Hayden Elisha, Holliday Holly, Lehmann Rebecca, Khan Aaminah, Tsoli Maria, Rayner Benjamin S, Ziegler David S
Children's Cancer Institute, Lowy Cancer Research Centre, UNSW Sydney, Kensington 2052, Australia.
School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Kensington 2052, Australia.
Cancers (Basel). 2021 Dec 13;13(24):6251. doi: 10.3390/cancers13246251.
Diffuse midline gliomas (DMGs) are invariably fatal pediatric brain tumours that are inherently resistant to conventional therapy. In recent years our understanding of the underlying molecular mechanisms of DMG tumorigenicity has resulted in the identification of novel targets and the development of a range of potential therapies, with multiple agents now being progressed to clinical translation to test their therapeutic efficacy. Here, we provide an overview of the current therapies aimed at epigenetic and mutational drivers, cellular pathway aberrations and tumor microenvironment mechanisms in DMGs in order to aid therapy development and facilitate a holistic approach to patient treatment.
弥漫性中线胶质瘤(DMG)是一种儿科脑肿瘤,通常是致命的,对传统治疗具有内在抗性。近年来,我们对DMG致瘤性的潜在分子机制的理解促使了新靶点的发现和一系列潜在治疗方法的开发,目前多种药物已进入临床转化阶段以测试其治疗效果。在此,我们概述了目前针对DMG中表观遗传和突变驱动因素、细胞途径异常及肿瘤微环境机制的治疗方法,以帮助推进治疗方法的开发,并促进采用整体方法对患者进行治疗。