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解读胶质母细胞瘤:对胶质瘤生物学和治疗策略的基础与新见解

Deciphering Glioblastoma: Fundamental and Novel Insights into the Biology and Therapeutic Strategies of Gliomas.

作者信息

Onciul Razvan, Brehar Felix-Mircea, Toader Corneliu, Covache-Busuioc Razvan-Adrian, Glavan Luca-Andrei, Bratu Bogdan-Gabriel, Costin Horia Petre, Dumitrascu David-Ioan, Serban Matei, Ciurea Alexandru Vlad

机构信息

Department of Neurosurgery, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Neurosurgery Department, Emergency University Hospital, 050098 Bucharest, Romania.

出版信息

Curr Issues Mol Biol. 2024 Mar 13;46(3):2402-2443. doi: 10.3390/cimb46030153.

Abstract

Gliomas constitute a diverse and complex array of tumors within the central nervous system (CNS), characterized by a wide range of prognostic outcomes and responses to therapeutic interventions. This literature review endeavors to conduct a thorough investigation of gliomas, with a particular emphasis on glioblastoma (GBM), beginning with their classification and epidemiological characteristics, evaluating their relative importance within the CNS tumor spectrum. We examine the immunological context of gliomas, unveiling the intricate immune environment and its ramifications for disease progression and therapeutic strategies. Moreover, we accentuate critical developments in understanding tumor behavior, focusing on recent research breakthroughs in treatment responses and the elucidation of cellular signaling pathways. Analyzing the most novel transcriptomic studies, we investigate the variations in gene expression patterns in glioma cells, assessing the prognostic and therapeutic implications of these genetic alterations. Furthermore, the role of epigenetic modifications in the pathogenesis of gliomas is underscored, suggesting that such changes are fundamental to tumor evolution and possible therapeutic advancements. In the end, this comparative oncological analysis situates GBM within the wider context of neoplasms, delineating both distinct and shared characteristics with other types of tumors.

摘要

胶质瘤是中枢神经系统(CNS)中种类多样且复杂的肿瘤,其预后结果和对治疗干预的反应范围广泛。本综述旨在对胶质瘤进行全面研究,尤其侧重于胶质母细胞瘤(GBM),首先从其分类和流行病学特征入手,评估它们在CNS肿瘤谱系中的相对重要性。我们研究胶质瘤的免疫背景,揭示复杂的免疫环境及其对疾病进展和治疗策略的影响。此外,我们着重介绍在理解肿瘤行为方面的关键进展,重点关注治疗反应方面的最新研究突破以及细胞信号通路的阐明。通过分析最新的转录组学研究,我们研究胶质瘤细胞中基因表达模式的变化,评估这些基因改变的预后和治疗意义。此外,强调了表观遗传修饰在胶质瘤发病机制中的作用,表明此类变化是肿瘤演变和可能的治疗进展的基础。最后,这种比较肿瘤学分析将GBM置于更广泛的肿瘤背景中,描绘了它与其他类型肿瘤的不同和共同特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4116/10969338/37e0bac01bab/cimb-46-00153-g001.jpg

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