Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, 430060, Hubei, China.
Int J Biol Sci. 2024 Sep 3;20(12):4674-4690. doi: 10.7150/ijbs.96476. eCollection 2024.
Gliomas are one of the most challenging tumors to treat due to their malignant phenotype, brain parenchymal infiltration, intratumoral heterogeneity, and immunosuppressive microenvironment, resulting in a high recurrence rate and dismal five-year survival rate. The current standard therapies, including maximum tumor resection, chemotherapy with temozolomide, and radiotherapy, have exhibited limited efficacy, which is caused partially by the resistance of tumor cell death. Recent studies have revealed that ferroptosis, a newly defined programmed cell death (PCD), plays a crucial role in the occurrence and progression of gliomas and significantly affects the efficacy of various treatments, representing a promising therapeutic strategy. In this review, we provide a comprehensive overview of the latest progress in ferroptosis, its involvement and regulation in the pathophysiological process of gliomas, various treatment hotspots, the existing obstacles, and future directions worth investigating. Our review sheds light on providing novel insights into manipulating ferroptosis to provide potential targets and strategies of glioma treatment.
脑胶质瘤是最难治疗的肿瘤之一,其恶性表型、脑实质浸润、肿瘤内异质性和免疫抑制微环境导致其复发率高,五年生存率低。目前的标准治疗方法,包括最大限度的肿瘤切除、替莫唑胺化疗和放疗,疗效有限,部分原因是肿瘤细胞死亡的耐药性。最近的研究表明,铁死亡,一种新定义的程序性细胞死亡(PCD),在脑胶质瘤的发生和发展中起关键作用,并且显著影响各种治疗的疗效,代表了一种有前途的治疗策略。在这篇综述中,我们全面概述了铁死亡的最新进展,及其在脑胶质瘤病理生理过程中的参与和调控,各种治疗热点,以及存在的障碍和未来值得研究的方向。我们的综述为操纵铁死亡以提供脑胶质瘤治疗的潜在靶点和策略提供了新的见解。