1. Targeting metabotropic glutamate receptors in the treatment of primary brain tumors
- Author
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Ferdinando Nicoletti, Daniela Melchiorri, Luisa Iacovelli, Alessandro Rossi, Rosamaria Orlando, and Paola Spinsanti
- Subjects
Angiogenesis ,medicine.medical_treatment ,Antineoplastic Agents ,Receptors, Metabotropic Glutamate ,03 medical and health sciences ,0302 clinical medicine ,Drug Discovery ,Medicine ,Animals ,Humans ,Pharmacology ,Drug Discovery3003 Pharmaceutical Science ,Receptor ,neoplasms ,Medulloblastoma ,Chemotherapy ,business.industry ,Brain Neoplasms ,Astrocytoma ,Glioma ,medicine.disease ,nervous system diseases ,Radiation therapy ,Metabotropic glutamate receptor ,030220 oncology & carcinogenesis ,Cancer research ,business ,Adjuvant ,030217 neurology & neurosurgery - Abstract
In spite of the recent advancement in the molecular characterization of malignant gliomas and medulloblastomas, the treatment of primary brain tumors remains suboptimal. The use of small molecule inhibitors of intracellular signaling pathways, inhibitors of angiogenesis, and immunotherapic agents is limited by systemic adverse effects, limited brain penetration, and, in some cases, lack of efficacy. Thus, adjuvant chemo-therapy and radiotherapy still remain the gold standard in the treatment of grade-IV astrocytoma (glioblastoma multiforme) and medulloblastoma. We review evidence that supports the development of mGlu3 receptor antagonists as add-on drugs in the treatment of malignant gliomas. These drugs appear to display pleiotropic effect on tumor cells, affecting proliferation, differentiation, and response to chemotherapy. mGlu1 and mGlu4 receptors could also be targeted by potential anticancer agents in the treatment of malignant gliomas and medulloblastoma, but extensive research is required for target validation.
- Published
- 2017