Prognostic Role of Pyruvate Kinase M2 in High-Grade Gliomas: A Quantitative Immunohistochemistry Study
Flaviu Tămaș,
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Alina R Cehan,
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Attila Kövecsi
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et al.
Cureus,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 26, 2025
Background:
Glioblastoma
(GBM)
and
grade
4
astrocytoma
(ASTROG4)
are
aggressive
primary
brain
tumors
characterized
by
rapid
growth,
invasiveness,
poor
prognosis,
differentiated
the
presence
or
absence
of
isocitrate
dehydrogenase
(IDH)
mutation
according
to
World
Health
Organization
(WHO)
2021
classification.
Essential
molecular
markers,
in
addition
IDH
mutations,
include
alpha-thalassemia/mental
retardation
syndrome
X-linked
(ATRX)
loss
p53
expression,
which
significantly
influence
their
classification
prognosis.
Pyruvate
kinase
M2
(PKM2),
a
critical
enzyme
tumor
metabolism,
has
been
implicated
glioma
progression,
but
its
prognostic
significance
remains
unclear.
Methods:
This
prospective
study
aimed
quantitatively
measure
PKM2
immunohistochemistry
(IHC)
expression
GBM
(IDH
wildtype)
versus
ASTROG4
R132H
mutant),
assess
correlation
between
prognosis
these
two
patient
groups,
investigate
ATRX
relation
levels.
A
total
67
patients
with
high-grade
gliomas
(43
GBM,
24
ASTROG4)
were
analyzed
using
IHC
for
IDH1,
ATRX,
p53,
PKM2.
was
quantified
3DHISTECH
(Budapest,
Hungary)
image
analysis
software,
correlations
clinical
parameters,
survival,
other
markers
evaluated.
Kaplan-Meier
survival
Cox
regression
models
assessed
impact
factors
on
Results:
observed
both
ASTROG4,
no
significant
differences
positivity
rates.
However,
high
intensity
scores
correlated
increased
mortality
risk
(p=0.041).
ATRX-negative
showed
elevated
levels,
suggesting
compensatory
metabolic
adaptations.
cases
had
better
outcomes
than
GBM.
Severe
preoperative
motor
deficits
associated
threefold
increase
risk,
highlighting
role
determining
Conclusions:
plays
an
important
metabolism
can
serve
as
potential
therapeutic
target.
Its
association
highlights
involvement
progression
genomic
instability.
Combining
parameters
improve
accuracy
inform
personalized
treatment
strategies
astrocytic
tumors.
Language: Английский
Comprehensive characterization of fatty acid oxidation in triple-negative breast cancer: Focus on biological roles and drug modulation
Yunduo Liu,
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Yanxia Zhang,
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Qin Xiang
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et al.
European Journal of Pharmacology,
Journal Year:
2025,
Volume and Issue:
unknown, P. 177343 - 177343
Published: Feb. 1, 2025
Language: Английский
Lipid metabolism: the potential therapeutic targets in glioblastoma
Lu Lu,
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Yan Zhang,
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Yuzhong Yang
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et al.
Cell Death Discovery,
Journal Year:
2025,
Volume and Issue:
11(1)
Published: March 17, 2025
Abstract
Glioblastoma
is
a
highly
malignant
tumor
of
the
central
nervous
system
with
high
mortality
rate.
The
mechanisms
driving
glioblastoma
onset
and
progression
are
complex,
posing
substantial
challenges
for
developing
precise
therapeutic
interventions
to
improve
patient
survival.
Over
century
ago,
discovery
Warburg
effect
underscored
importance
abnormal
glycolysis
in
tumors,
marking
pivotal
moment
cancer
research.
Subsequent
studies
have
identified
mitochondrial
energy
conversion
as
fundamental
driver
growth.
Recently,
lipid
metabolism
has
emerged
critical
factor
cell
survival,
providing
an
alternative
source.
Research
shown
that
reprogrammed
glioblastoma,
playing
vital
role
shaping
biological
behavior
cells.
In
this
review,
we
aim
elucidate
impact
on
tumorigenesis
explore
potential
targets.
Additionally,
provide
insights
into
regulatory
govern
metabolism,
emphasizing
roles
key
genes
regulators
involved
essential
metabolic
process.
Language: Английский
M2型巨噬细胞在胶质母细胞瘤中代谢机制和临床管理
马晨诚,
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束汉生,
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朱叶山
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et al.
Published: March 19, 2025
胶质母细胞瘤是一种棘手的神经系统恶性肿瘤,由于其较高的侵袭性、异质性、代谢率,患者中位生存期通常只有12~15个月。在胶质瘤中,肿瘤相关巨噬细胞甚至占到30%~50%,先前研究表明,巨噬细胞极化为M1表型巨噬细胞
(经典激活巨噬细胞)和M2表型巨噬细胞
(替代激活巨噬细胞)。后者多具有促进肿瘤生长的作用。通过加入细胞因子改变肿瘤微环境,促进M2型肿瘤相关巨噬细胞向M1型巨噬细胞转化是当前治疗的一种策略。近年研究发现肿瘤细胞和微环境通过调控基因信号通路参与巨噬细胞向M2型极化的过程。处于不同的微环境下巨噬细胞的行为和物质代谢得以揭示,临床试验也取得许多进展,运用纳米技术作为药物载体来进入到传统手术无法切除的游离肿瘤细胞,基因编辑肿瘤细胞,采用光动力疗法传递药物,靶向治疗的基础上采用多种方法联合治疗,从而延长患者生存期。文章综述了M2巨噬细胞在胶质瘤中的代谢机制,并分析相关临床研究,为今后基础研究和临床治疗提供方向。
Overcoming immunotherapy resistance in glioblastoma: challenges and emerging strategies
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
16
Published: March 28, 2025
Glioblastoma
(GBM)
is
the
most
common
and
aggressive
primary
brain
tumor
in
adults,
characterized
by
rapid
proliferation,
extensive
infiltration,
significant
intratumoral
heterogeneity.
Despite
advancements
conventional
treatments,
including
surgery,
radiotherapy,
chemotherapy,
prognosis
for
GBM
patients
remains
poor,
with
a
median
survival
of
approximately
15
months.
Immunotherapy
has
emerged
as
promising
alternative;
however,
unique
biological
immunological
features,
its
immunosuppressive
microenvironment
(TME)
low
mutational
burden,
render
it
resistant
to
many
immunotherapeutic
strategies.
This
review
explores
key
challenges
immunotherapy,
focusing
on
immune
evasion
mechanisms,
blood-brain
barrier
(BBB),
TME.
Immune
checkpoint
inhibitors
CAR-T
cells
have
shown
promise
preclinical
models
but
limited
clinical
success
due
antigen
heterogeneity,
cell
exhaustion,
impaired
trafficking
across
BBB.
Emerging
strategies,
dual-targeting
cells,
engineered
secreting
therapeutic
molecules,
advanced
delivery
systems
overcome
BBB,
show
potential
enhancing
treatment
efficacy.
Addressing
these
crucial
improving
immunotherapy
outcomes.
Language: Английский
Identification of Fat Adaptation Through Ketone Monitoring
Abhishek Chatterjee,
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Arindam Mondal,
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Anirudha Dutta
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et al.
Methods and protocols in food science,
Journal Year:
2025,
Volume and Issue:
unknown, P. 99 - 111
Published: Jan. 1, 2025
Language: Английский
Cardiolipin Dysregulation in Glioblastoma—Effects on Mitochondrial Function Tumor Cell Death and Sensitivity to Mitochondria‐Targeting Drugs
Journal of Cellular Physiology,
Journal Year:
2025,
Volume and Issue:
240(5)
Published: May 1, 2025
ABSTRACT
Biological
systems
do
not
exist
in
isolation.
Analogous
to
the
intricate
design
of
a
spider
web,
metabolic
adaptations
propagated
by
glioblastoma
cells
are
interlaced,
creating
“defense
mechanism”
that
increases
likelihood
mutagenesis
and
proliferation,
while
mitigating
stress‐induced
tumor
cell
death
immune
evasion.
Previous
studies
have
observed
role
cardiolipin
(CL)
electron
transport
chain
(ETC)
function
several
other
intracellular
signaling
pathways.
Our
review
provides
synopsis
existing
knowledge
about
CL
its
complex
relationship
with
reprogramming
at
subcellular
level.
Through
meticulous
examination
defects
due
biogenesis
modifications,
we
seek
elucidate
multifaceted
connections
between
aberrant
variants
alterations
underlie
progression.
A
comprehensive
grasp
these
mechanisms
could
provide
future
direction
designing
chemotherapeutic
agents
selectively
target
glioblastoma,
less
harmful
normal
cells,
therefore,
may
extend
patient
survival.
Language: Английский
Amino Acid Deprivation in Glioblastoma: The Role in Survival and the Tumour Microenvironment—A Narrative Review
Kevin Du,
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Leila Grocott,
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Giulio Anichini
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et al.
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(11), P. 2481 - 2481
Published: Oct. 29, 2024
Glioblastoma
is
the
most
common
and
aggressive
primary
brain
tumour,
characterised
by
its
invasive
nature
complex
metabolic
profile.
Emerging
research
highlights
role
of
amino
acids
(AAs)
in
glioblastoma
metabolism,
influencing
tumour
growth
surrounding
microenvironment.
Language: Английский