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Antisense oligonucleotides as innovative therapeutic strategy in the treatment of high-grade gliomas
Gerardo Caruso1, Mariella Caffo, Giuseppe Raudino
1Neurosurgical Clinic, Department of Neurosciences Psychiatry and Anaesthesiology, University of Messina School of Medicine, Messina, Italy. gcaruso@unime.it
Abstract:
Despite the intensive recent research in cancer therapy, the prognosis in patients affected by high-grade gliomas is still very unfavorable. The efficacy of classical anti-cancer strategies is seriously limited by lack of specific therapies against malignant cells. The extracellular matrix plays a pivotal role in processes such as differentiation, apoptosis, and migration in both the normal and the pathologic nervous system. Glial tumors seem to be able to create a favorable environment for the invasion of glioma cells in cerebral parenchyma when they combine with the extracellular matrix via cell surface receptors. Glioma cells synthesize matrix proteins, such as tenascin, laminin, fibronectin that facilitate the tumor cell's motility. New treatments have shown to hit the acting molecules in the tumor growth and to increase the efficacy and minimize the toxicity. Antisense oligonucleotides are synthetic stretches of DNA which hybridize with specific mRNA strands. The specificity of hybridization makes antisense method an interesting strategy to selectively modulate the expression of genes involved in tumorigenesis. In this review we will focus on the mechanisms of action of antisense oligonucleotides and report clinical and experimental studies on the treatment of high-grade gliomas. We will also report the patents of preclinical and/or clinical studies that adopt the antisense oligonucleotide therapy list in cerebral gliomas.
Insights
Antisense oligonucleotides offer a targeted approach to combat high-grade gliomas by modulating specific gene expression. This review explores their mechanism and clinical potential in treating these aggressive brain tumors.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- High-grade gliomas have a poor prognosis despite extensive research.
- Current therapies are limited by a lack of specificity against malignant cells.
- The extracellular matrix and its proteins (tenascin, laminin, fibronectin) are crucial for glioma invasion and motility.
Purpose of the Study:
- To review the mechanisms of action of antisense oligonucleotides.
- To summarize preclinical and clinical studies of antisense oligonucleotide therapy for high-grade gliomas.
- To report on patents related to this therapeutic strategy in gliomas.
Main Methods:
- Review of existing literature on antisense oligonucleotide mechanisms.
- Analysis of clinical and experimental studies in high-grade glioma treatment.
- Compilation of patent information for antisense oligonucleotide therapies in cerebral gliomas.
Main Results:
- Antisense oligonucleotides selectively inhibit gene expression by hybridizing with specific mRNA.
- This targeted approach shows promise for modulating tumorigenesis-related genes.
- Various studies and patents indicate the potential of this therapy in preclinical and clinical settings for gliomas.
Conclusions:
- Antisense oligonucleotide therapy presents a promising strategy for targeted treatment of high-grade gliomas.
- Its specificity offers potential for increased efficacy and reduced toxicity compared to conventional therapies.
- Further research and clinical trials are warranted to fully realize the therapeutic potential of antisense oligonucleotides in neuro-oncology.
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