Cancer Research Center and Department of Immunology, Semnan University of Medical Sciences, Semnan, Iran.
Guilan Road Trauma Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran.
Biomed Pharmacother. 2024 Aug;177:117137. doi: 10.1016/j.biopha.2024.117137. Epub 2024 Jul 17.
One of the most lethal and aggressive types of malignancies with a high mortality rate and poor response to treatment is glioblastoma multiforme (GBM). This means that modernizing the medications used in chemotherapy, in addition to medicines licensed for use in other illnesses and chosen using a rationale process, can be beneficial in treating this illness. Meaningly, drug combination therapy with chemical or herbal originations or implanting a drug wafer in tumors to control angiogenesis is of great importance. Importantly, the primary therapeutic hurdles in GBM are the development of angiogenesis and the blood-brain barrier (BBB), which keeps medications from getting to the tumor. This malignancy can be controlled if the drug's passage through the BBB and the VEGF (vascular endothelial growth factor), which promotes angiogenesis, are inhibited. In this way, the effect of combination therapy on the genes of different main signaling pathways like TLRs may be indicated as an impressive therapeutic strategy for treating GBM. This article aims to discuss the effects of chemotherapeutic drugs on the expression of various genes and associated translational factors involved in the TLR signaling pathway.
胶质母细胞瘤(GBM)是一种死亡率高、治疗反应差的最致命和侵袭性的恶性肿瘤之一。这意味着,除了使用经过合理选择的、已批准用于其他疾病的药物之外,还可以通过对化疗中使用的药物进行现代化改造,从而有益于治疗这种疾病。重要的是,使用化学或草药来源的药物联合治疗或在肿瘤中植入药物薄片以控制血管生成具有重要意义。重要的是,GBM 中的主要治疗障碍是血管生成和血脑屏障(BBB)的发展,这会阻止药物到达肿瘤。如果可以抑制药物通过 BBB 和促进血管生成的 VEGF(血管内皮生长因子),就可以控制这种恶性肿瘤。这样,联合治疗对 TLR 等不同主要信号通路的基因的影响可能表明是治疗 GBM 的一种令人印象深刻的治疗策略。本文旨在讨论化疗药物对 TLR 信号通路中涉及的各种基因及其相关翻译因子表达的影响。