Beichert Julius, Hoffmann Dirk C, Winkler Frank, Ratliff Miriam
Department of Neurosurgery, University Hospital Mannheim, University of Heidelberg, Mannheim, Germany.
Clinical Cooperation Unit Neurooncology, German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Heidelberg, Germany.
Clin Cancer Res. 2025 Jul 15;31(14):2864-2871. doi: 10.1158/1078-0432.CCR-25-0018.
Recent discoveries concerning the network architecture of glioblastoma, including tumor microtubules and neuron-glioma synapses, have underscored critical pathways that sustain tumor growth, enhance resistance, and integrate glioblastoma with the surrounding neural environment. This review explores emerging therapeutic strategies targeting these pathways, including inhibitors of gap junctions, α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptors, and glutamate signaling, which are currently being tested in clinical trials. By consolidating these advances, this review seeks to bridge the gap between neurobiology, cancer neuroscience, and oncology, proposing novel approaches to overcome resistance and improve patient outcomes. The insights derived from this comprehensive review hold the potential to significantly influence the future management of glioblastoma.
近期关于胶质母细胞瘤网络架构的发现,包括肿瘤微管和神经元 - 胶质瘤突触,突出了维持肿瘤生长、增强抗性以及使胶质母细胞瘤与周围神经环境整合的关键途径。本综述探讨了针对这些途径的新兴治疗策略,包括缝隙连接抑制剂、α-氨基-3-羟基-5-甲基-4-异恶唑丙酸受体抑制剂以及谷氨酸信号传导抑制剂,这些目前正在临床试验中进行测试。通过整合这些进展,本综述旨在弥合神经生物学、癌症神经科学和肿瘤学之间的差距,提出克服抗性和改善患者预后的新方法。从这一全面综述中获得的见解有可能显著影响胶质母细胞瘤的未来治疗。