The molecular and phenotypic basis of the glioma invasive perivascular niche

Gliomas are devastating brain cancers that have poor prognostic outcomes for their patients. Short overall patient survival is due to a lack of durable, efficacious treatment options. Such therapeutic difficulties exist, in part, due to several glioma survival adaptations and mechanisms, which allow...

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Main Authors: Diksin, Mohammed, Smith, Stuart J., Rahman, Ruman
Format: Article
Published: MDPI 2017
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Online Access:https://eprints.nottingham.ac.uk/47919/
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author Diksin, Mohammed
Smith, Stuart J.
Rahman, Ruman
author_facet Diksin, Mohammed
Smith, Stuart J.
Rahman, Ruman
author_sort Diksin, Mohammed
building Nottingham Research Data Repository
collection Online Access
description Gliomas are devastating brain cancers that have poor prognostic outcomes for their patients. Short overall patient survival is due to a lack of durable, efficacious treatment options. Such therapeutic difficulties exist, in part, due to several glioma survival adaptations and mechanisms, which allow glioma cells to repurpose paracrine signalling pathways and ion channels within discreet microenvironments. These Darwinian adaptations facilitate invasion into brain parenchyma and perivascular space or promote evasion from anti-cancer defence mechanisms. Ultimately, this culminates in glioma repopulation and migration at distances beyond the original tumour site, which is a considerable obstacle for effective treatment. After an era of failed phase II trials targeting individual signalling pathways, coupled to our increasing knowledge of glioma sub-clonal divergence, combinatorial therapeutic approaches which target multiple molecular pathways and mechanisms will be necessary for better treatment outcomes in treating malignant gliomas. Furthermore, next-generation therapy which focuses on infiltrative tumour phenotypes and disruption of the vascular and perivascular microenvironments harbouring residual disease cells offers optimism for the localised control of malignant gliomas.
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spelling nottingham-479192020-05-04T19:16:17Z https://eprints.nottingham.ac.uk/47919/ The molecular and phenotypic basis of the glioma invasive perivascular niche Diksin, Mohammed Smith, Stuart J. Rahman, Ruman Gliomas are devastating brain cancers that have poor prognostic outcomes for their patients. Short overall patient survival is due to a lack of durable, efficacious treatment options. Such therapeutic difficulties exist, in part, due to several glioma survival adaptations and mechanisms, which allow glioma cells to repurpose paracrine signalling pathways and ion channels within discreet microenvironments. These Darwinian adaptations facilitate invasion into brain parenchyma and perivascular space or promote evasion from anti-cancer defence mechanisms. Ultimately, this culminates in glioma repopulation and migration at distances beyond the original tumour site, which is a considerable obstacle for effective treatment. After an era of failed phase II trials targeting individual signalling pathways, coupled to our increasing knowledge of glioma sub-clonal divergence, combinatorial therapeutic approaches which target multiple molecular pathways and mechanisms will be necessary for better treatment outcomes in treating malignant gliomas. Furthermore, next-generation therapy which focuses on infiltrative tumour phenotypes and disruption of the vascular and perivascular microenvironments harbouring residual disease cells offers optimism for the localised control of malignant gliomas. MDPI 2017-11-06 Article PeerReviewed Diksin, Mohammed, Smith, Stuart J. and Rahman, Ruman (2017) The molecular and phenotypic basis of the glioma invasive perivascular niche. International Journal of Molecular Sciences, 18 (11). 2342/1-2342/12. ISSN 1422-0067 glioblastoma; tumour invasion; perivascular niche; extracellular matrix; chemokine http://www.mdpi.com/1422-0067/18/11/2342 doi:10.3390/ijms18112342 doi:10.3390/ijms18112342
spellingShingle glioblastoma; tumour invasion; perivascular niche; extracellular matrix; chemokine
Diksin, Mohammed
Smith, Stuart J.
Rahman, Ruman
The molecular and phenotypic basis of the glioma invasive perivascular niche
title The molecular and phenotypic basis of the glioma invasive perivascular niche
title_full The molecular and phenotypic basis of the glioma invasive perivascular niche
title_fullStr The molecular and phenotypic basis of the glioma invasive perivascular niche
title_full_unstemmed The molecular and phenotypic basis of the glioma invasive perivascular niche
title_short The molecular and phenotypic basis of the glioma invasive perivascular niche
title_sort molecular and phenotypic basis of the glioma invasive perivascular niche
topic glioblastoma; tumour invasion; perivascular niche; extracellular matrix; chemokine
url https://eprints.nottingham.ac.uk/47919/
https://eprints.nottingham.ac.uk/47919/
https://eprints.nottingham.ac.uk/47919/