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Glioblastoma: Overcoming fundamental biological and delivery barriers to therapy.

Glioblastoma: Overcoming fundamental biological and delivery barriers to therapy.

期刊: Science translational medicine 日期: 2026-07-29 PMID: 42525786 DOI: 10.1126/scitranslmed.aeg8772 浏览: 9
作者: Villa GR, Patel AD, Reardon DA, Chiocca EA
GR, V., AD, P., DA, R., & EA, C. (2026). Glioblastoma: Overcoming fundamental biological and delivery barriers to therapy.. Science translational medicine. https://doi.org/10.1126/scitranslmed.aeg8772
GR V, AD P, DA R, EA C. Glioblastoma: Overcoming fundamental biological and delivery barriers to therapy.. Science translational medicine. 2026; doi: 10.1126/scitranslmed.aeg8772
GR V, AD P, DA R, et al. Glioblastoma: Overcoming fundamental biological and delivery barriers to therapy.[J]. Science translational medicine. 2026. DOI: 10.1126/scitranslmed.aeg8772.
@article{gr2026,
  author = {Villa GR and Patel AD and Reardon DA and Chiocca EA},
  title = {Glioblastoma: Overcoming fundamental biological and delivery barriers to therapy.},
  journal = {Science translational medicine},
  year = {2026},
  doi = {10.1126/scitranslmed.aeg8772},
  note = {PMID: 42525786},
}
TY  - JOUR
AU  - Villa GR
AU  - Patel AD
AU  - Reardon DA
AU  - Chiocca EA
TI  - Glioblastoma: Overcoming fundamental biological and delivery barriers to therapy.
T2  - Science translational medicine
PY  - 2026
DO  - 10.1126/scitranslmed.aeg8772
AN  - PMID:42525786
ER  - 

摘要

Glioblastoma remains the most aggressive primary malignant brain tumor in adults, with survival largely unchanged despite advances in molecular diagnostics and supportive care. Therapeutic failure reflects fundamental biological and anatomical barriers, including intratumoral heterogeneity, an immunosuppressive tumor microenvironment, and restricted drug delivery across the blood-brain barrier. In this Review, we summarize the current standard of care and critically examine emerging strategies aimed at overcoming these constraints, including locoregional delivery technologies, immunotherapy, biomarker-defined precision approaches, and adaptive clinical trial designs. We highlight key translational and clinical studies shaping the field and discuss principles for developing more effective, integrated therapeutic paradigms.

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