Recent Advances in Glioma Cancer Treatment: Conventional and Epigenetic Realms

被引:20
作者
Fath, Mohsen Karami [1 ]
Babakhaniyan, Kimiya [2 ]
Anjomrooz, Mehran [3 ]
Jalalifar, Mohammadrasoul [4 ]
Alizadeh, Seyed Danial [4 ]
Pourghasem, Zeinab [5 ]
Oshagh, Parisa Abbasi [6 ]
Azargoonjahromi, Ali [7 ]
Almasi, Faezeh [8 ,9 ]
Manzoor, Hafza Zahira [10 ]
Khalesi, Bahman [11 ]
Pourzardosht, Navid [12 ]
Khalili, Saeed [13 ]
Payandeh, Zahra [14 ]
机构
[1] Kharazmi Univ, Fac Biol Sci, Dept Cellular & Mol Biol, Tehran 1571914911, Iran
[2] Iran Univ Med Sci, Sch Nursing & Midwifery, Dept Med Surg Nursing, Tehran 1996713883, Iran
[3] Univ Tehran Med Sci, Shariati Hosp, Dept Radiol, Tehran 1411713135, Iran
[4] Kerman Univ Med Sci, Fac Med, Kerman 7616914115, Iran
[5] Islamic Azad Univ Lahijan, Dept Microbiol, Gilan 4416939515, Iran
[6] Malayer Univ, Fac Basic Sci, Dept Biol, Malayer 6571995863, Iran
[7] Shiraz Univ Med Sci, Sch Nursing & Midwifery, Dept Nursing, Shiraz 7417773539, Iran
[8] Univ Tehran, Coll Sci, Sch Biol, Pharmaceut Biotechnol Lab,Dept Microbial Biotechn, Tehran 1411734115, Iran
[9] Univ Tehran, Coll Sci, Ctr Excellence Phylogeny Living Organisms, Tehran 1411734115, Iran
[10] Univ Insubria, Expt & Translat Med, Via Jean Henry Dunant 3, I-21100 Varese, Italy
[11] Agr Res Educ & Extens Org, Razi Vaccine & Serum Res Inst, Dept Res & Prod Poultry Viral Vaccine, Karaj 3197619751, Iran
[12] Guilan Univ Med Sci, Fac Med, Cellular & Mol Res Ctr, Rasht 4193713111, Iran
[13] Shahid Rajaee Teacher Training Univ, Dept Biol Sci, Tehran 1678815811, Iran
[14] Karolinska Inst, Dept Med Biochem & Biophys, Div Med Inflammat Res, SE-17177 Stockholm, Sweden
关键词
glioblastoma; cancer; brain tumor; treatment; epigenetic; peptide-based treatment; vaccine; DENDRITIC CELL VACCINATION; TUMOR-ASSOCIATED MACROPHAGES; PHASE-II TRIAL; RECURRENT GLIOBLASTOMA-MULTIFORME; ISLAND METHYLATOR PHENOTYPE; INTEGRATED GENOMIC ANALYSIS; CHIMERIC ANTIGEN RECEPTORS; LONG-TERM SURVIVAL; HIGH-GRADE GLIOMA; CAR T-CELLS;
D O I
10.3390/vaccines10091448
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Glioblastoma (GBM) is the most typical and aggressive form of primary brain tumor in adults, with a poor prognosis. Successful glioma treatment is hampered by ineffective medication distribution across the blood-brain barrier (BBB) and the emergence of drug resistance. Although a few FDA-approved multimodal treatments are available for glioblastoma, most patients still have poor prognoses. Targeting epigenetic variables, immunotherapy, gene therapy, and different vaccine- and peptide-based treatments are some innovative approaches to improve anti-glioma treatment efficacy. Following the identification of lymphatics in the central nervous system, immunotherapy offers a potential method with the potency to permeate the blood-brain barrier. This review will discuss the rationale, tactics, benefits, and drawbacks of current glioma therapy options in clinical and preclinical investigations.
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页数:40
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