2022
DOI: 10.3390/cancers14133203
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Obstacles to Glioblastoma Treatment Two Decades after Temozolomide

Abstract: Glioblastomas are considered the most common and aggressive primary brain tumor in adults, with an average of 15 months’ survival rate. The treatment is surgery resection, followed by chemotherapy with temozolomide, and/or radiotherapy. Glioblastoma must have wild-type IDH gene and some characteristics, such as TERT promoter mutation, EGFR gene amplification, microvascular proliferation, among others. Glioblastomas have great heterogeneity at cellular and molecular levels, presenting distinct phenotypes and di… Show more

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Cited by 36 publications
(33 citation statements)
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References 188 publications
(236 reference statements)
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“…The most dangerous primary brain tumour in adults with a WHO grade 4 is glioblastoma (GBM), which increases mortality in individuals with a 15-month median survival time [ 1 , 2 ]. The strong vascularization capability of GBM is consequent to adaptative molecular mechanisms, which supplies nutrients and oxygen to tumour core cells exposed to hypoxia and nutrient deprivation, promotes rapid tumour growth and spread.…”
Section: Introductionmentioning
confidence: 99%
“…The most dangerous primary brain tumour in adults with a WHO grade 4 is glioblastoma (GBM), which increases mortality in individuals with a 15-month median survival time [ 1 , 2 ]. The strong vascularization capability of GBM is consequent to adaptative molecular mechanisms, which supplies nutrients and oxygen to tumour core cells exposed to hypoxia and nutrient deprivation, promotes rapid tumour growth and spread.…”
Section: Introductionmentioning
confidence: 99%
“…Within the tumour, cell exposure to X-ray involves DNA breaks followed by mitotic catastrophe and induced-senescence. Moreover, X-ray exposition also leads to the generation of oxidative stress, and cell redox status changes, triggering cells death [ 4 ]. However, these effects are not limited to malignant cells, but also alter surrounding cells.…”
Section: Introductionmentioning
confidence: 99%
“…TMZ has been the only chemotherapy drug approved for the treatment of GBM. However, TMZ drug resistance and side effects are important factors that lead to poor treatment effects [35]. There is an urgent need to find new drugs for GBM.…”
Section: Discussionmentioning
confidence: 99%