Zhang Gui-Long, Wang Chuan-Fang, Qian Cheng, Ji Yun-Xiang, Wang Ye-Zhong
Department of Neurosurgery, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, Guangdong Province, China.
World J Stem Cells. 2021 Jul 26;13(7):877-893. doi: 10.4252/wjsc.v13.i7.877.
Glioblastoma multiforme (GBM), the most frequently occurring malignant brain tumor in adults, remains mostly untreatable. Because of the heterogeneity of invasive gliomas and drug resistance associated with the tumor microenvironment, the prognosis is poor, and the survival rate of patients is low. Communication between GBMs and non-glioma cells in the tumor microenvironment plays a vital role in tumor growth and recurrence. Emerging data have suggested that neural stem cells (NSCs) in the subventricular zone (SVZ) are the cells-of-origin of gliomas, and SVZ NSC involvement is associated with the progression and recurrence of GBM. This review highlights the interaction between SVZ NSCs and gliomas, summarizes current findings on the crosstalk between gliomas and other non-glioma cells, and describes the links between SVZ NSCs and gliomas. We also discuss the role and mechanism of SVZ NSCs in glioblastoma, as well as the interventions targeting the SVZ and their therapeutic implications in glioblastoma. Taken together, understanding the biological mechanism of glioma-NSC interactions can lead to new therapeutic strategies for GBM.
多形性胶质母细胞瘤(GBM)是成人中最常见的恶性脑肿瘤,大多仍无法治愈。由于侵袭性胶质瘤的异质性以及与肿瘤微环境相关的耐药性,其预后较差,患者生存率较低。肿瘤微环境中GBM与非胶质瘤细胞之间的相互作用在肿瘤生长和复发中起着至关重要的作用。新出现的数据表明,脑室下区(SVZ)的神经干细胞(NSCs)是胶质瘤的起源细胞,SVZ神经干细胞的参与与GBM的进展和复发有关。本综述重点介绍了SVZ神经干细胞与胶质瘤之间的相互作用,总结了目前关于胶质瘤与其他非胶质瘤细胞之间相互作用的研究结果,并描述了SVZ神经干细胞与胶质瘤之间的联系。我们还讨论了SVZ神经干细胞在胶质母细胞瘤中的作用和机制,以及针对SVZ的干预措施及其在胶质母细胞瘤中的治疗意义。综上所述,了解胶质瘤-神经干细胞相互作用的生物学机制可以为GBM带来新的治疗策略。