Institute of Cancer Genomic Sciences, University of Birmingham, Birmingham B15 2TT, UK.
School of Medicine, Keele University, Staffordshire ST5 5NL, UK.
Int J Mol Sci. 2021 Jan 18;22(2):924. doi: 10.3390/ijms22020924.
Diffuse gliomas are the most frequent brain tumours, representing 75% of all primary malignant brain tumours in adults. Because of their locally aggressive behaviour and the fact that they cannot be cured by current therapies, they represent one of the most devastating cancers. The present review summarises recent advances in our understanding of glioma development and progression by use of various in vitro and in vivo models, as well as more complex techniques including cultures of 3D organoids and organotypic slices. We discuss the progress that has been made in understanding glioma heterogeneity, alteration in gene expression and DNA methylation, as well as advances in various in silico models. Lastly current treatment options and future clinical trials, which aim to improve early diagnosis and disease monitoring, are also discussed.
弥漫性神经胶质瘤是最常见的脑肿瘤,占成年人原发性恶性脑肿瘤的 75%。由于其局部侵袭性和目前的治疗方法无法治愈,它们是最具破坏性的癌症之一。本综述总结了使用各种体外和体内模型以及更复杂的技术,包括 3D 类器官和器官型切片培养,来理解神经胶质瘤发生和进展方面的最新进展。我们讨论了在理解神经胶质瘤异质性、基因表达和 DNA 甲基化改变以及各种计算模型方面取得的进展。最后还讨论了当前的治疗选择和未来的临床试验,旨在改善早期诊断和疾病监测。