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Cancer Stem Cells in Glioblastoma: The Role of the mTOR Pathway
Monica C Mureb1, Sabrina L Zeller1, Haylen T Rosberger1
1Department of Neurosurgery, New York Medical College/Westchester Medical Center, Valhalla, NY, U.S.A.
Abstract:
Glioblastoma, the most aggressive type of primary brain tumor, portends a poor prognosis, despite current treatment modalities, due to recurrence of disease. Resistance to conventional therapies is caused by both extensive genetic abnormalities and dysregulation of the transcription landscape. A major cause of tumor recurrence, growth, and invasion is the presence of a unique population of cancer stem cells (CSCs) in the tumor and surrounding area. Consequently, CSCs have emerged as targets of interest in new treatment paradigms. The mechanistic target of rapamycin (mTOR), a serine/threonine kinase, forms two multiprotein complexes, mTORC1 and mTORC2, which regulate cell proliferation and migration. The pathogenesis of glioblastoma is largely due to the frequent loss of the tumor-suppressor gene phosphatase and tensin homolog (PTEN), leading to aberrant activation of the mTOR pathway in glioblastoma and its CSCs. Strategies to treat glioblastoma may involve inhibition of the mTOR pathway to target CSCs. Here, we explore the role of mTOR and related signaling pathways in the regulation of glioblastoma stem cells and define their roles as therapeutic targets in the treatment of glioblastoma.
Insights
Glioblastoma stem cells (CSCs) drive tumor recurrence. Inhibiting the mechanistic target of rapamycin (mTOR) pathway, often dysregulated in glioblastoma due to PTEN loss, may offer a new therapeutic strategy against these resilient cancer stem cells.
Area of Science:
- Neuro-oncology
- Cancer Stem Cell Biology
- Molecular Signaling Pathways
Background:
- Glioblastoma is an aggressive brain tumor with poor prognosis, often recurring due to genetic abnormalities and cancer stem cells (CSCs).
- CSCs contribute significantly to glioblastoma recurrence, growth, and invasion, making them critical therapeutic targets.
- The mechanistic target of rapamycin (mTOR) pathway regulates cell proliferation and migration, and its aberrant activation is implicated in glioblastoma pathogenesis.
Purpose of the Study:
- To explore the role of mTOR and associated signaling pathways in regulating glioblastoma stem cells.
- To define the therapeutic potential of targeting mTOR signaling in glioblastoma treatment.
Main Methods:
- Review of current literature on glioblastoma, cancer stem cells, and mTOR signaling.
- Analysis of the molecular mechanisms linking PTEN loss, mTOR activation, and glioblastoma CSC behavior.
Main Results:
- Loss of phosphatase and tensin homolog (PTEN) frequently occurs in glioblastoma, leading to mTOR pathway hyperactivation.
- Aberrant mTOR signaling in glioblastoma CSCs promotes tumor growth, recurrence, and invasion.
- Targeting the mTOR pathway presents a promising strategy to eliminate glioblastoma CSCs.
Conclusions:
- The mTOR pathway is a critical regulator of glioblastoma stem cells.
- Inhibition of mTOR signaling holds potential as a therapeutic approach for glioblastoma, specifically targeting CSCs to overcome treatment resistance and recurrence.
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