Current status and potential challenges of mesenchymal stem cell-based therapy for malignant gliomas

Stem Cell Res Ther. 2018 Aug 24;9(1):228. doi: 10.1186/s13287-018-0977-z.

Abstract

Glioma, which accounts for more than 30% of primary central nervous system tumours, is characterised by symptoms such as headaches, epilepsy, and blurred vision. Glioblastoma multiforme is the most aggressive, malignant, and lethal brain tumour in adults. Even with progressive combination treatment with surgery, radiotherapy, and chemotherapy, the prognosis for glioma patients is still extremely poor. Compared with the poor outcome and slowly developing technologies for surgery and radiotherapy, the application of targeted chemotherapy with a new mechanism has become a research focus in this field.Moreover, targeted therapy is promising for most solid tumours. The tumour-tropic ability of stem cells, including neural stem cells and mesenchymal stem cells, provides an alternative therapeutic approach. Thus, mesenchymal stem cell-based therapy is based on a tumour-selective capacity and has been thought to be an effective anti-tumour option over the past decades. An increasing number of basic studies on mesenchymal stem cell-based therapy for gliomas has yielded complex outcomes.In this review, we summarise the biological characteristics of human mesenchymal stem cells, and the current status and potential challenges of mesenchymal stem cell-based therapy in patients with malignant gliomas.

Keywords: Current status; Gliomas; MSC-based therapy; Mesenchymal stem cells (MSCs); Potential challenges.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angiogenesis Inhibitors / therapeutic use
  • Animals
  • Biomarkers, Tumor / genetics
  • Biomarkers, Tumor / immunology
  • Brain Neoplasms / genetics
  • Brain Neoplasms / immunology
  • Brain Neoplasms / pathology
  • Brain Neoplasms / therapy*
  • Combined Modality Therapy / methods*
  • Genes, Transgenic, Suicide
  • Genetic Therapy / methods
  • Glioma / genetics
  • Glioma / immunology
  • Glioma / pathology
  • Glioma / therapy*
  • Humans
  • Mesenchymal Stem Cell Transplantation / methods*
  • Mesenchymal Stem Cells / cytology
  • Mesenchymal Stem Cells / immunology
  • Molecular Targeted Therapy / methods*
  • Neural Stem Cells / cytology
  • Neural Stem Cells / immunology
  • Neural Stem Cells / transplantation
  • Oncolytic Virotherapy / methods*
  • Signal Transduction

Substances

  • Angiogenesis Inhibitors
  • Biomarkers, Tumor