Meningioma: Novel Diagnostic and Therapeutic Approaches
<b>Background/Objectives</b>: Meningiomas are the most common intracranial tumors. Surgery and radiation therapy are the cornerstones of treatment and no standard of care therapy exists for refractory meningiomas. This manuscript aims to provide a comprehensive review of novel diagnostic...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-03-01
|
| Series: | Biomedicines |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9059/13/3/659 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850204618935500800 |
|---|---|
| author | Carlen A. Yuen Michelle Zheng Max A. Saint-Germain David O. Kamson |
| author_facet | Carlen A. Yuen Michelle Zheng Max A. Saint-Germain David O. Kamson |
| author_sort | Carlen A. Yuen |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: Meningiomas are the most common intracranial tumors. Surgery and radiation therapy are the cornerstones of treatment and no standard of care therapy exists for refractory meningiomas. This manuscript aims to provide a comprehensive review of novel diagnostic and therapeutic approaches against these tumors. <b>Methods</b>: A search for the existing literature on systemic therapies for meningiomas was performed on PubMed and a search for presently accruing clinical trials was performed on ClinicalTrials.gov. <b>Results</b>: Systemic treatments, including chemotherapy, somatostatin analogs, anti-hormone therapy, and anti-angiogenic therapy, have been extensively studied with marginal success. Targeted therapies are actively being studied for the treatment of meningiomas, including focal adhesion kinase (FAK), sonic hedgehog signaling pathway, phosphoinositide-3-kinase (<i>PI3K</i>), and cyclin-dependent kinases (<i>CDK</i>) inhibitors. These driver mutations are present only in a subset of meningiomas. In stark contrast, somatostatin receptor 2 (SSTR2) is ubiquitously expressed in meningiomas and was formerly targeted with somatostatin analogs with modest success. Theranostic SSTR2-targeting via [<sup>68</sup>Ga]DOTATATE for PET imaging and β-emitting [<sup>177</sup>Lu]DOTATATE for the treatment of meningiomas are currently under active investigation. <b>Conclusions</b>: A nuanced approach is needed for the treatment of refractory meningiomas. Targeted therapies show promise. |
| format | Article |
| id | doaj-art-93dfb4fe5a404fd2bf5bcfc4d266d2ef |
| institution | OA Journals |
| issn | 2227-9059 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biomedicines |
| spelling | doaj-art-93dfb4fe5a404fd2bf5bcfc4d266d2ef2025-08-20T02:11:15ZengMDPI AGBiomedicines2227-90592025-03-0113365910.3390/biomedicines13030659Meningioma: Novel Diagnostic and Therapeutic ApproachesCarlen A. Yuen0Michelle Zheng1Max A. Saint-Germain2David O. Kamson3Chao Family Comprehensive Cancer Center, University of California, Irvine, CA 92697, USACharlie Dunlop School of Biological Sciences, University of California Irvine, Irvine, CA 92697, USAThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD 21231, USAThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD 21231, USA<b>Background/Objectives</b>: Meningiomas are the most common intracranial tumors. Surgery and radiation therapy are the cornerstones of treatment and no standard of care therapy exists for refractory meningiomas. This manuscript aims to provide a comprehensive review of novel diagnostic and therapeutic approaches against these tumors. <b>Methods</b>: A search for the existing literature on systemic therapies for meningiomas was performed on PubMed and a search for presently accruing clinical trials was performed on ClinicalTrials.gov. <b>Results</b>: Systemic treatments, including chemotherapy, somatostatin analogs, anti-hormone therapy, and anti-angiogenic therapy, have been extensively studied with marginal success. Targeted therapies are actively being studied for the treatment of meningiomas, including focal adhesion kinase (FAK), sonic hedgehog signaling pathway, phosphoinositide-3-kinase (<i>PI3K</i>), and cyclin-dependent kinases (<i>CDK</i>) inhibitors. These driver mutations are present only in a subset of meningiomas. In stark contrast, somatostatin receptor 2 (SSTR2) is ubiquitously expressed in meningiomas and was formerly targeted with somatostatin analogs with modest success. Theranostic SSTR2-targeting via [<sup>68</sup>Ga]DOTATATE for PET imaging and β-emitting [<sup>177</sup>Lu]DOTATATE for the treatment of meningiomas are currently under active investigation. <b>Conclusions</b>: A nuanced approach is needed for the treatment of refractory meningiomas. Targeted therapies show promise.https://www.mdpi.com/2227-9059/13/3/659meningioma177-LutetiumPRRTDOTATATE PEToctreotide<i>NF2</i> |
| spellingShingle | Carlen A. Yuen Michelle Zheng Max A. Saint-Germain David O. Kamson Meningioma: Novel Diagnostic and Therapeutic Approaches Biomedicines meningioma 177-Lutetium PRRT DOTATATE PET octreotide <i>NF2</i> |
| title | Meningioma: Novel Diagnostic and Therapeutic Approaches |
| title_full | Meningioma: Novel Diagnostic and Therapeutic Approaches |
| title_fullStr | Meningioma: Novel Diagnostic and Therapeutic Approaches |
| title_full_unstemmed | Meningioma: Novel Diagnostic and Therapeutic Approaches |
| title_short | Meningioma: Novel Diagnostic and Therapeutic Approaches |
| title_sort | meningioma novel diagnostic and therapeutic approaches |
| topic | meningioma 177-Lutetium PRRT DOTATATE PET octreotide <i>NF2</i> |
| url | https://www.mdpi.com/2227-9059/13/3/659 |
| work_keys_str_mv | AT carlenayuen meningiomanoveldiagnosticandtherapeuticapproaches AT michellezheng meningiomanoveldiagnosticandtherapeuticapproaches AT maxasaintgermain meningiomanoveldiagnosticandtherapeuticapproaches AT davidokamson meningiomanoveldiagnosticandtherapeuticapproaches |