicles (EVs) containing miRNA that are responsible for this phenomenon. Therefore, this review analyses literature to discuss all possible miRNAs contained within the UCMSC's EVs and to elaborate on their molecular mechanisms in halting gliomas and GSC growth. This review will also include the challenges and limitations, to account for which more in vivo research is suggested. In conclusion, this review highlights how miRNAs contained within UCMSC's EVs are able to downregulate multiple prominent pathways in the survival of gliomas.
神经胶质瘤,尤其是IV级胶质母细胞瘤,是一种恶性肿瘤,尽管医学不断进步,但其预后仍然很差。由于胶质母细胞瘤对化疗产生耐药性的能力,研究人员一直在寻找针对神经胶质瘤分子途径的更好、更有效的治疗方法。此外,胶质瘤干细胞(GSC)有助于维持胶质瘤群体,这得益于其自我更新和分化的能力。最近的研究报告称,通过将脐带间充质干细胞(UCMSC)引入胶质瘤细胞,可以下调胶质瘤细胞的生长和发育。目前还发现,UCMSC释放含有miRNA的细胞外囊泡(EV),这一现象正是由这些miRNA导致的。因此,本综述分析文献,讨论UCMSC的EV中可能含有的所有miRNA,并阐述它们在阻止胶质瘤和GSC生长中的分子机制。本综述还将包括挑战和局限性,并建议开展更多的体内研究以解决这些问题。总之,本综述强调了UCMSC的EV中含有的miRNA如何能够下调胶质瘤存活中的多个重要途径。