2016
DOI: 10.1136/esmoopen-2016-000144
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Hallmarks of glioblastoma: a systematic review

Abstract: Despite decades of intense research, the complex biology of glioblastoma (GBM) is not completely understood. Progression-free survival and overall survival have remained unchanged since the implementation of the STUPP regimen in 2005 with concomitant radio-/chemotherapy and adjuvant chemotherapy with temozolomide.In the context of Hanahan and Weinberg's six hallmarks and two emerging hallmarks of cancer, we discuss up-to-date status and recent research in the biology of GBM. We discuss the clinical impact of t… Show more

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Cited by 151 publications
(121 citation statements)
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References 77 publications
(71 reference statements)
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“…From the list of 273 GO terms enriched, the top 25 given by the percentage of genes in the gene set associated to the term are listed, and sorted by increased false discovery rate (from top to bottom). From the genes selected, known markers in glioma and GBM, namely SOX9 and EGFR [5,[19][20][21], are here associated to astrocyte development and differentiation.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…From the list of 273 GO terms enriched, the top 25 given by the percentage of genes in the gene set associated to the term are listed, and sorted by increased false discovery rate (from top to bottom). From the genes selected, known markers in glioma and GBM, namely SOX9 and EGFR [5,[19][20][21], are here associated to astrocyte development and differentiation.…”
Section: Resultsmentioning
confidence: 99%
“…Among the genes selected by Model I, discriminating between tumor core and periphery neoplastic astrocytes, 3 genes up-regulated in GBM infiltrating tumor cells with functions involving the invasion of the interstitial matrix were also pointed by Darmanis et al (2017) [5], namely: ATP1A2, a NA + /K + ATPase involved in size regulation; PRODH, related to proline catabolism and might contribute to increase ATP energy demands of migrating cells; and FGFR3, inducing increased infiltrating cell expression of cell survival signaling [5]. Among the genes always selected by Model II, discriminating between tumor periphery neoplastic astrocytes and normal tumor periphery astrocytes, the epidermal growth factor receptor (EGFR), up-regulated in neoplastic periphery astrocytes over normal periphery astrocytes, is a previously reported significantly mutated gene in GBM [20,21].…”
Section: Discussionmentioning
confidence: 99%
“…However, in spite of multimodal treatment, patients have poor prognosis with a median survival of 14-16 months and 5-year overall survival (OS) of 9.8% [21].…”
Section: Discussionmentioning
confidence: 99%
“…e molecular profile associated with the clinical outcome has proposed IDH as an essential prognostic biomarker in brain tumours. e IDH is an enzyme involved in cellular metabolism, which is explicitly designated as a hallmark of the "reprogramming cellular energetics" mechanisms [21].…”
Section: Genetic Profile and Epigenetic Plasticity In Glioblastomamentioning
confidence: 99%
“…Temozolomide (first-line chemotherapeutic for treatment of GBM) and radiotherapy has been limited due to treatment toxicity and therapeutic resistance, and failure to successfully remove all surrounding tumour cells during surgical resection (Candolfi et al, 2007), thus resulting in a high chance of tumour recurrence. Consequently, survival rates have remained relatively stagnant over the past 30 years (Nørøxe et al, 2016). In order to improve clinical outcomes for patients undergoing therapy, there is a need for the development of new therapeutic strategies that investigate alternative compounds that possess cytotoxic activity with the ability to inhibit tissue invasion.…”
Section: Introductionmentioning
confidence: 99%