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胶质瘤癌症治疗的最新进展:传统领域与表观遗传领域

Recent Advances in Glioma Cancer Treatment: Conventional and Epigenetic Realms.

作者信息

Karami Fath Mohsen, Babakhaniyan Kimiya, Anjomrooz Mehran, Jalalifar Mohammadrasoul, Alizadeh Seyed Danial, Pourghasem Zeinab, Abbasi Oshagh Parisa, Azargoonjahromi Ali, Almasi Faezeh, Manzoor Hafza Zahira, Khalesi Bahman, Pourzardosht Navid, Khalili Saeed, Payandeh Zahra

机构信息

Department of Cellular and Molecular Biology, Faculty of Biological Sciences, Kharazmi University, Tehran 1571914911, Iran.

Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran 1996713883, Iran.

出版信息

Vaccines (Basel). 2022 Sep 2;10(9):1448. doi: 10.3390/vaccines10091448.

Abstract

Glioblastoma (GBM) is the most typical and aggressive form of primary brain tumor in adults, with a poor prognosis. Successful glioma treatment is hampered by ineffective medication distribution across the blood-brain barrier (BBB) and the emergence of drug resistance. Although a few FDA-approved multimodal treatments are available for glioblastoma, most patients still have poor prognoses. Targeting epigenetic variables, immunotherapy, gene therapy, and different vaccine- and peptide-based treatments are some innovative approaches to improve anti-glioma treatment efficacy. Following the identification of lymphatics in the central nervous system, immunotherapy offers a potential method with the potency to permeate the blood-brain barrier. This review will discuss the rationale, tactics, benefits, and drawbacks of current glioma therapy options in clinical and preclinical investigations.

摘要

胶质母细胞瘤(GBM)是成人原发性脑肿瘤中最典型且侵袭性最强的类型,预后较差。有效的药物难以透过血脑屏障(BBB)以及耐药性的出现阻碍了胶质瘤的成功治疗。尽管美国食品药品监督管理局(FDA)批准了几种用于胶质母细胞瘤的多模式治疗方法,但大多数患者的预后仍然很差。针对表观遗传变量、免疫疗法、基因疗法以及不同的基于疫苗和肽的治疗方法是提高抗胶质瘤治疗疗效的一些创新方法。在中枢神经系统中发现淋巴管后,免疫疗法提供了一种有可能穿透血脑屏障的潜在方法。本综述将讨论临床和临床前研究中当前胶质瘤治疗方案的基本原理、策略、益处和缺点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8eb2/9501259/5418fc16c363/vaccines-10-01448-g001.jpg

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