Li Lianwang, Wang Yinyan, Li Yiming, Fang Shengyu, Jiang Tao
Beijing Neurosurgical Institute, Capital Medical University, No. 119 South 4th Ring West Road, Fengtai District, Beijing, 10070 China.
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 119 South 4th Ring West Road, Fengtai District, Beijing, 10070 China.
Chin Neurosurg J. 2020 May 18;6:18. doi: 10.1186/s41016-020-00198-x. eCollection 2020.
New discoveries based on genetic and epigenetic evidence have significantly expanded the understanding of diffuse gliomas. Molecular biomarkers detected in diffuse gliomas are not only potential targets for radiotherapy, chemotherapy, and immunotherapy, but are also able to guide surgical treatment. Previous studies have suggested that the optimal extent of resection of diffuse gliomas varies according to the expression of specific molecular biomarkers. However, the specific guiding role of these biomarkers in the resection of diffuse gliomas has not been systemically analyzed. This review summarizes several critical molecular biomarkers of tumorigenesis and progression in diffuse gliomas and discusses different strategies of tumor resection in the context of varying genetic expression. With ongoing study and advances in technology, molecular biomarkers will play a more important role in glioma resection and maximize the survival benefit from surgery for diffuse gliomas.
基于基因和表观遗传学证据的新发现显著拓展了对弥漫性胶质瘤的认识。在弥漫性胶质瘤中检测到的分子生物标志物不仅是放疗、化疗和免疫治疗的潜在靶点,还能够指导手术治疗。以往研究表明,弥漫性胶质瘤的最佳切除范围因特定分子生物标志物的表达而异。然而,这些生物标志物在弥漫性胶质瘤切除中的具体指导作用尚未得到系统分析。本综述总结了弥漫性胶质瘤发生和进展的几种关键分子生物标志物,并讨论了在不同基因表达情况下肿瘤切除的不同策略。随着研究的不断深入和技术的进步,分子生物标志物将在胶质瘤切除中发挥更重要的作用,并使弥漫性胶质瘤手术的生存获益最大化。