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Updated: Feb 3, 2026

A Rapid Screening Workflow to Identify Potential Combination Therapy for GBM using Patient-Derived Glioma Stem Cells
Published on: March 28, 2021
Malignant gliomas can be converted to non‑proliferating glial cells by treatment with a combination of small
Jinsoo Oh1, Yongbo Kim1, Daye Baek1
1Department of Neurosurgery, Spine and Spinal Cord Institute, College of Medicine, Yonsei University, Seoul 03722, Republic of Korea.
Abstract:
Gliomas, the most highly malignant central nervous system tumors, are associated with an extremely poor patient survival rate. Given that gliomas are derived from mutations in glial precursor cells, a considerable number of them strongly react with glial precursor cell‑specific markers. Thus, we investigated whether malignant gliomas can be converted to glial cells through the regulation of endogenous gene expression implicated in glial precursor cells. In the present study, we used three small‑molecule compounds, [cyclic adenosine monophosphate (cAMP) enhancer, a mammalian target of rapamycin (mTOR) inhibitor, and a bromodomain and extra‑terminal motif (BET) inhibitor] for glial reprogramming. Small‑molecule‑induced gliomas (SMiGs) were not only transformed into exhibiting a glial‑specific morphology, but also showed positive reactions with glial‑specific markers such as glial fibrillary acidic protein (GFAP), 2',3'‑cyclic nucleotide 3'‑phosphohydrolase (CNP) and anti‑oligodendrocyte (RIP). A microarray analysis indicated that SMiGs exhibited a marked increase in specific gene levels, whereas that of a malignant cancer‑specific gene was greatly decreased. Moreover, proliferation of the cells was markedly suppressed after the conversion of malignant glioma cells into glial cells. Our findings confirmed that malignant gliomas can be reprogrammed to non‑proliferating glial cells, using a combination of small molecules, and their proliferation can be regulated by their differentiation. We suggest that our small‑molecule combination (with forskolin, rapamycin and I‑BET151) may be the next generation of anticancer agents that act by reprogramming malignant gliomas to differentiate into glial cells.
Insights
Malignant gliomas can be reprogrammed into non-proliferating glial cells using a combination of small molecules. This differentiation process, driven by specific gene expression, offers a novel therapeutic strategy for brain tumors.
Area of Science:
- Neuro-oncology
- Cancer Biology
- Stem Cell Biology
Background:
- Gliomas are aggressive central nervous system tumors with poor patient survival rates.
- Gliomas originate from glial precursor cells and express specific markers.
- Current treatments for malignant gliomas have limited efficacy.
Purpose of the Study:
- To investigate the potential of reprogramming malignant gliomas into glial cells.
- To explore the use of small molecules to regulate gene expression for glial differentiation.
- To assess the therapeutic implications of glioma cell reprogramming.
Main Methods:
- Utilized a combination of three small molecules: a cyclic adenosine monophosphate (cAMP) enhancer, a mammalian target of rapamycin (mTOR) inhibitor, and a bromodomain and extra-terminal motif (BET) inhibitor.
- Induced glial reprogramming in glioma cells, termed small-molecule-induced gliomas (SMiGs).
- Analyzed cellular morphology, glial-specific marker expression (GFAP, CNP, RIP), gene expression profiles via microarray, and cell proliferation rates.
Main Results:
- SMiGs exhibited glial-specific morphology and expressed glial markers (GFAP, CNP, RIP).
- Microarray analysis revealed increased glial-specific gene expression and decreased malignant cancer-specific gene expression in SMiGs.
- Cell proliferation was significantly suppressed in reprogrammed glial cells.
Conclusions:
- Malignant gliomas can be successfully reprogrammed into non-proliferating glial cells using a specific combination of small molecules.
- Glioma cell proliferation is effectively regulated by inducing differentiation.
- The small-molecule combination (forskolin, rapamycin, I-BET151) shows promise as a novel anticancer therapy for gliomas through cell reprogramming and differentiation.
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