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Unlocking Hope: Anti-VEGFR inhibitors and their potential in glioblastoma treatment
Ali Berro1, Ahmad Assi1, Mohamad Farhat1
1Hematology-Oncology Department, Hôtel-Dieu de France University Hospital, Saint Joseph University of Beirut, Beirut, Lebanon.
Purpose:
This systematic review summarizes evidence of VEGFR gene mutations and VEGF/VEGFR protein expression in glioblastoma multiforme (GBM) patients, alongside the efficacy and safety of anti-VEGFR tyrosine kinase inhibitors (TKIs) for GBM treatment.
Methods:
A comprehensive literature review was conducted using PubMed up to August 2023. Boolean operators and MeSH term "glioma," along with specific VEGFR-related keywords, were utilized following thorough examination of existing literature.
Results:
VEGFR correlates with glioma grade and GBM progression, presenting a viable therapeutic target. Regorafenib and axitinib show promise among studied TKIs. Other multi-targeted TKIs (MTKI) and combination therapies exhibit potential, albeit limited by blood-brain barrier penetration and toxicity. Combining treatments like radiotherapy and enhancing BBB penetration may benefit patients. Further research is warranted in patient quality of life and biomarker-guided selection.
Conclusion:
While certain therapies hold promise for GBM, future research should prioritize personalized medicine and innovative strategies for improved treatment outcomes.
Insights
Vascular Endothelial Growth Factor Receptor (VEGFR) is a promising target for glioblastoma multiforme (GBM) treatment. Anti-VEGFR tyrosine kinase inhibitors (TKIs) show potential, but further research is needed for optimal efficacy and safety.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Glioblastoma multiforme (GBM) is an aggressive brain tumor with limited treatment options.
- Vascular Endothelial Growth Factor Receptor (VEGFR) signaling plays a critical role in GBM pathogenesis and progression.
- VEGFR gene mutations and protein expression are implicated in GBM development.
Purpose of the Study:
- To systematically review the evidence on VEGFR gene mutations and protein expression in GBM.
- To evaluate the efficacy and safety of anti-VEGFR tyrosine kinase inhibitors (TKIs) for GBM treatment.
Main Methods:
- Comprehensive literature search of PubMed up to August 2023.
- Utilized Boolean operators and MeSH term "glioma" with VEGFR-related keywords.
- Systematic review and synthesis of relevant studies.
Main Results:
- VEGFR expression correlates with glioma grade and GBM progression, indicating its therapeutic relevance.
- Regorafenib and axitinib demonstrate promise as anti-VEGFR TKIs for GBM.
- Challenges include blood-brain barrier penetration and toxicity; combination therapies and enhanced delivery strategies may improve outcomes.
Conclusions:
- Anti-VEGFR therapies show promise for GBM treatment.
- Future research should focus on personalized medicine, biomarker-guided selection, and innovative strategies to overcome treatment challenges.
- Improving patient quality of life is a key consideration for future research.
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