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

Autor: Sadowski, Karol, Jażdżewska, Adrianna, Kozłowski, Jan, Zacny, Aleksandra, Lorenc, Tomasz, Olejarz, Wioletta
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Zdroj: International Journal of Molecular Sciences; Jun2024, Vol. 25 Issue 11, p5774, 26p
Abstrakt: Simple Summary: Glioblastoma is one of the most dangerous tumors of the central nervous system, and still cannot be fully overcome. We still mainly rely on standard treatments combining chemotherapy, radiotherapy, and surgery in various combinations. However, advances in technology, particularly biotechnology, are allowing the introduction of new, more precise therapies. These are more personalized, targeting a specific stage of tumor development or a particular cell population. The treatment of glioma is one of the areas in which we see more and more personalized medicine. In this article, we have tried to describe the current state of knowledge regarding the use of modern therapies in treating glioblastoma and the primary concerns. 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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