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Updated: Aug 27, 2025

Quantitative Immunohistochemistry of the Cellular Microenvironment in Patient Glioblastoma Resections
Published on: July 31, 2017
Recent Advances in Glioma Cancer Treatment: Conventional and Epigenetic Realms
Mohsen Karami Fath1, Kimiya Babakhaniyan2, Mehran Anjomrooz3
1Department of Cellular and Molecular Biology, Faculty of Biological Sciences, Kharazmi University, Tehran 1571914911, Iran.
Abstract:
Glioblastoma (GBM) is the most typical and aggressive form of primary brain tumor in adults, with a poor prognosis. Successful glioma treatment is hampered by ineffective medication distribution across the blood-brain barrier (BBB) and the emergence of drug resistance. Although a few FDA-approved multimodal treatments are available for glioblastoma, most patients still have poor prognoses. Targeting epigenetic variables, immunotherapy, gene therapy, and different vaccine- and peptide-based treatments are some innovative approaches to improve anti-glioma treatment efficacy. Following the identification of lymphatics in the central nervous system, immunotherapy offers a potential method with the potency to permeate the blood-brain barrier. This review will discuss the rationale, tactics, benefits, and drawbacks of current glioma therapy options in clinical and preclinical investigations.
Insights
Glioblastoma treatment faces challenges due to the blood-brain barrier and drug resistance. Innovative therapies like immunotherapy show promise for improving outcomes in aggressive brain tumors.
Area of Science:
- Neuro-oncology
- Cancer Therapy
- Immunology
Background:
- Glioblastoma (GBM) is an aggressive primary brain tumor with poor patient prognosis.
- Current treatments for GBM are limited by the blood-brain barrier (BBB) and acquired drug resistance.
- Despite available multimodal therapies, patient outcomes remain suboptimal.
Purpose of the Study:
- To review current and emerging therapeutic strategies for glioma.
- To discuss innovative approaches targeting epigenetic factors, immunotherapy, gene therapy, and vaccines.
- To evaluate the potential of immunotherapy in overcoming BBB limitations for brain tumor treatment.
Main Methods:
- Literature review of clinical and preclinical investigations.
- Analysis of current glioma treatment options.
- Discussion of novel therapeutic tactics, including immunotherapy.
Main Results:
- Ineffective drug delivery across the BBB and drug resistance are major hurdles in glioma treatment.
- Emerging therapies such as epigenetic targeting and immunotherapy offer potential for improved efficacy.
- The identification of central nervous system lymphatics supports immunotherapy as a viable strategy to cross the BBB.
Conclusions:
- Glioblastoma treatment requires innovative approaches to overcome existing therapeutic challenges.
- Immunotherapy presents a promising avenue for enhancing anti-glioma treatment efficacy.
- Further research into novel strategies is crucial for improving glioblastoma patient prognoses.
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