Recent Advances in Targeted Therapy for Glioma

Curr Med Chem. 2017;24(13):1365-1381. doi: 10.2174/0929867323666161223150242.

Abstract

Gliomas are the most common primary malignant brain tumors, which have a universally fatal outcome. Current standard treatment for glioma patients is surgical removal followed by radiotherapy and adjuvant chemotherapy. Due to therapeutic resistance and tumor recurrence, efforts are ongoing to identify the molecules that are fundamental to regulate the tumor progression and provide additional methods for individual treatment of glioma patients. By studying the initiation and maintenance of glioma, studies focused on the targets of tyrosine kinase receptors including EGFR, PDGFR and other crucial signal pathways such as PI3K/AKT and RAS/RAF/MAPK pathway. Furthermore, recent advances in targeting immunotherapy and stem cell therapy also brought numerous strategies to glioma treatment. This article reviewed the researches focused on the advanced strategies of various target therapies for improving the glioma treatment efficacy, and discussed the challenges and future directions for glioma therapy.

Keywords: Glioma; Immunotherapy; cell signal transduction pathway; clinical trials; glioma stem cell; targeted therapy.

Publication types

  • Review

MeSH terms

  • Alkylating Agents / chemistry
  • Alkylating Agents / therapeutic use
  • Alkylating Agents / toxicity
  • Angiogenesis Inhibitors / chemistry
  • Angiogenesis Inhibitors / therapeutic use
  • Angiogenesis Inhibitors / toxicity
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / therapeutic use
  • Brain Neoplasms / metabolism
  • Brain Neoplasms / pathology
  • Brain Neoplasms / therapy*
  • Glioma / metabolism
  • Glioma / pathology
  • Glioma / therapy*
  • Humans
  • Immunotherapy
  • Phosphatidylinositol 3-Kinases / metabolism
  • Phosphoinositide-3 Kinase Inhibitors
  • Protein Kinase Inhibitors / chemistry
  • Protein Kinase Inhibitors / therapeutic use
  • Protein Kinase Inhibitors / toxicity
  • Receptor Protein-Tyrosine Kinases / antagonists & inhibitors
  • Receptor Protein-Tyrosine Kinases / metabolism
  • Signal Transduction / drug effects
  • Stem Cell Transplantation
  • Stem Cells / cytology
  • Stem Cells / metabolism

Substances

  • Alkylating Agents
  • Angiogenesis Inhibitors
  • Antibodies, Monoclonal
  • Phosphoinositide-3 Kinase Inhibitors
  • Protein Kinase Inhibitors
  • Receptor Protein-Tyrosine Kinases