Unraveling Glioblastoma: TME Implication and Gene Therapy Advances.

IF 3.8 4区 医学 Q2 GENETICS & HEREDITY
Rohith Raali, Suresh P K
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Abstract

Glioblastoma is a malignant manifestation of a solid brain tumour with a very dismal prognosis due to an overall median survival of 14 months. The currently administered Standard treatment plan, the STUPP regimen, is not very effective in tackling this neoplasia. A major concern that affects the development of new drug formulations, specifically for Glioma, is the inherent sub-clonal heterogeneity, which includes the dynamic and intricate nature of the Tumour Microenvironment (TME). Targeting the cellular niche using personalized medication for glioma specifically gene therapy, seems to be promising, with most studies in preclinical models yielding optimistic results. This paper analyses the great headways made in glioma gene therapy in the last 10 years while looking into different therapeutic strategies. That said, certain challenges do plague the clinical use of gene therapy which have been highlighted in the hopes that future researchers will address these concerns and further propel gene therapy in its journey from the Lab to the bedside.

揭开胶质母细胞瘤的神秘面纱:TME 影响与基因疗法进展。
胶质母细胞瘤是一种恶性实体瘤,预后极差,中位生存期仅为 14 个月。目前采用的标准治疗方案--STUPP 方案,对这种肿瘤的治疗效果不佳。影响新药研发(尤其是针对胶质瘤)的一个主要问题是其固有的亚克隆异质性,包括肿瘤微环境(TME)的动态和复杂性。针对胶质瘤的个性化药物治疗,特别是基因治疗,似乎很有前景,大多数临床前模型研究都取得了乐观的结果。本文分析了过去十年中胶质瘤基因疗法取得的巨大进步,同时探讨了不同的治疗策略。尽管如此,基因疗法的临床应用仍面临着一些挑战,本文对此进行了强调,希望未来的研究人员能解决这些问题,进一步推动基因疗法从实验室走向临床。
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来源期刊
Current gene therapy
Current gene therapy 医学-遗传学
CiteScore
6.70
自引率
2.80%
发文量
46
期刊介绍: Current Gene Therapy is a bi-monthly peer-reviewed journal aimed at academic and industrial scientists with an interest in major topics concerning basic research and clinical applications of gene and cell therapy of diseases. Cell therapy manuscripts can also include application in diseases when cells have been genetically modified. Current Gene Therapy publishes full-length/mini reviews and original research on the latest developments in gene transfer and gene expression analysis, vector development, cellular genetic engineering, animal models and human clinical applications of gene and cell therapy for the treatment of diseases. Current Gene Therapy publishes reviews and original research containing experimental data on gene and cell therapy. The journal also includes manuscripts on technological advances, ethical and regulatory considerations of gene and cell therapy. Reviews should provide the reader with a comprehensive assessment of any area of experimental biology applied to molecular medicine that is not only of significance within a particular field of gene therapy and cell therapy but also of interest to investigators in other fields. Authors are encouraged to provide their own assessment and vision for future advances. Reviews are also welcome on late breaking discoveries on which substantial literature has not yet been amassed. Such reviews provide a forum for sharply focused topics of recent experimental investigations in gene therapy primarily to make these results accessible to both clinical and basic researchers. Manuscripts containing experimental data should be original data, not previously published.
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