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A View of Molecular Targeted Therapies in Glioblastoma

Authors: Majumdar, Esha; Chakraborty, Aria;

A View of Molecular Targeted Therapies in Glioblastoma

Abstract

{"references": ["Le Rhun E, Preusser M, Roth P, Reardon DA, van den Bent M, Wen P, Reifenberger G, Weller M. Molecular targeted therapy of glioblastoma. Cancer Treat Rev. 2019 Nov;80:101896. doi: 10.1016/j.ctrv.2019.101896. Epub 2019 Sep 11. PMID: 31541850", "Yang, K., Wu, Z., Zhang, H. et al. Glioma targeted therapy: insight into future of molecular approaches. Mol Cancer 21, 39 (2022). https://doi.org/10.1186/s12943-022-01513-z", "An, Z., Aksoy, O., Zheng, T. et al. Epidermal growth factor receptor and EGFRvIII in glioblastoma: signaling pathways and targeted therapies. Oncogene 37, 1561\u20131575 (2018). https://doi.org/10.1038/s41388-017-0045-7", "Moving to the Mitochondria.Sci. STKE2004,tw286-tw286(2004).DOI:10.1126/stke.2452004tw286", "Louis DN, Perry A, Reifenberger G, von Deimling A, Figarella-Branger D, Cavenee WK, et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol 2016;131:803\u201320", "MGMT Gene Silencing and Benefit from Temozolomide in Glioblastoma: Monika E. Hegi, Ph.D., Annie-Claire Diserens, M.Sc., Thierry Gorlia, M.Sc., Marie-France Hamou, et al. March 10, 2005 N Engl J Med 2005; 352:997-1003 DOI: 10.1056/NEJMoa043331", "Hegi ME, Diserens A-C, Gorlia T, Hamou M-F, de Tribolet N, Weller M, et al. MGMT gene silencing and benefit from temozolomide in glioblastoma. N Engl J Med 2005;352:997\u20131003. doi:10.1056/NEJMoa043331.", "Yang P, Zhang W, Wang Y, Peng X, Chen B, Qiu X, Li G, Li S, Wu C, Yao K, Li W, Yan W, Li J, You Y, Chen CC, Jiang T. IDH mutation and MGMT promoter methylation in glioblastoma: results of a prospective registry. Oncotarget. 2015 Dec 1;6(38):40896-906. doi: 10.18632/oncotarget.5683. PMID: 26503470; PMCID: PMC4747376", "Yang, K., Wu, Z., Zhang, H. et al. Glioma targeted therapy: insight into future of molecular approaches. Mol Cancer 21, 39 (2022). https://doi.org/10.1186/s12943-022-01513-z", "von Roemeling CA, Wang Y, Qie Y, Yuan H, Zhao H, Liu X, Yang Z, Yang M, Deng W, Bruno KA, et al. Therapeutic modulation of phagocytosis in glioblastoma can activate both innate and adaptive antitumor immunity. Nat Commun. 2020;11(1):1508.", "Wen PY, Weller M, Lee EQ, et al. Glioblastoma in adults: a Society for Neuro-Oncology (SNO) and European Society of Neuro-Oncology (EANO) consensus review on current management and future directions. Neuro Oncol. 2020;22(8):1073\u20131113.", "Delgado-L\u00f3pez PD and Corrales-Garc\u00eda EM: Survival in glioblastoma: A review on the impact of treatment modalities. Clin Transl Oncol. 18:1062\u20131071. 2016", "Taylor JW, Parikh M, Phillips JJ, James CD, Molinaro AM, Butowski NA, et al. Phase-2 trial of palbociclib in adult patients with recurrent RB1-positive glioblastoma. J Neurooncol 2018;140:477\u201383. doi:10.1007/s11060-018-2977-3.", "Stupp R, Mason WP, van den Bent MJ, Weller M, Fisher B, Taphoorn MJ, Belanger K, Brandes AA, Marosi C, Bogdahn U, et al. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med. 2005;352(10):987\u201396. https://www.nejm.org/doi/full/10.1056/NEJMoa043330", "Batchelor TT, Duda DG, di Tomaso E, Ancukiewicz M, Plotkin SR, Gerstner E, Eichler AF, Drappatz J, Hochberg FH, Benner T, et al. Phase II study of cediranib, an oral pan-vascular endothelial growth factor receptor tyrosine kinase inhibitor, in patients with recurrent glioblastoma. J Clin Oncol. 2010;28(17):2817\u201323. https://ascopubs.org/doi/10.1200/JCO.2009.26.3988", "Reardon DA, Groves MD, Wen PY, Nabors L, Mikkelsen T, Rosenfeld S, Raizer J, Barriuso J, McLendon RE, Suttle AB, et al. A phase I/II trial of pazopanib in combination with lapatinib in adult patients with relapsed malignant glioma. Clin Cancer Res. 2013;19(4):900\u20138. aacrjournals.org/clincancerres/article/19/4/900/78124/A-Phase-I-II-Trial-of-Pazopanib-in-Combination"]}

Glioblastoma is the most common type of brain cancer arising from the stem or progenitor neuroglial cells. When abnormal mutations occur in these cells causing changes in the expression of the genes or proteins regulating the cellular pathways, the cells keep on proliferating without any signal to stop and it gives rise to intrinsic malignant brain tumors. According to epidemiological studies, the median age of diagnosis is nearly 65 years, although it can occur even before 65 years. Males are 1.7 fold times more affected than females. Generally, young age and a healthy lifestyle has therapy independent positive prognosis of the disease. Generally Glioblastoma arises due to mutation of the IDH1 or IDH2 gene, with IDH wild type glioblastomas accounting for nearly 90% of the disease. Radiotherapy followed by temozolomide chemotherapy is the current standard care, although the best supportive care is placebo. IDH wild type glioblastoma may arise due to MGMT promoter methylation or unmethylation or it can arise due to EGFR or changes in PI3K/AKT/mTOR pathway, MET gene, FGFR3-TACC3 fusion, BRAF mutation, NTRK mutation. It can also occur due to pRB pathway alterations, loss of p53 function or TERT promoter mutation. In case of programmed cell death, immunotherapy can be opted as a method of treatment. Here, in this article, we will discuss the different types of mutations which give rise to Glioblastoma and focus on the molecular targeted therapies related to different pathways and mutations.

Keywords

Bevacizumab, IDH wild type, Clinical trials, Therapies, Temozolomide, Glioblastoma, Pathways, Mutations

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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