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Toward an effective strategy in glioblastoma treatment. Part I: resistance mechanisms and strategies to overcome resistance of glioblastoma to temozolomide
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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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Metadata
- 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
- green
- hal.science
- 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 › Oncology › 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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