The Alcatraz‐Strategy: a roadmap to break the connectivity barrier in malignant brain tumours
Molecular Oncology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: April 3, 2024
In
recent
years,
the
discovery
of
functional
and
communicative
cellular
tumour
networks
has
led
to
a
new
understanding
malignant
primary
brain
tumours.
this
review,
authors
shed
light
on
diverse
nature
cell‐to‐cell
connections
in
tumours
propose
an
innovative
treatment
approach
address
detrimental
connectivity
these
networks.
The
proposed
therapeutic
outlook
revolves
around
three
main
strategies:
(a)
supramarginal
resection
removing
substantial
portion
communicating
cell
front
far
beyond
gadolinium‐enhancing
mass,
(b)
morphological
isolation
at
single
level
disrupting
structural
contacts
facilitated
by
elongated
membrane
protrusions
known
as
microtubes
(TMs),
(c)
blocking
TM‐mediated
intercellular
cytosolic
exchange
inhibiting
neuronal
excitatory
input
into
network.
We
draw
analogy
between
Alcatraz
Federal
Penitentiary,
where
inmates
faced
impassable
sea
barrier
experienced
both
spatial
within
individual
cells.
Based
current
translational
efforts
ongoing
clinical
trials,
we
Alcatraz‐Strategy
promising
framework
tackle
harmful
effects
Language: Английский
Awake Craniotomy for Gliomas in the Non-Dominant Right Hemisphere: A Comprehensive Review
Cancers,
Journal Year:
2024,
Volume and Issue:
16(6), P. 1161 - 1161
Published: March 15, 2024
Awake
surgery
has
become
a
standard
practice
for
managing
diffuse
low-grade
gliomas
(LGGs),
particularly
in
eloquent
brain
areas,
and
is
established
as
gold
technique
left-dominant-hemisphere
tumors.
However,
the
intraoperative
monitoring
of
functions
right
non-dominant
hemisphere
(RndH)
often
neglected,
highlighting
need
better
understanding
neurocognitive
testing
complex
hemisphere.
This
article
aims
to
comprehensively
review
current
literature
on
benefits
awake
craniotomy
A
systematic
was
conducted
using
PubMed
ScienceDirect
databases
with
keywords
such
"right
hemisphere",
"awake
surgery",
"direct
electrical
stimulation
mapping",
"glioma".
The
search
focused
anatomical
surgical
aspects,
including
indications,
tools,
techniques
cerebral
gliomas.
identified
74
sources,
original
articles,
books,
monographs,
articles.
Two
papers
reported
large
series
language
assessment
cases
246
patients
undergoing
detailed
neurological
semiology
mapping
techniques,
while
remaining
studies
were
predominantly
neuroradiological
neuroimaging
nature.
non-dominant-hemisphere
an
essential
tool.
term
"non-dominant"
should
be
revised,
this
contributes
significantly
cognitive
human
brain.
Language: Английский
From non-human to human primates: a translational approach to enhancing resection, safety, and indications in glioma surgery while preserving sensorimotor abilities
Matteo Gambaretti,
No information about this author
Luca Viganò,
No information about this author
Matteo Gallo
No information about this author
et al.
Frontiers in Integrative Neuroscience,
Journal Year:
2025,
Volume and Issue:
19
Published: Feb. 10, 2025
Since
the
pivotal
studies
of
neurophysiologists
in
early
20th
century,
research
on
brain
functions
non-human
primates
has
provided
valuable
insights
into
neural
mechanisms
subserving
neurological
function.
By
using
data
acquired
as
a
reference,
important
progress
knowledge
human
and
its
been
achieved.
The
translational
impact
allowed
by
this
scientific
effort
must
be
recognized
implementation
current
surgical
techniques
particularly
support
neurosurgical
approach
to
tumors.
In
treatment
tumors,
ability
maximally
extend
resection
allows
an
improvement
overall
survival,
progression-free
quality
life
patients.
main
goal,
and,
at
same
time,
challenge,
oncological
surgery
is
avoid
permanent
deficit
while
reaching
maximal
resection,
when
tumor
infiltrates
network
motor
functions.
Brain
mapping
were
developed
neurophysiological
probes
identify
areas
tracts
sensorimotor
function,
ensuring
their
preservation
during
resection.
During
last
20
years,
starting
from
classical
“Penfield”
technique,
progressively
implemented.
Among
major
advancements
was
introduction
high-frequency
direct
electrical
stimulation.
Its
refinement,
along
with
complementary
use
low-frequency
stimulation,
further
refinement
stimulation
protocols.
narrative
review,
we
propose
analysis
process
through
which
experiments
influenced
changed
procedures.
We
then
describe
used
tumors
located
within
circuits.
also
detail
how
these
acquisition
new
properties
underlying
control,
turn
fostering
design
tools
navigate
cortical
subcortical
areas,
that
before
deemed
“sacred
untouchable.”
Language: Английский
The urgent need to redefine quality of life in patients with low-grade glioma
ESMO rare cancers.,
Journal Year:
2025,
Volume and Issue:
unknown, P. 100003 - 100003
Published: Feb. 1, 2025
Language: Английский
Postoperative Neurologic Outcome in Patients Undergoing Resective Surgery for Parietal Lobe Epilepsy
Neurology,
Journal Year:
2024,
Volume and Issue:
102(12)
Published: May 30, 2024
Parietal
lobe
epilepsy
(PLE)
surgery
can
be
an
effective
treatment
for
selected
patients
with
intractable
but
associated
the
risk
of
serious
neurologic
deficits.
We
performed
a
systematic
review
literature
to
obtain
comprehensive
summary
frequency
and
types
new
postoperative
deficits
in
undergoing
PLE
resective
surgery.
Language: Английский
Awake Craniotomy for Diffuse Low Grade Gliomas in a Resource Limited Setting: Lessons Learned with a Consecutive Series of 51 Surgeries
World Neurosurgery,
Journal Year:
2023,
Volume and Issue:
177, P. e563 - e579
Published: June 28, 2023
Language: Английский
Vers un modèle en méta-réseau du fonctionnement cérébral : contribution de la chirurgie éveillée des gliomes de bas grade et implications thérapeutiques
Bulletin de l Académie Nationale de Médecine,
Journal Year:
2024,
Volume and Issue:
208(6), P. 824 - 831
Published: April 26, 2024
DTI Analysis of the Peritumoral Zone of Diffuse Low-grade Gliomas in Progressing Patients
Dylan Chiche,
No information about this author
Luc Taillandier,
No information about this author
Marie Blonski
No information about this author
et al.
World Neurosurgery,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 1, 2024
Diffuse
low-grade
gliomas
are
rare
brain
tumors
transforming
to
higher
grade
even
with
surgery,
chemotherapy,
and
radiotherapy.
Their
preferential
infiltration
of
white
matter
tracts,
beyond
tumor
boundaries
on
fluid-attenuated
inversion
recovery
(FLAIR),
make
difficult
plan
focal
treatment
such
as
surgery
or
radiotherapy
monitor
response
chemotherapy.
Diffusion
tensor
imaging
(DTI)
might
reflect
this
tracts.
The
aim
our
study
is
assess
how
DTI
signal
in
the
peritumoral
zone
be
modified
before
FLAIR
progression
appears
at
1-year
follow-up.
Language: Английский
Highly Sensitive Chemiluminescent Probe for CYP 2J2 Detection and Image-Guided Liver Cancer Surgery
Cuicui Jiang,
No information about this author
Tingting Geng,
No information about this author
Pengfei Fang
No information about this author
et al.
Analytical Chemistry,
Journal Year:
2024,
Volume and Issue:
96(49), P. 19560 - 19566
Published: Nov. 25, 2024
Developing
chemiluminescent
(CL)
probes
with
a
high
tumor-to-normal
tissue
ratio
is
crucial
for
liver
tumor
visualization
and
image-guided
surgery.
Cytochrome
P450
2J2
(CYP
2J2),
an
extrahepatic
enzyme,
highly
expressed
in
tumors
but
not
healthy
tissues.
However,
no
prior
reports
have
documented
the
development
of
CL
specifically
targeting
CYP
2J2.
In
this
study,
we
designed
2J2-responsive
probe,
termed
CYP-PD,
by
grafting
methoxybenzyl
alcohol
onto
Schaap's
dioxetanes.
vitro
cellular
experiments
confirmed
that
CYP-PD
selectively
sensitively
responds
to
both
exogenous
endogenous
2J2,
exhibiting
extraordinary
limit
detection
1.21
pM
threshold
as
low
235
cells.
Moreover,
demonstrated
highest
intensity
HepG-2
cells,
∼59.6-fold
enhancement
relative
normal
cells
(L02).
Notably,
probe
enabled
lesions
from
tissues
(∼44.7-fold),
successfully
guiding
surgical
resection
orthotopic
cancer
mouse
model.
We
envision
work
may
provide
powerful
tool
surgery
future.
Language: Английский