克服质母细胞瘤中的化学抵抗:机制,治疗策略和功能精密医学
Maria Y Kordyukova1, Timofey K Bulgakov1,2, Maria A Sorokina1,3,4
1Federal Center of Brain Research and Neurotechnologies, Federal Medical and Biological Agency, 117513 Moscow, Russia.
International journal of molecular sciences
|March 14, 2026
概括
质母细胞瘤 (GBM) 是一种致命的脑癌,由于瘤细胞的适应性和异质性,耐治疗. 个性化药物敏感性测试为GBM患者提供了一种有希望的策略,以指导有效的组合疗法.
科学领域:
- 神经瘤学神经瘤学
- 癌症生物学 癌症生物学
- 药理学 药理学是指药理学的学科.
背景情况:
- 质母细胞瘤 (GBM) 是一种具有不良预后的侵袭性脑瘤,通常会对化疗等标准治疗产生抵抗力.
- 在GBM中治疗耐药性源于复杂的因素,包括瘤细胞适应,异质性和瘤微环境.
研究的目的:
- 审查驱动质母细胞瘤化学抵抗的分子和细胞机制.
- 检查目前和新兴的治疗策略,旨在克服GBM耐药性.
- 探索个性化,ex vivo药物敏感性测试的潜力,以指导GBM治疗.
主要方法:
- 关于质母细胞瘤化学抵抗的分子机制的文献综述.
- 分析体内耐药性因素,如血脑屏障和瘤微环境.
- 对患者衍生的GBM细胞进行ex vivo功能药物敏感性测试的评估.
主要成果:
- 关键的抵抗机制包括增强的DNA修复,改变的亡,途径冗余和质母细胞干细胞可塑性.
- 在体内耐药性被血脑屏障,缺氧和免疫相互作用加剧.
- 目前针对DNA修复或新陈代谢的治疗方法由于异质性和传递挑战,其疗效有限.
结论:
- 解决质母细胞瘤的异质性和可塑性对于改善患者的治疗结果至关重要.
- 活体药物敏感性测试提供了一个个性化的方法来确定有效的组合疗法.
- 整合功能导向策略可能会提高质母细胞瘤的精确瘤学.
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