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Targeted molecular therapy of malignant gliomas
Santosh Kesari1, Naren Ramakrishna, Claire Sauvageot
1Center For Neuro-Oncology, Dana Farber/Brigham and Women's Cancer Center, SW430D, 44 Binney Street, Boston, MA 02115, USA.
Abstract:
Malignant gliomas are the most common form of primary brain tumors in adults. Despite advances in diagnosis and standard therapies such as surgery, radiation, and chemotherapy, the prognosis remains poor. Recent scientific advances have enhanced our understanding of the biology of gliomas and the role of tyrosine kinase receptors and signal transduction pathways in tumor initiation and maintenance, such as the epidermal growth factor receptors, platelet-derived growth factor receptors, vascular endothelial growth factor receptors, and the Ras/Raf/mitogen-activated protein (MAP)-kinase and phosphatidylinositol-3 kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathways. Novel targeted drugs such as small molecular inhibitors of these receptors and signaling pathways are showing some activity in initial studies. As we learn more about these drugs and how to optimize their use as single agents and in combination with radiation, chemotherapy, and other targeted molecular agents, they will likely play an increasing role in the management of this devastating disease. This review summarizes the current results with targeted molecular agents in malignant gliomas and strategies under evaluation to increase their effectiveness.
Insights
Targeted molecular agents show promise for treating malignant gliomas, a common brain tumor with poor prognosis. Further research will optimize their use alongside traditional therapies to improve patient outcomes.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Pharmacology
Background:
- Malignant gliomas are aggressive primary brain tumors with limited treatment options.
- Standard therapies (surgery, radiation, chemotherapy) offer poor prognoses for patients.
- Understanding glioma biology reveals key signaling pathways driving tumor growth.
Purpose of the Study:
- To review current targeted molecular agents for malignant gliomas.
- To summarize strategies for enhancing the effectiveness of these novel therapies.
- To explore the role of tyrosine kinase receptors and signal transduction pathways.
Main Methods:
- Review of scientific literature on targeted molecular agents in malignant gliomas.
- Analysis of signaling pathways including epidermal growth factor receptors, platelet-derived growth factor receptors, and vascular endothelial growth factor receptors.
- Examination of Ras/Raf/MAP-kinase and PI3K/Akt/mTOR pathways.
Main Results:
- Targeted drugs, including small molecular inhibitors, demonstrate activity in initial studies.
- These agents target key receptors and signaling pathways crucial for glioma growth.
- Combinatorial strategies with radiation, chemotherapy, and other targeted agents are under investigation.
Conclusions:
- Targeted molecular agents represent a promising therapeutic avenue for malignant gliomas.
- Optimizing the use of these agents, alone or in combination, is critical for improving outcomes.
- Continued research into molecular pathways will drive the development of more effective treatments.
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