Autophagic and Apoptotic Pathways as Targets for Chemotherapy in Glioblastoma
Cristina Trejo-Solís1, Norma Serrano-Garcia2, Ángel Escamilla-Ramírez3,4
1Departamento de Neuroinmunología, Laboratorio de Neurobiología Molecular y Celular, Laboratorio Experimental de Enfermedades Neurodegenerativas del Instituto Nacional de Neurología y Neurocirugía "Manuel Velasco Suárez", C.P. 14269 Ciudad de México, Mexico. cristrejosolis@gmail.com.mx.
Abstract:
Glioblastoma multiforme is the most malignant and aggressive type of brain tumor, with a mean life expectancy of less than 15 months. This is due in part to the high resistance to apoptosis and moderate resistant to autophagic cell death in glioblastoma cells, and to the poor therapeutic response to conventional therapies. Autophagic cell death represents an alternative mechanism to overcome the resistance of glioblastoma to pro-apoptosis-related therapies. Nevertheless, apoptosis induction plays a major conceptual role in several experimental studies to develop novel therapies against brain tumors. In this review, we outline the different components of the apoptotic and autophagic pathways and explore the mechanisms of resistance to these cell death pathways in glioblastoma cells. Finally, we discuss drugs with clinical and preclinical use that interfere with the mechanisms of survival, proliferation, angiogenesis, migration, invasion, and cell death of malignant cells, favoring the induction of apoptosis and autophagy, or the inhibition of the latter leading to cell death, as well as their therapeutic potential in glioma, and examine new perspectives in this promising research field.
Insights
Glioblastoma cells resist apoptosis and autophagy, hindering brain tumor treatment. This review explores cell death pathways and therapeutic strategies targeting glioblastoma resistance.
Area of Science:
- Neuro-oncology
- Cell Biology
- Cancer Therapeutics
Background:
- Glioblastoma multiforme (GBM) is an aggressive brain tumor with poor prognosis.
- GBM cells exhibit resistance to apoptosis and autophagy, limiting therapeutic efficacy.
- Conventional treatments show limited response in GBM patients.
Purpose of the Study:
- To review the components of apoptotic and autophagic pathways in glioblastoma.
- To explore mechanisms of resistance to cell death in glioblastoma.
- To discuss therapeutic strategies targeting glioblastoma cell death and survival pathways.
Main Methods:
- Literature review of apoptosis and autophagy pathways in glioblastoma.
- Analysis of glioblastoma cell resistance mechanisms to cell death.
- Discussion of clinical and preclinical drugs targeting glioblastoma.
Main Results:
- Glioblastoma cells possess multifaceted resistance to apoptosis and autophagy.
- Targeting cell death pathways offers potential therapeutic avenues for glioblastoma.
- Several drugs show promise in preclinical and clinical studies for glioblastoma treatment.
Conclusions:
- Understanding glioblastoma cell death mechanisms is crucial for novel therapy development.
- Targeting apoptosis and autophagy presents a promising strategy for overcoming glioblastoma resistance.
- Further research into therapeutic interventions is warranted for improved glioblastoma outcomes.
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