Novel Therapies in Glioblastoma

Conventional treatment of glioblastoma has advanced only incrementally in the last 30 years and still yields poor outcomes. The current strategy of surgery, radiation, and chemotherapy has increased median survival to approximately 15 months. With the advent of molecular biology and consequent impro...

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Main Authors: James Perry, Masahiko Okamoto, Michael Guiou, Katsuyuki Shirai, Allison Errett, Arnab Chakravarti
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2012/428565
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author James Perry
Masahiko Okamoto
Michael Guiou
Katsuyuki Shirai
Allison Errett
Arnab Chakravarti
author_facet James Perry
Masahiko Okamoto
Michael Guiou
Katsuyuki Shirai
Allison Errett
Arnab Chakravarti
author_sort James Perry
collection DOAJ
description Conventional treatment of glioblastoma has advanced only incrementally in the last 30 years and still yields poor outcomes. The current strategy of surgery, radiation, and chemotherapy has increased median survival to approximately 15 months. With the advent of molecular biology and consequent improved understanding of basic tumor biology, targeted therapies have become cornerstones for cancer treatment. Many pathways (RTKs, PI3K/AKT/mTOR, angiogenesis, etc.) have been identified in GBM as playing major roles in tumorigenesis, treatment resistance, or natural history of disease. Despite the growing understanding of the complex networks regulating GBM tumors, many targeted therapies have fallen short of expectations. In this paper, we will discuss novel therapies and the successes and failures that have occurred. One clear message is that monotherapies yield minor results, likely due to functionally redundant pathways. A better understanding of underlying tumor biology may yield insights into optimal targeting strategies which could improve the overall therapeutic ratio of conventional treatments.
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spelling doaj-art-e018922533384d9aadbe3d088525a3bd2025-08-20T03:26:05ZengWileyNeurology Research International2090-18522090-18602012-01-01201210.1155/2012/428565428565Novel Therapies in GlioblastomaJames Perry0Masahiko Okamoto1Michael Guiou2Katsuyuki Shirai3Allison Errett4Arnab Chakravarti5Department of Radiation Oncology, Arthur G. James Comprehensive Cancer Center and Richard L. Solove Research Institute, The Ohio State University, Columbus, OH 43210, USADepartment of Radiation Oncology, Arthur G. James Comprehensive Cancer Center and Richard L. Solove Research Institute, The Ohio State University, Columbus, OH 43210, USADepartment of Radiation Oncology, Arthur G. James Comprehensive Cancer Center and Richard L. Solove Research Institute, The Ohio State University, Columbus, OH 43210, USADepartment of Radiation Oncology, Arthur G. James Comprehensive Cancer Center and Richard L. Solove Research Institute, The Ohio State University, Columbus, OH 43210, USADepartment of Radiation Oncology, Arthur G. James Comprehensive Cancer Center and Richard L. Solove Research Institute, The Ohio State University, Columbus, OH 43210, USADepartment of Radiation Oncology, Arthur G. James Comprehensive Cancer Center and Richard L. Solove Research Institute, The Ohio State University, Columbus, OH 43210, USAConventional treatment of glioblastoma has advanced only incrementally in the last 30 years and still yields poor outcomes. The current strategy of surgery, radiation, and chemotherapy has increased median survival to approximately 15 months. With the advent of molecular biology and consequent improved understanding of basic tumor biology, targeted therapies have become cornerstones for cancer treatment. Many pathways (RTKs, PI3K/AKT/mTOR, angiogenesis, etc.) have been identified in GBM as playing major roles in tumorigenesis, treatment resistance, or natural history of disease. Despite the growing understanding of the complex networks regulating GBM tumors, many targeted therapies have fallen short of expectations. In this paper, we will discuss novel therapies and the successes and failures that have occurred. One clear message is that monotherapies yield minor results, likely due to functionally redundant pathways. A better understanding of underlying tumor biology may yield insights into optimal targeting strategies which could improve the overall therapeutic ratio of conventional treatments.http://dx.doi.org/10.1155/2012/428565
spellingShingle James Perry
Masahiko Okamoto
Michael Guiou
Katsuyuki Shirai
Allison Errett
Arnab Chakravarti
Novel Therapies in Glioblastoma
Neurology Research International
title Novel Therapies in Glioblastoma
title_full Novel Therapies in Glioblastoma
title_fullStr Novel Therapies in Glioblastoma
title_full_unstemmed Novel Therapies in Glioblastoma
title_short Novel Therapies in Glioblastoma
title_sort novel therapies in glioblastoma
url http://dx.doi.org/10.1155/2012/428565
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AT arnabchakravarti noveltherapiesinglioblastoma