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铁死亡作为胶质母细胞瘤的治疗靶点:机制与新兴策略

Ferroptosis as a therapeutic target in glioblastoma: Mechanisms and emerging strategies.

作者信息

Mashayekhi Samine, Majedi Hossein, Dehpour Ahmad Reza, Dehghan Samaneh, Jafarian Maryam, Hadjighassem Mahmoudreza, Hosseindoost Saereh

机构信息

Pain Research Center, Neuroscience Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Mol Ther Nucleic Acids. 2025 Jul 30;36(3):102649. doi: 10.1016/j.omtn.2025.102649. eCollection 2025 Sep 9.

Abstract

Glioblastoma multiforme (GBM) is the most prevalent malignant brain tumor. Treating this type of cancer is challenging due to its high heterogeneity, rapid cell growth, and highly malignant nature, which results in a poor prognosis. A key feature of GBM's malignancy is that it resists drug treatments and evades cell death mechanisms. Ferroptosis is a promising therapeutic avenue for combating drug-resistant cancers because it is a recently discovered mechanism of programmed cell death that oxidizes membrane lipids and is triggered by an accumulation of reactive oxygen species. Recent findings suggest that ferroptosis is an innovative path for improving human GBM therapy. More exploration of the regulatory pathways and interactions of ferroptosis is essential to developing effective therapeutic strategies for this aggressive type of cancer. Inducing ferroptosis or integrating it with current treatments may present an opportunity to improve outcomes in GBM patients. This review investigates the role of ferroptosis in GBM and identifies its important molecular mediators. It also explores promising therapeutic strategies that target ferroptosis as a novel approach for GBM treatment.

摘要

多形性胶质母细胞瘤(GBM)是最常见的恶性脑肿瘤。由于其高度异质性、快速的细胞生长和高度恶性的性质,治疗这种类型的癌症具有挑战性,这导致预后不良。GBM恶性肿瘤的一个关键特征是它对药物治疗有抗性,并能逃避细胞死亡机制。铁死亡是对抗耐药性癌症的一种有前景的治疗途径,因为它是最近发现的一种程序性细胞死亡机制,可氧化膜脂质并由活性氧的积累引发。最近的研究结果表明,铁死亡是改善人类GBM治疗的一条创新途径。对铁死亡的调控途径和相互作用进行更多探索对于开发针对这种侵袭性癌症的有效治疗策略至关重要。诱导铁死亡或将其与当前治疗方法相结合可能为改善GBM患者的治疗结果提供机会。本综述研究了铁死亡在GBM中的作用,并确定了其重要的分子介质。它还探讨了以铁死亡为靶点的有前景的治疗策略,作为GBM治疗的一种新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932a/12356316/37b0e49c3ae5/fx1.jpg

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