From: Glioma targeted therapy: insight into future of molecular approaches
Pathways or targets | Limitations | Hotspots |
---|---|---|
EGFR | EGFR inhibitors or antibody appear inactive, partly due to the existence of BBB | Target on EGFR amplification and EGFRvIII |
PI3K/AKT/mTOR | Most of the drugs experience poorly tolerance, and the regulation of this pathway is far too complex | combine PI3K/SKT/mTOR inhibitors with other drugs |
MET | There is still no effective kind of drugs | Combination of c-MET inhibitor and PI3K inhibitors due to their cooperation to drug resistance |
FGFR | Population of patients that could gain benefit from this target is extraordinarily small | Â |
BRAF | Mutations of this target are rare | BRAFv600E in GBM needs to be further studied |
NTRK | The incidence of NTRK gene fusion seems to be very low in glioblastoma | NTRK fusion as a therapeutic target is active and molecular heterogeneity screening in the diagnosis of GBM is significant |
pRB | Regulation of cell cycle and apoptosis is complex | Â |
P53 | Effort on promoting the refolding of mutant proteins into wild-type conformations meets failure | Inhibitors of MDM2/4 and Weel kinase |
TERT | Though TERT mutation is commonly identified in GBM, it has not yet become the main pharmacological target for tumor therapy | Novel inhibitors need to be developed |
proteasome | Â | Â |
TGF-β | The function of TGF β protein family is complex and the regulatory pathways are widely crossed | Combine TMA and TGF inhibitors |
PD-1 | Â | Combine PD-1 and other immunotherapy target |
LAG-3 | there are few trials about LAG-3 inhibitors or antibodies involved in GBM therapy | Â |
CTLA-4 | Â | CTLA-4 inhibitors combined with TMZ, anti-PD-1 or other drugs appear promising |
IDO1 | Â | Enzymatic and non-enzymatic activity of IDO |
CD73 and CD39 | Â | In tumor microenvironment, both CD73 and CD39 participate in regulation of ATP-adenosine axis |
CD27-CD70 | Â | Combination of CD27 agonist and CD70 inhibitor |
CD276 | Un-defined isoforms and intracellular domain with unknown ligand | CD276 is correlated with angiogenesis |
CD47 | Polymorphism of SIRPα, ligand of CD47 | Anti-CD47 promotes phagocytosis of glioma |