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Updated: May 12, 2026

Oncogenic Gene Fusion Detection Using Anchored Multiplex Polymerase Chain Reaction Followed by Next Generation Sequencing
Published on: July 5, 2019
RNA-based precision medicine in glioblastoma driven by oncogenic gene fusions
Maël Bouillon1, Clémentine Lapoujade1, Laëtitia Basset1,2
1Université D'Angers, INSERM, CNRS, CRCINA, 49000 Angers, France.
Abstract:
Glioblastoma, the most common primary central nervous system tumor, is the leading cause of death in neuro-oncology. Gene fusions, caused by chromosomal rearrangements, may act as drivers of tumorigenesis in glioblastoma. These fusions result from the juxtaposition of two genes, leading to the production of a chimeric protein and, in most cases, constitutive activation of a tyrosine kinase receptor. Despite the use of tyrosine kinase inhibitors to block the oncogenic activity of gene fusions, clinical responses in glioblastoma remain poor compared to those in other cancers, highlighting the need for innovative therapeutic strategies. RNA interference, using small interfering RNAs or micro-RNAs, offers a promising approach to target these oncogenic fusions. Through specific silencing, small interfering RNAs spare healthy cells, avoiding the adverse effects associated with tyrosine kinase inhibitors. Recent advances in biotechnology (e.g., antisense oligonucleotides and aptamers) and delivery systems have improved small interfering RNA stability, specificity, and ability to cross the blood-brain barrier. This review discusses these advances and their potential applications to target oncogenic gene fusions in glioblastoma. RNA interference-based therapy represents a critical area of research that could improve the survival of patients with glioblastoma.
Insights
RNA interference offers a promising new therapy for glioblastoma, a deadly brain cancer. This approach targets gene fusions driving tumor growth, potentially improving patient survival with fewer side effects than current treatments.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Genetics
Background:
- Glioblastoma is the most common and lethal primary brain tumor.
- Gene fusions resulting from chromosomal rearrangements drive glioblastoma tumorigenesis by activating tyrosine kinase receptors.
- Current treatments like tyrosine kinase inhibitors show limited clinical efficacy in glioblastoma.
Purpose of the Study:
- To review advances in RNA interference (RNAi) technology for targeting oncogenic gene fusions in glioblastoma.
- To discuss the potential of RNAi-based therapies to overcome the limitations of current treatments.
- To highlight the improved stability, specificity, and delivery of RNAi agents.
Main Methods:
- Review of recent biotechnological advancements in RNA interference (RNAi).
- Discussion of small interfering RNAs (siRNAs), micro-RNAs (miRNAs), antisense oligonucleotides, and aptamers.
- Analysis of improved delivery systems for crossing the blood-brain barrier.
Main Results:
- RNA interference offers a targeted approach to silence oncogenic gene fusions, sparing healthy cells.
- Advances in biotechnology have enhanced the stability, specificity, and delivery of RNAi agents.
- Improved delivery systems show potential for effective blood-brain barrier penetration.
Conclusions:
- RNA interference-based therapy is a promising strategy for glioblastoma treatment.
- Targeting oncogenic gene fusions with RNAi could lead to improved patient survival.
- Further research in RNAi holds potential for innovative therapeutic applications in neuro-oncology.
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