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New Therapeutic Strategies for Gliomas: From the Bench to the Bedside

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (30 April 2019) | Viewed by 452

Special Issue Editors


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Guest Editor
Department of Medicine, Universita degli Studi di Udine, 33100 Udine, Italy
Interests: gliomas; precision medicine; patient-based in vitro models of glioma; exosomes; stem cells; tumor microenvironment
Neurosurgery Unit, Head-Neck and NeuroScience Department, University Hospital of Udine, 33100 Udine, Italy
Interests: neurosurgery; glioma; meningioma; glioblastoma; brain mapping; real-time neuropsychological testing; brain tractography
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Special Issue Information

Dear Colleagues,

Glioblastoma (GBM) is the most frequent malignant primary tumor of the central nervous system characterized by an extremely severe prognosis. Despite a multimodal therapy involving maximal surgical resection, followed by radiotherapy, plus concomitant and maintenance temozolomide, the median overall survival of GBM patients is around 14 months. The urgent need of identifying new therapies has fostered wide genome analyses that, so far, have identified the GBM IDH1/2 mutant as characterized by a better prognosis. Meanwhile, MGMT promoter methylation is endowed with a predictive significance. Nonetheless, basic, translational, and clinical research is working hard to try to improve the prognosis of this deadly disease.

In this issue, starting from the definition of the current gold standard for the treatment of glioblastoma, we will explore novel therapeutic interventions focusing on different levels of investigations:

  1. Technical advancement in gold standard procedures, such as those aimed at improving surgical radicality and radiotherapy (including brachytherapy, fractionated stereotactic RT, radiosurgery, and conformal or intensity-modulated RT, stereotactic radiosurgery, hypofractionated stereotactic radiotherapy);
  2. Introduction in clinics of proton-therapy, immunotherapy, Tumor-Treating Electric Fields, and targeted therapies;
  3. Radiomics and liquid biopsy as a way to tailor patient treatment;
  4. Looking for new therapeutic targets, including glioma stem cells, glioma microenvironment, extracellular vesicles, cell invasion, glioma metabolism;
  5. Looking for new drugs, including in silico and in vitro drug screening;
  6. Looking for new models of study, including patient-based in vitro models, organoids, and novel animal models of glioblastoma.

The final aim of the review is to give an overview of the rich and complex world of research focused on the treatment of glioblastomas, from close to the introduction in the clinic to what, even though far from the patient’s bed, could be able to modify the prognosis of this terrible disease in the future.

Dr. Daniela Cesselli
Dr. Tamara IUS
Dr. Giuseppe Lombardi
Guest Editors

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Keywords

  • Glioblastoma therapy
  • Targeted therapy
  • Radiotherapy and proton-therapy
  • Tumor-Treating Electric Fields
  • Phototherapy
  • Immunotherapy
  • Precision and personalized medicine
  • Drug screening: In silico and in vitro approaches
  • Novel in vitro model to predict drug sensitivity
  • Predict drug response: Radiomics and liquid biopsy
  • treatment of low and high grade glioma

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