Documented studies have shown that HLF also significantly reduces the development of various neoplasms such as esophageal, lung, bladder, and colon cancer. 9,28 InterestabbreviatioNs bLF = bovine lactoferrin; BrdU = bromodeoxyuridine; BSA = bovine serum albumin; DMEM = Dulbecco's modified Eagle's medium; FACS = fluorescence-activated cell sorting; FCS = fetal calf serum; FRFSE = fast-recovery fast spin-echo; GBM = glioblastoma; HLF = human lactoferrin; NK = natural killer; PBS = phosphate-buffered saline; TMZ = temozolomide. , and 100 mg/ml, and 1 mg/ml) and in combination with TMZ. In in vivo experiments they assessed tumor size reduction in CD1 nude mice carrying an orthotopic GBM xenograft and orally treated with HLF. results Lactoferrin causes growth inhibition in the NMD and FN primary cell lines and in the U87MG continuous cell line. This inhibition seemed to be modulated by the downregulation of cyclin D1 and D4. Western blot and fluorescenceactivated cell sorting analysis showed inhibition of the cell cycle in G0/G1 and G2 phases. When administered in nude mice, HLF (60 mg/kg/day) decreased tumor size about 30%, as shown in both histological analyses and high-field brain MRI. Administration of HLF with TMZ enhanced the effect of chemotherapy both in vitro and in vivo. coNclusioNs This study demonstrated that HLF can inhibit GBM cell growth, suggesting that this nontoxic substance may have a role in potentiating the effect of current TMZ treatment of GBM.