胶质母细胞瘤微环境与侵袭性:新的见解与治疗靶点。
Glioblastoma Microenvironment and Invasiveness: New Insights and Therapeutic Targets.
机构信息
Laboratorio de Biología Tumoral, Instituto de Bioquímica y Microbiología, Universidad Austral de Chile, Valdivia 5090000, Chile.
Millennium Institute on Immunology and Immunotherapy, Universidad Austral de Chile, Valdivia 5090000, Chile.
出版信息
Int J Mol Sci. 2023 Apr 11;24(8):7047. doi: 10.3390/ijms24087047.
Glioblastoma (GBM) is the most common and malignant primary brain cancer in adults. Without treatment the mean patient survival is approximately 6 months, which can be extended to 15 months with the use of multimodal therapies. The low effectiveness of GBM therapies is mainly due to the tumor infiltration into the healthy brain tissue, which depends on GBM cells' interaction with the tumor microenvironment (TME). The interaction of GBM cells with the TME involves cellular components such as stem-like cells, glia, endothelial cells, and non-cellular components such as the extracellular matrix, enhanced hypoxia, and soluble factors such as adenosine, which promote GBM's invasiveness. However, here we highlight the role of 3D patient-derived glioblastoma organoids cultures as a new platform for study of the modeling of TME and invasiveness. In this review, the mechanisms involved in GBM-microenvironment interaction are described and discussed, proposing potential prognosis biomarkers and new therapeutic targets.
胶质母细胞瘤(GBM)是成人中最常见和最恶性的原发性脑癌。如果不治疗,平均患者的存活期约为 6 个月,如果采用多模式治疗,可延长至 15 个月。GBM 治疗效果不佳的主要原因是肿瘤浸润到健康的脑组织,这取决于 GBM 细胞与肿瘤微环境(TME)的相互作用。GBM 细胞与 TME 的相互作用涉及细胞成分,如干细胞样细胞、神经胶质细胞、内皮细胞和非细胞成分,如细胞外基质、增强的缺氧和可溶性因子,如腺苷,这些都促进了 GBM 的侵袭性。然而,在这里,我们强调了基于 3D 患者来源的胶质母细胞瘤类器官培养作为研究 TME 和侵袭性建模的新平台的作用。在这篇综述中,描述和讨论了 GBM 与微环境相互作用的机制,提出了潜在的预后生物标志物和新的治疗靶点。