Apoptosis in Glial Brain Tumors

M. Vogelbaum
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Abstract

Apoptosis, a form of programmed cell suicide, can be thought of as one mechanism by which organisms prevent the formation and progression of malignant neoplasms. Cells that have incurred irreparable damage to their DNA and subsequently escaped the tight controls placed upon proliferation and migration may be eliminated, under normal circumstances, by activation of their intrinsic apoptotic program. Deac-tivation of the apoptotic program, and hence propagation of mutations produced by DNA damage, may be a necessary precursor to cancer. This article describes the basic cellular elements and signal transduction pathways that underlie apoptosis and examines in more detail the potential role(s) that each of these elements may play in the genesis and progression of glial neoplasms. Finally, it describes attempts that have been made to design clinical therapies directed at increasing the sensitivity of these tumors to apoptotic stimuli
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胶质性脑肿瘤中的细胞凋亡
细胞凋亡是程序性细胞自杀的一种形式,可以被认为是生物体阻止恶性肿瘤形成和发展的一种机制。在正常情况下,对DNA造成不可修复的损伤并随后逃脱对增殖和迁移的严格控制的细胞,可以通过激活其固有的凋亡程序来消除。细胞凋亡程序的失活,以及由此产生的DNA损伤突变的繁殖,可能是癌症的必要前兆。本文描述了细胞凋亡的基本细胞成分和信号转导途径,并更详细地探讨了这些成分在神经胶质肿瘤的发生和发展中可能发挥的潜在作用。最后,它描述了设计临床治疗的尝试,旨在增加这些肿瘤对凋亡刺激的敏感性
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