Novel Diagnostic and Therapeutic Approaches in Diffuse Gliomas

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Biomarkers".

Deadline for manuscript submissions: 15 October 2024 | Viewed by 2804

Special Issue Editors


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Guest Editor
1. Department of Biomedical Sciences, Humanitas University, 20090 Pieve Emanuele, Italy
2. IRCCS Humanitas Research Hospital, via Manzoni 56, 20089 Rozzano, Milan, Italy
Interests: neuro-oncology; diffuse gliomas; early-phase drug development; phase I trials in solid tumors; immunotherapy; precision oncology; translational research

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Guest Editor
1. Department of Biomedical Sciences, Humanitas University, 20090 Pieve Emanuele, Italy
2. IRCCS Humanitas Research Hospital, via Manzoni 56, 20089 Rozzano, Milan, Italy
Interests: neuro-oncology; malignant gliomas; neurosurgery
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Special Issue Information

Dear Colleagues,

Although the diagnosis of diffuse gliomas has been historically based on histopathologic features, our knowledge of the genetic and epigenetic landscape has dramatically improved over the past decade. Key genomic alterations defining glioma subtypes are now part of the routine molecular diagnostic workout, allowing a better stratification of patients' prognosis, and guiding decision making with regard to treatment. Nowadays, it has also become clear that the glioma tumor microenvironment (TME) plays as a critical role in cancer development and progression. The unique and highly complex properties of the brain require a specific deep analysis of both the cellular and non-cellular TME components for a better understanding of how gliomas escape from immunosurveillance and to design targeted therapeutic interventions harnessing the TME to fight cancer. Unfortunately, these great advances in the molecular and immunological characterization of diffuse gliomas have not yet led to significant changes in the treatment paradigms and in the prognosis of patients, which generally remains poor. This Special Issue of Cancers aims to explore emerging insights on the molecular landscape, the immunological milieu and therapeutic management of diffuse gliomas. Our purpose is to focus on most recent technologies able to address gliomas’ inter-tumoral and intra-tumoral genetic and epigenetic heterogeneity with an unprecedented resolution, on novel diagnostic techniques such as liquid biopsies, radiomics, or advanced imaging, allowing non-invasive molecular diagnosis and surveillance, and finally on the discovery of novel “druggable” targets and therapeutic strategies for the treatment of diffuse gliomas.

We cordially invite you to contribute to this Special Issue of Cancers with your latest original research within this scope. Expert perspectives, comprehensive reviews, and meta-analyses are also welcome.

We look forward to receiving your contributions.

Dr. Matteo Simonelli
Prof. Dr. Federico Pessina
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • diffuse gliomas
  • glioblastoma
  • neuro-oncology
  • neurosurgery
  • radiomics
  • liquid biopsies
  • immunotherapy
  • epigenetics
  • targeted therapy
  • imaging

Published Papers (2 papers)

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Review

24 pages, 4039 KiB  
Review
Exosomes in Glioma: Unraveling Their Roles in Progression, Diagnosis, and Therapy
by Song Yang, Yumeng Sun, Wei Liu, Yi Zhang, Guozhu Sun, Bai Xiang and Jiankai Yang
Cancers 2024, 16(4), 823; https://0-doi-org.brum.beds.ac.uk/10.3390/cancers16040823 - 18 Feb 2024
Cited by 1 | Viewed by 1084
Abstract
Gliomas, the most prevalent primary malignant brain tumors, present a challenging prognosis even after undergoing surgery, radiation, and chemotherapy. Exosomes, nano-sized extracellular vesicles secreted by various cells, play a pivotal role in glioma progression and contribute to resistance against chemotherapy and radiotherapy by [...] Read more.
Gliomas, the most prevalent primary malignant brain tumors, present a challenging prognosis even after undergoing surgery, radiation, and chemotherapy. Exosomes, nano-sized extracellular vesicles secreted by various cells, play a pivotal role in glioma progression and contribute to resistance against chemotherapy and radiotherapy by facilitating the transportation of biological molecules and promoting intercellular communication within the tumor microenvironment. Moreover, exosomes exhibit the remarkable ability to traverse the blood–brain barrier, positioning them as potent carriers for therapeutic delivery. These attributes hold promise for enhancing glioma diagnosis, prognosis, and treatment. Recent years have witnessed significant advancements in exosome research within the realm of tumors. In this article, we primarily focus on elucidating the role of exosomes in glioma development, highlighting the latest breakthroughs in therapeutic and diagnostic approaches, and outlining prospective directions for future research. Full article
(This article belongs to the Special Issue Novel Diagnostic and Therapeutic Approaches in Diffuse Gliomas)
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29 pages, 1208 KiB  
Review
T Cell Features in Glioblastoma May Guide Therapeutic Strategies to Overcome Microenvironment Immunosuppression
by Agnese Losurdo, Antonio Di Muzio, Beatrice Claudia Cianciotti, Angelo Dipasquale, Pasquale Persico, Chiara Barigazzi, Beatrice Bono, Simona Feno, Federico Pessina, Armando Santoro and Matteo Simonelli
Cancers 2024, 16(3), 603; https://0-doi-org.brum.beds.ac.uk/10.3390/cancers16030603 - 31 Jan 2024
Viewed by 1186
Abstract
Glioblastoma (GBM) is the most aggressive and lethal primary brain tumor, bearing a survival estimate below 10% at five years, despite standard chemoradiation treatment. At recurrence, systemic treatment options are limited and the standard of care is not well defined, with inclusion in [...] Read more.
Glioblastoma (GBM) is the most aggressive and lethal primary brain tumor, bearing a survival estimate below 10% at five years, despite standard chemoradiation treatment. At recurrence, systemic treatment options are limited and the standard of care is not well defined, with inclusion in clinical trials being highly encouraged. So far, the use of immunotherapeutic strategies in GBM has not proved to significantly improve patients’ prognosis in the treatment of newly diagnosed GBM, nor in the recurrent setting. Probably this has to do with the unique immune environment of the central nervous system, which harbors several immunosuppressive/pro-tumorigenic factors, both soluble (e.g., TGF-β, IL-10, STAT3, prostaglandin E2, and VEGF) and cellular (e.g., Tregs, M2 phenotype TAMs, and MDSC). Here we review the immune composition of the GBMs microenvironment, specifically focusing on the phenotype and function of the T cell compartment. Moreover, we give hints on the therapeutic strategies, such as immune checkpoint blockade, vaccinations, and adoptive cell therapy, that, interacting with tumor-infiltrating lymphocytes, might both target in different ways the tumor microenvironment and potentiate the activity of standard therapies. The path to be followed in advancing clinical research on immunotherapy for GBM treatment relies on a twofold strategy: testing combinatorial treatments, aiming to restore active immune anti-tumor responses, tackling immunosuppression, and additionally, designing more phase 0 and window opportunity trials with solid translational analyses to gain deeper insight into the on-treatment shaping of the GBM microenvironment. Full article
(This article belongs to the Special Issue Novel Diagnostic and Therapeutic Approaches in Diffuse Gliomas)
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