Novel management of glioma by molecular therapies, a review article

Amin Alinezhad1, Fatemeh Jafari2

  • 1Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.

Insights

Glioma, a common brain tumor, has limited treatment options due to resistance. This study explores novel molecular therapies and advanced techniques to improve glioma treatment outcomes.

Area of Science:

  • Neuro-oncology
  • Molecular Biology
  • Genetics

Background:

  • Glioma is the most common primary brain tumor, originating in neuroglia.
  • Conventional therapies offer limited survival rates due to glioma's invasive nature and resistance.
  • Understanding glioma pathobiology and proteogenomics is crucial for developing new treatments.

Purpose of the Study:

  • To survey recent advancements in molecular mechanisms of glioma formation.
  • To discuss limitations of current glioma treatments (radiation, surgery, chemotherapy).
  • To explore novel molecular therapeutic strategies for effective glioma treatment.

Main Methods:

  • Review of advanced neuroimaging techniques.
  • Gene therapy approaches including prodrug-activated gene therapy and gliomagenesis gene manipulation.
  • Targeting miRNA-mRNA activity and utilizing stem cell therapy with Hedgehog-Gli inhibitors.
  • Chimeric antigen receptor T-cell therapy and immune checkpoint inhibitors.
  • Tumor cell lysates for antigen presentation and cytotoxic T-lymphocyte activation.

Main Results:

  • The study reviews current limitations in radiation, surgery, and chemotherapy for glioma.
  • It highlights the potential of various molecular strategies in overcoming treatment resistance.
  • Emerging therapies show promise in addressing the complex pathobiology of glioma.

Conclusions:

  • Novel molecular therapies offer promising avenues for improved glioma treatment.
  • Combination regimens integrating advanced techniques are essential for overcoming therapeutic challenges.
  • Further research into proteogenomics and molecular mechanisms will drive future treatment strategies.