Cited by 239Glioma Diagnosis and TreatmentPARP inhibition in cancer therapyCancer, Hypoxia, and Metabolism

Toward an effective strategy in glioblastoma treatment. Part I: resistance mechanisms and strategies to overcome resistance of glioblastoma to temozolomide

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Messaoudi, Khaled, Clavreul, Anne, Lagarce, Frédéric·2015·Drug Discovery Today

Abstract

Glioblastoma multiforme (GBM) is a devastating disease and the most lethal of adult brain tumors. Treatment is based on surgery, radiotherapy and chemotherapy by oral temozolomide (TMZ), which is the most potent chemotherapy agent for the treatment of GBM. Despite TMZ efficiency, the prognosis of these tumors remains poor. This is because of inherent or acquired resistance of glioma tumor cells to TMZ. This resistance is caused by DNA repair enzyme activity, overexpression of epidermal growth factor receptor (EGFR), galectin-1, murine double minute 2 (Mdm2), p53 and phosphatase and tensin homolog (PTEN) mutations. Many strategies to overcome this resistance have been developed. In this review, we will describe the main mechanisms of GBM resistance to TMZ and different strategies developed to reverse the phenotype of these tumor cells. Finally, we will discuss the drawbacks and limitations of these strategies.

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Crossref · 10.1016/j.drudis.2015.02.011

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Authors
Messaoudi, K., Clavreul, A., & Lagarce, F.
Affiliations
Inserm (FR)
Corresponding author
Lagarce, Frédéric
Venue
Drug Discovery Today
Publisher
Elsevier BV
Published
2015-07
Volume
20
Issue
7
Pages
899-905
ISSN
1359-6446 (ISSN-L)
OpenAlex
W2019154144
Cited by
238
References
88
Citations by year
2026: 3 · 2025: 9 · 2024: 19 · 2023: 22 · 2022: 21 · 2021: 27 · 2020: 42 · 2019: 25 · 2018: 29 · 2017: 23 · 2016: 16 · 2015: 2
FWCI
3.28
Type
journal article
Language
en
Open access
Locations
  • Drug Discovery Today (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, cc-by)
Funders
Ligue contre le Cancer, Comité du Maine et Loire, France
Topics
  • Health Sciences › Medicine › Genetics › Glioma Diagnosis and Treatment
  • Health Sciences › Medicine › Oncology › PARP inhibition in cancer therapy
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
Keywords
glioblastoma, temozolomide, drug resistance, DNA repair, EGFR overexpression, galectin-1, MDM2, p53, PTEN mutation, resistance reversal strategies, brain tumors
MeSH terms
Temozolomide, Animals, Brain Neoplasms, Dacarbazine, Glioblastoma, Humans, Phenotype, Structure-Activity Relationship, Biomarkers, Tumor, Drug Design, Molecular Structure, Signal Transduction, Antineoplastic Agents, Alkylating, Drug Resistance, Neoplasm, Genetic Predisposition to Disease

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