DDX3X dynamics, glioblastoma's genetic landscape, therapeutic advances, and autophagic interplay

Arpit Sharma1, Shruti S Raut1, Alok Shukla1

  • 1Biomolecular Engineering Laboratory, School of Biochemical Engineering, Indian Institute of Technology (BHU), Varanasi, 221005, India.

Insights

Glioblastoma treatment faces challenges due to drug resistance. This review explores Glioblastoma genetics, Temozolomide resistance, DDX3X protein roles, and autophagy, highlighting potential therapeutic strategies like Chloroquine.

Area of Science:

  • Neuro-oncology
  • Cancer Biology
  • Molecular Medicine

Background:

  • Glioblastoma is an aggressive brain cancer with poor prognosis.
  • Understanding Glioblastoma's genetic heterogeneity (primary vs. secondary) is crucial.
  • Current treatments like Temozolomide face significant resistance issues.

Purpose of the Study:

  • To review key aspects of Glioblastoma, including genetics and treatment resistance.
  • To explore the role of DDX3X protein in Glioblastoma development and progression.
  • To examine the complex role of autophagy in Glioblastoma and its therapeutic implications.

Main Methods:

  • Literature review of Glioblastoma research.
  • Analysis of gene expression profiling data.
  • Investigation of molecular mechanisms involving DDX3X and autophagy.

Main Results:

  • Glioblastoma exhibits genetic differences between primary and secondary types.
  • Temozolomide resistance is a major limitation in Glioblastoma treatment.
  • DDX3X has dual roles (oncogenic/tumor-suppressive) in cancer.
  • Autophagy modulation, potentially with Chloroquine, shows promise for Glioblastoma therapy.

Conclusions:

  • Targeted therapies are needed for Glioblastoma, informed by molecular profiling.
  • Understanding DDX3X and autophagy interplay is key to overcoming treatment resistance.
  • Chloroquine represents a potential therapeutic avenue for Glioblastoma treatment.