Carlsson Steven K, Brothers Shaun P, Wahlestedt Claes
Department of Psychiatry and Behavioral Sciences, Center for Therapeutic Innovation University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Psychiatry and Behavioral Sciences, Center for Therapeutic Innovation University of Miami Miller School of Medicine, Miami, FL, USA
EMBO Mol Med. 2014 Nov;6(11):1359-70. doi: 10.15252/emmm.201302627.
Glioblastoma multiforme (GBM) is the deadliest form of brain tumor with a more than 90% 5-year mortality. GBM has a paltry median survival of 12.6 months attributed to the unique treatment limitations such as the high average age of onset, tumor location, and poor current understandings of the tumor pathophysiology. The resection techniques, chemotherapic strategies, and radiation therapy currently used to treat GBM have slowly evolved, but the improvements have not translated to marked increases in patient survival. Here, we will discuss the recent progress in our understanding of GBM pathophysiology, and the diagnostic techniques and treatment options. The discussion will include biomarkers, tumor imaging, novel therapies such as monoclonal antibodies and small-molecule inhibitors, and the heterogeneity resulting from the GBM cancer stem cell population.
多形性胶质母细胞瘤(GBM)是最致命的脑肿瘤形式,5年死亡率超过90%。由于存在如发病平均年龄高、肿瘤位置以及目前对肿瘤病理生理学认识不足等独特的治疗限制,GBM的中位生存期仅为可怜的12.6个月。目前用于治疗GBM的切除技术、化疗策略和放射治疗虽已缓慢发展,但这些改进并未转化为患者生存率的显著提高。在此,我们将讨论我们对GBM病理生理学的最新认识进展,以及诊断技术和治疗选择。讨论将包括生物标志物、肿瘤成像、单克隆抗体和小分子抑制剂等新型疗法,以及GBM癌症干细胞群体导致的异质性。