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- 2018
Temozolomideresistanceinhighgradegliomas#br#
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Abstract:
High grade gliomas are always the research focus in the field of neurosurgery due to their poor prognosis despite the current standard therapeutic?regimen?of?surgical?resection?followed?by?radiation?therapy?and?chemotherapy.?Alkylating?agent?temozolomide?has?been?established?as?the? standard?chemotherapy?while?its?resistance?inevitable?during?treatment.?This?phenomenon?seriously?influences?the?prognosis?of?patients?suffering?from? high grade gliomas. This review aims to elucidate temozolomide chemoresistance mechanisms through three chapters including O6-methylguanine-DNA methyltransferase?(MGMT)?methylation,?mismatch?repair?mutation?and?epigenetic?regulation?consisting?of?p21,?chromatin?and?histone,?Y-box?binding? protein-1 and microRNAs.
:High grade gliomas are always the research focus in the field of neurosurgery due to their poor prognosis despite the current standard therapeutic?regimen?of?surgical?resection?followed?by?radiation?therapy?and?chemotherapy.?Alkylating?agent?temozolomide?has?been?established?as?the? standard?chemotherapy?while?its?resistance?inevitable?during?treatment.?This?phenomenon?seriously?influences?the?prognosis?of?patients?suffering?from? high grade gliomas. This review aims to elucidate temozolomide chemoresistance mechanisms through three chapters including O6-methylguanine-DNA methyltransferase?(MGMT)?methylation,?mismatch?repair?mutation?and?epigenetic?regulation?consisting?of?p21,?chromatin?and?histone,?Y-box?binding? protein-1 and microRNAs