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Gene therapy trials for the treatment of high-grade gliomas
Adam M Sonabend1, Ilya V Ulasov, Maciej S Lesniak
1Division of Neurosurgery, The University of Chicago, Chicago, Illinois, USA.
Abstract:
High-grade gliomas remain relatively resistant to current therapy. Local recurrence is a common feature and the majority of patients progress despite conventional therapy. One modality-gene therapy-has shown a lot of promise in early preclinical and clinical studies aimed at advancing the treatment of this disease. In this review, we provide a comprehensive overview of clinical trials involving gene therapy in the field of neuro-oncology. The use of different delivery vehicles, including liposomes, cells, and viruses, as well genes, especially cytokines and suicide genes, are explored in detail. The unique features and advantages/disadvantages of the different vectors employed are compared based on results of human studies. We discuss both the limitations and successes encountered in these clinical trials, with an emphasis on the lessons learned and potential ways of improving current gene therapy protocols.
Insights
Gene therapy offers promising treatments for high-grade gliomas, a type of brain cancer that is difficult to treat. This review examines clinical trials using gene therapy to improve patient outcomes.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Clinical Trials
Background:
- High-grade gliomas are aggressive brain tumors with limited treatment options.
- Local recurrence and disease progression are common despite conventional therapies.
- Gene therapy presents a promising approach to advance brain tumor treatment.
Purpose of the Study:
- To provide a comprehensive review of gene therapy clinical trials in neuro-oncology.
- To analyze the efficacy and challenges of various gene delivery systems and therapeutic genes.
- To identify lessons learned and suggest improvements for future gene therapy protocols.
Main Methods:
- Review of published clinical trials involving gene therapy for brain tumors.
- Analysis of different delivery vectors (liposomes, cells, viruses) and therapeutic genes (cytokines, suicide genes).
- Comparison of vector advantages, disadvantages, and clinical outcomes from human studies.
Main Results:
- Gene therapy has shown promise in preclinical and early clinical studies for high-grade gliomas.
- Various delivery vehicles and genes have been employed with varying degrees of success.
- Clinical trials have encountered both limitations and successes, providing valuable insights.
Conclusions:
- Gene therapy is a developing field with significant potential for treating high-grade gliomas.
- Understanding the nuances of different vectors and genes is crucial for optimizing treatment efficacy.
- Further research and refinement of gene therapy protocols are essential to overcome current challenges and improve patient survival rates.
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