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Updated: Oct 18, 2025

Evaluation of Biomarkers in Glioma by Immunohistochemistry on Paraffin-Embedded 3D Glioma Neurosphere Cultures
Published on: January 9, 2019
Novel Concepts of Glioblastoma Therapy Concerning Its Heterogeneity
Gábor Hutóczki1, József Virga2, Zsuzsanna Birkó3
1Department of Neurosurgery, University of Debrecen, H-4032 Debrecen, Hungary.
Abstract:
Although treatment outcomes of glioblastoma, the most malignant central nervous system (CNS) tumor, has improved in the past decades, it is still incurable, and survival has only slightly improved. Advances in molecular biology and genetics have completely transformed our understanding of glioblastoma. Multiple classifications and different diagnostic methods were made according to novel molecular markers. Discovering tumor heterogeneity only partially explains the ineffectiveness of current anti-proliferative therapies. Dynamic heterogeneity secures resistance to combined oncotherapy. As tumor growth proceeds, new therapy-resistant sub clones emerge. Liquid biopsy is a new and promising diagnostic tool that can step up with the dynamic genetic change. Getting a 'real-time' picture of a specific tumor, anti-invasion and multi-target treatment can be designed. During invasion to the peri-tumoral brain tissue, glioma cells interact with the extracellular matrix components. The expressional levels of these matrix molecules give a characteristic pattern, the invasion spectrum, which possess vast diagnostical, predictive and prognostic information. It is a huge leap forward combating tumor heterogeneity and searching for novel therapies. Using the invasion spectrum of a tumor sample is a novel tool to distinguish between histological subtypes, specifying the tumor grades or different prognostic groups. Moreover, new therapeutic methods and their combinations are under trial. These are crucial steps towards personalized oncotherapy.
Insights
Glioblastoma remains incurable despite advances. Analyzing the tumor’s invasion spectrum and using liquid biopsy offers new strategies to combat tumor heterogeneity and develop personalized oncotherapy.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Genetics
Background:
- Glioblastoma, a malignant central nervous system tumor, has limited survival improvements despite decades of research.
- Advances in molecular biology and genetics have revealed glioblastoma's complexity, including tumor heterogeneity, which contributes to therapy resistance.
- Current anti-proliferative therapies are often ineffective due to dynamic heterogeneity and the emergence of resistant subclones.
Purpose of the Study:
- To explore novel diagnostic and therapeutic strategies for glioblastoma.
- To investigate the potential of liquid biopsy for real-time tumor profiling.
- To evaluate the diagnostic, predictive, and prognostic value of the tumor invasion spectrum.
Main Methods:
- Analysis of molecular markers for glioblastoma classification.
- Utilizing liquid biopsy for dynamic genetic change monitoring.
- Characterizing the tumor invasion spectrum through extracellular matrix component expression levels.
Main Results:
- Tumor heterogeneity presents a significant challenge to current glioblastoma treatments.
- Liquid biopsy offers a promising approach for real-time tumor assessment.
- The invasion spectrum provides valuable information for distinguishing subtypes, grades, and prognostic groups.
Conclusions:
- The invasion spectrum is a novel tool for classifying glioblastoma and predicting outcomes.
- Personalized oncotherapy strategies can be developed by integrating liquid biopsy and invasion spectrum analysis.
- These advancements represent crucial steps towards more effective glioblastoma treatments.
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