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胶质母细胞瘤:分子特征、新兴分子靶点与新型治疗策略

英文原题:Glioblastoma: Molecular features, emerging molecular targets and novel therapeutic strategies.

查看英文原题

Glioblastoma: Molecular features, emerging molecular targets and novel therapeutic strategies.

PubMed 2025/05/12(内容时间) Crit Rev Oncol Hematol Q1 · IF 6.2(JCR 2025)

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中文摘要

胶质母细胞瘤(GBM)是中枢神经系统(CNS)最常见的恶性肿瘤,具有复杂的分子、遗传和组织学特征以及显著异质性。GBM极难治疗;尽管采用侵袭性多模式治疗策略,其发病率和死亡率仍居高不下,且几乎没有改变。紧跟当前研究和新兴科学数据对于发现新的分子靶点、设计新型治疗策略至关重要。本文讨论了目前关于促成GBM病理生理机制的细胞和分子特征的研究数据,以揭示具有治疗潜力的新兴分子靶点和有效免疫治疗方法,包括嵌合抗原受体(CAR)T细胞疗法及免疫检查点抑制剂介导的适应性免疫调节。我们还讨论超声辅助等增强药物递送策略以克服耐药,旨在提供整体转化视角,将分子机制认识与实际治疗意义联系起来。

展开英文摘要原文

Glioblastomas (GBMs) constitute the most common malignant tumors of the Central Nervous System (CNS) with a complex molecular, genetic and histological profile and extensive heterogenicity. GBMs are notoriously difficult to treat, with morbidity and mortality rate that remain high and practically unchanged, despite the aggressive and multimodal treatment strategies. Keeping up with current research and emerging scientific data is of primary importance for the detection of new molecular targets, enabling the design of novel therapeutic strategies.

Herein, we discuss current data on the cellular and molecular features that contribute to GBM pathophysiological mechanisms in an effort to reveal emerging molecular targets with therapeutic potential as well as effective immunotherapeutic approaches, including chimeric antigen receptor (CAR) T-cell therapy and adaptive immune modulation with immune checkpoint inhibitors.

Enhanced drug delivery strategies such as ultrasound-assisted technologies to overcome drug resistance are also discussed, aiming to provide an overall translational perspective that bridges molecular insights with practical therapeutic implications.

论文信息

作者
Politis A、Stavrinou L、Kalyvas A、Boviatsis E、Piperi C
第一作者单位
Second Department of Neurosurgery, "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens 15772, Greece; Department of Biological Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens 11527, Greece.Greece
通讯作者单位
Department of Biological Chemistry, School of Medicine, National and Kapodistrian University of Athens, Athens 11527, Greece. Electronic address: cpiperi@med.uoa.gr.Greece
文献类型
综述
期刊
Critical reviews in oncology/hematology2025 Aug
原文标识
PubMed 40368035 · DOI 10.1016/j.critrevonc.2025.104764