革命性的脑胶质瘤治疗方法:现代治疗方法的全面概述。

Revolutionizing Glioblastoma Treatment: A Comprehensive Overview of Modern Therapeutic Approaches.

机构信息

The Department of Histology and Embryology, Medical University of Warsaw, Chalubinskiego 5, 02-004 Warsaw, Poland.

Department of Biochemistry and Pharmacogenomics, Faculty of Pharmacy, Medical University of Warsaw, 02-091 Warsaw, Poland.

出版信息

Int J Mol Sci. 2024 May 26;25(11):5774. doi: 10.3390/ijms25115774.

Abstract

Glioblastoma is the most common malignant primary brain tumor in the adult population, with an average survival of 12.1 to 14.6 months. The standard treatment, combining surgery, radiotherapy, and chemotherapy, is not as efficient as we would like. However, the current possibilities are no longer limited to the standard therapies due to rapid advancements in biotechnology. New methods enable a more precise approach by targeting individual cells and antigens to overcome cancer. For the treatment of glioblastoma, these are gamma knife therapy, proton beam therapy, tumor-treating fields, EGFR and VEGF inhibitors, multiple RTKs inhibitors, and PI3K pathway inhibitors. In addition, the increasing understanding of the role of the immune system in tumorigenesis and the ability to identify tumor-specific antigens helped to develop immunotherapies targeting GBM and immune cells, including CAR-T, CAR-NK cells, dendritic cells, and immune checkpoint inhibitors. Each of the described methods has its advantages and disadvantages and faces problems, such as the inefficient crossing of the blood-brain barrier, various neurological and systemic side effects, and the escape mechanism of the tumor. This work aims to present the current modern treatments of glioblastoma.

摘要

胶质母细胞瘤是成人中最常见的恶性原发性脑肿瘤,平均存活期为 12.1 至 14.6 个月。标准治疗方法包括手术、放疗和化疗,但效果并不如我们所愿。然而,由于生物技术的快速发展,目前的治疗方法不再局限于标准疗法。新的方法通过针对单个细胞和抗原来克服癌症,实现更精确的治疗。对于胶质母细胞瘤的治疗,这些方法包括伽玛刀治疗、质子束治疗、肿瘤治疗电场、EGFR 和 VEGF 抑制剂、多种 RTKs 抑制剂和 PI3K 通路抑制剂。此外,人们对免疫系统在肿瘤发生中的作用的认识不断加深,以及识别肿瘤特异性抗原的能力的提高,有助于开发针对 GBM 和免疫细胞的免疫疗法,包括 CAR-T、CAR-NK 细胞、树突状细胞和免疫检查点抑制剂。所描述的每种方法都有其优点和缺点,并且面临着一些问题,例如血脑屏障的通透性差、各种神经和全身副作用以及肿瘤的逃逸机制。本工作旨在介绍目前胶质母细胞瘤的现代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bb0/11172387/e5da5fd3034f/ijms-25-05774-g001.jpg

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