高级胶质瘤的分子生物学:临床医生应该知道些什么?

Q Medicine 癌症 Pub Date : 2014-01-01 Epub Date: 2013-12-11 DOI:10.5732/cjc.013.10218
Silvia Hofer, Elisabeth Rushing, Matthias Preusser, Christine Marosi
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引用次数: 26

摘要

目前世界卫生组织对原发性脑肿瘤的分类系统完全基于形态学标准。然而,越来越多的证据表明,具有相似组织学的肿瘤具有不同的分子特征,显著影响治疗反应和生存。最近改变实践的临床试验确定了常规评估胶质母细胞瘤患者(特别是老年人)o -6-甲基鸟嘌呤- dna甲基转移酶(MGMT)启动子甲基化的作用,以及间变性胶质肿瘤患者1p和19q基因缺失的作用。最近发现的分子改变包括IDH-1/2、表皮生长因子受体(EGFR)和BRAF的突变也有可能成为未来药物开发的靶点。本文旨在总结与日常实践相关的高级别胶质瘤分子生物学的最新知识。
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Molecular biology of high-grade gliomas: what should the clinician know?

The current World Health Organization classification system of primary brain tumors is solely based on morphologic criteria. However, there is accumulating evidence that tumors with similar histology have distinct molecular signatures that significantly impact treatment response and survival. Recent practice-changing clinical trials have defined a role for routine assessment of O-6-methylguanine-DNA methyltransferase (MGMT) promoter methylation in glioblastoma patients, especially in the elderly, and 1p and 19q codeletions in patients with anaplastic glial tumors. Recently discovered molecular alterations including mutations in IDH-1/2, epidermal growth factor receptor (EGFR), and BRAF also have the potential to become targets for future drug development. This article aims to summarize current knowledge on the molecular biology of high-grade gliomas relevant to daily practice.

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来源期刊
癌症
癌症 ONCOLOGY-
CiteScore
3.47
自引率
0.00%
发文量
9010
审稿时长
12 weeks
期刊介绍: In July 2008, Landes Bioscience and Sun Yat-sen University Cancer Center began co-publishing the international, English-language version of AI ZHENG or the Chinese Journal of Cancer (CJC). CJC publishes original research, reviews, extra views, perspectives, supplements, and spotlights in all areas of cancer research. The primary criteria for publication in CJC are originality, outstanding scientific merit, and general interest. The Editorial Board is composed of members from around the world, who will strive to maintain the highest standards for excellence in order to generate a valuable resource for an international readership.
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