肿瘤微环境中的非肿瘤细胞——胶质母细胞瘤发病机制中的“幕后黑手”和潜在治疗靶点。
Non-Tumor Cells within the Tumor Microenvironment-The "Eminence Grise" of the Glioblastoma Pathogenesis and Potential Targets for Therapy.
机构信息
Federal Center for Brain and Neurotechnologies, Federal Medical and Biological Agency of Russia, 117513 Moscow, Russia.
Federal Research and Clinical Center of Specialized Medical Care and Medical Technologies Federal Medical and Biological Agency of Russia, 115682 Moscow, Russia.
出版信息
Cells. 2024 May 9;13(10):808. doi: 10.3390/cells13100808.
Glioblastoma (GBM) is the most common malignancy of the central nervous system in adults. GBM has high levels of therapy failure and its prognosis is usually dismal. The phenotypic heterogeneity of the tumor cells, dynamic complexity of non-tumor cell populations within the GBM tumor microenvironment (TME), and their bi-directional cross-talk contribute to the challenges of current therapeutic approaches. Herein, we discuss the etiology of GBM, and describe several major types of non-tumor cells within its TME, their impact on GBM pathogenesis, and molecular mechanisms of such an impact. We also discuss their value as potential therapeutic targets or prognostic biomarkers, with reference to the most recent works on this subject. We conclude that unless all "key player" populations of non-tumor cells within the TME are considered, no breakthrough in developing treatment for GBM can be achieved.
胶质母细胞瘤(GBM)是成人中枢神经系统最常见的恶性肿瘤。GBM 的治疗失败率很高,预后通常较差。肿瘤细胞的表型异质性、GBM 肿瘤微环境(TME)内非肿瘤细胞群体的动态复杂性及其双向串扰导致了当前治疗方法的挑战。在此,我们讨论了 GBM 的病因,并描述了其 TME 中的几种主要类型的非肿瘤细胞、它们对 GBM 发病机制的影响以及这种影响的分子机制。我们还讨论了它们作为潜在治疗靶点或预后生物标志物的价值,并参考了该主题的最新研究。我们的结论是,除非考虑 TME 内所有“关键参与者”类型的非肿瘤细胞,否则无法在开发 GBM 治疗方法方面取得突破。