Pathogenetic Features and Current Management of Glioblastoma

Glioblastoma (GBM) is the most common form of primary malignant brain tumor with a devastatingly poor prognosis. The disease does not discriminate, affecting adults and children of both sexes, and has an average overall survival of 12–15 months, despite advances in diagnosis and rigorous treatment w...

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Main Authors: Hong-My Nguyen, Kirsten Guz-Montgomery, Devin B. Lowe, Dipongkor Saha
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/4/856
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author Hong-My Nguyen
Kirsten Guz-Montgomery
Devin B. Lowe
Dipongkor Saha
author_facet Hong-My Nguyen
Kirsten Guz-Montgomery
Devin B. Lowe
Dipongkor Saha
author_sort Hong-My Nguyen
collection DOAJ
description Glioblastoma (GBM) is the most common form of primary malignant brain tumor with a devastatingly poor prognosis. The disease does not discriminate, affecting adults and children of both sexes, and has an average overall survival of 12–15 months, despite advances in diagnosis and rigorous treatment with chemotherapy, radiation therapy, and surgical resection. In addition, most survivors will eventually experience tumor recurrence that only imparts survival of a few months. GBM is highly heterogenous, invasive, vascularized, and almost always inaccessible for treatment. Based on all these outstanding obstacles, there have been tremendous efforts to develop alternative treatment options that allow for more efficient targeting of the tumor including small molecule drugs and immunotherapies. A number of other strategies in development include therapies based on nanoparticles, light, extracellular vesicles, and micro-RNA, and vessel co-option. Advances in these potential approaches shed a promising outlook on the future of GBM treatment. In this review, we briefly discuss the current understanding of adult GBM’s pathogenetic features that promote treatment resistance. We also outline novel and promising targeted agents currently under development for GBM patients during the last few years with their current clinical status.
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spelling doaj.art-376e331969a140aaac89060fc624f58d2023-12-11T17:27:52ZengMDPI AGCancers2072-66942021-02-0113485610.3390/cancers13040856Pathogenetic Features and Current Management of GlioblastomaHong-My Nguyen0Kirsten Guz-Montgomery1Devin B. Lowe2Dipongkor Saha3Health Sciences Center, Department of Immunotherapeutics and Biotechnology, Jerry H. Hodge School of Pharmacy, Texas Tech University, Abilene, TX 79601, USAHealth Sciences Center, Department of Immunotherapeutics and Biotechnology, Jerry H. Hodge School of Pharmacy, Texas Tech University, Abilene, TX 79601, USAHealth Sciences Center, Department of Immunotherapeutics and Biotechnology, Jerry H. Hodge School of Pharmacy, Texas Tech University, Abilene, TX 79601, USAHealth Sciences Center, Department of Immunotherapeutics and Biotechnology, Jerry H. Hodge School of Pharmacy, Texas Tech University, Abilene, TX 79601, USAGlioblastoma (GBM) is the most common form of primary malignant brain tumor with a devastatingly poor prognosis. The disease does not discriminate, affecting adults and children of both sexes, and has an average overall survival of 12–15 months, despite advances in diagnosis and rigorous treatment with chemotherapy, radiation therapy, and surgical resection. In addition, most survivors will eventually experience tumor recurrence that only imparts survival of a few months. GBM is highly heterogenous, invasive, vascularized, and almost always inaccessible for treatment. Based on all these outstanding obstacles, there have been tremendous efforts to develop alternative treatment options that allow for more efficient targeting of the tumor including small molecule drugs and immunotherapies. A number of other strategies in development include therapies based on nanoparticles, light, extracellular vesicles, and micro-RNA, and vessel co-option. Advances in these potential approaches shed a promising outlook on the future of GBM treatment. In this review, we briefly discuss the current understanding of adult GBM’s pathogenetic features that promote treatment resistance. We also outline novel and promising targeted agents currently under development for GBM patients during the last few years with their current clinical status.https://www.mdpi.com/2072-6694/13/4/856glioblastomaGBM pathogenesisheterogeneitytargeted therapyimmunotherapy
spellingShingle Hong-My Nguyen
Kirsten Guz-Montgomery
Devin B. Lowe
Dipongkor Saha
Pathogenetic Features and Current Management of Glioblastoma
Cancers
glioblastoma
GBM pathogenesis
heterogeneity
targeted therapy
immunotherapy
title Pathogenetic Features and Current Management of Glioblastoma
title_full Pathogenetic Features and Current Management of Glioblastoma
title_fullStr Pathogenetic Features and Current Management of Glioblastoma
title_full_unstemmed Pathogenetic Features and Current Management of Glioblastoma
title_short Pathogenetic Features and Current Management of Glioblastoma
title_sort pathogenetic features and current management of glioblastoma
topic glioblastoma
GBM pathogenesis
heterogeneity
targeted therapy
immunotherapy
url https://www.mdpi.com/2072-6694/13/4/856
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