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靶向胶质瘤治疗——临床试验与未来方向

Targeted Glioma Therapy-Clinical Trials and Future Directions.

作者信息

Shikalov Aleksandr, Koman Igor, Kogan Natalya M

机构信息

Department of Molecular Biology, Institute of Personalized and Translational Medicine, Ariel University, Ariel 40700, Israel.

出版信息

Pharmaceutics. 2024 Jan 11;16(1):100. doi: 10.3390/pharmaceutics16010100.


DOI:10.3390/pharmaceutics16010100
PMID:38258110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10820492/
Abstract

Glioblastoma multiforme (GBM) is the most common type of glioma, with a median survival of 14.6 months post-diagnosis. Understanding the molecular profile of such tumors allowed the development of specific targeted therapies toward GBM, with a major role attributed to tyrosine kinase receptor inhibitors and immune checkpoint inhibitors. Targeted therapeutics are drugs that work by specific binding to GBM-specific or overexpressed markers on the tumor cellular surface and therefore contain a recognition moiety linked to a cytotoxic agent, which produces an antiproliferative effect. In this review, we have summarized the available information on the targeted therapeutics used in clinical trials of GBM and summarized current obstacles and advances in targeted therapy concerning specific targets present in GBM tumor cells, outlined efficacy endpoints for major classes of investigational drugs, and discussed promising strategies towards an increase in drug efficacy in GBM.

摘要

多形性胶质母细胞瘤(GBM)是最常见的胶质瘤类型,诊断后的中位生存期为14.6个月。了解此类肿瘤的分子特征有助于开发针对GBM的特定靶向疗法,酪氨酸激酶受体抑制剂和免疫检查点抑制剂发挥了主要作用。靶向治疗药物通过与肿瘤细胞表面GBM特异性或过表达的标志物特异性结合起作用,因此包含与细胞毒性剂相连的识别部分,从而产生抗增殖作用。在本综述中,我们总结了GBM临床试验中使用的靶向治疗药物的现有信息,概述了针对GBM肿瘤细胞中特定靶点的靶向治疗的当前障碍和进展,列出了主要类别的研究药物的疗效终点,并讨论了提高GBM药物疗效的有前景的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25b5/10820492/9037faeda2b8/pharmaceutics-16-00100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25b5/10820492/9037faeda2b8/pharmaceutics-16-00100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25b5/10820492/9037faeda2b8/pharmaceutics-16-00100-g001.jpg

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本文引用的文献

[1]
A Novel Molecular Classification Method for Glioblastoma Based on Tumor Cell Differentiation Trajectories.

Stem Cells Int. 2023-2-22

[2]
Micro-syringe chip-guided intratumoral administration of lipid nanoparticles for targeted anticancer therapy.

Biomater Res. 2023-10-16

[3]
Recurrent Glioblastoma: A Review of the Treatment Options.

Cancers (Basel). 2023-8-26

[4]
The blood-brain barrier: structure, regulation, and drug delivery.

Signal Transduct Target Ther. 2023-5-25

[5]
LWJ-M30, a conjugate of DM1 and B6, for the targeted therapy of colorectal cancer with improved therapeutic effects.

RSC Adv. 2023-4-5

[6]
Clinical updates on gliomas and implications of the 5th edition of the WHO classification of central nervous system tumors.

Front Oncol. 2023-3-14

[7]
Recent Developments in Glioblastoma Therapy: Oncolytic Viruses and Emerging Future Strategies.

Viruses. 2023-2-16

[8]
Molecular targeted therapy: A new avenue in glioblastoma treatment.

Oncol Lett. 2022-12-15

[9]
Non-internalising antibody-drug conjugates.

Chem Soc Rev. 2022-11-14

[10]
NRG Oncology/RTOG1205: A Randomized Phase II Trial of Concurrent Bevacizumab and Reirradiation Versus Bevacizumab Alone as Treatment for Recurrent Glioblastoma.

J Clin Oncol. 2023-2-20

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