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Safety and Efficacy Assessments to Take Antioxidants in Glioblastoma Therapy: From In Vitro Experiences to Animal and Clinical Studies
Ataturk Univ, Fac Med, Dept Med Biol, TR-25240 Erzurum, Turkey..
Fac Sci, Dept Mol Biol & Genet, TR-25250 Erzurum, Turkey.;Erzurum Tech Univ, Erzurum, Turkey..
Fac Sci, Dept Mol Biol & Genet, TR-25250 Erzurum, Turkey.;Erzurum Tech Univ, Erzurum, Turkey..ORCID iD: 0000-0002-1600-2305
KTH, Centres, Science for Life Laboratory, SciLifeLab. KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Protein Science, Systems Biology. Kings Coll London, Fac Dent Oral & Craniofacial Sci, Ctr Host Microbiome Interact, London SE1 9RT, England.;KTH Royal Inst Technol, Sci Life Lab, SE-17121 Stockholm, Sweden..ORCID iD: 0000-0002-4254-6090
2021 (English)In: Neurochemistry International, ISSN 0197-0186, E-ISSN 1872-9754, Vol. 150, article id 105168Article in journal (Refereed) Published
Abstract [en]

Glioblastoma (GBM) is considered one of the most common malignant brain tumors, occurring as over 15% of all primary central nervous system and brain neoplasms. The unique and standard treatment option towards GBM involves the combination of surgical resection followed by radiotherapy (RT) and chemotherapy (CT). However, due to the aggressive nature and heterogeneity of GBMs, they remained difficult to treat. Recent findings from preclinical studies have revealed that disruption of the redox balance via using either oxidative or anti-oxidative agents in GBM presented an effective and promising therapeutic approach. A limited number of clinical trials substantially encouraged their concomitant use with RT or CT. Thus, treatment of GBMs may benefit from natural or synthetic antioxidative compounds as novel therapeutics. Despite the presence of variegated in vitro and in vivo studies focusing on safety and efficacy issues of these promising therapeutics, nowadays their translation to clinics is far from applicability due to several challenges. In this review, we briefly introduce the enzymatic and non-enzymatic antioxidant defense systems as well as potential signaling pathways related to the pathogenesis of GBM with a special interest in antioxidant mechanisms. In addition, we describe the advantages and limitations of antioxidant supplementation in GBM cases or disease models as well as growing challenges for GBM therapies with antioxidants in the future.

Place, publisher, year, edition, pages
Elsevier BV , 2021. Vol. 150, article id 105168
Keywords [en]
Glioblastoma, Antioxidants, Clinical trials, Anti-glioblastoma therapy, Dietary supplements
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:kth:diva-304751DOI: 10.1016/j.neuint.2021.105168ISI: 000709475500010PubMedID: 34450218Scopus ID: 2-s2.0-85113371413OAI: oai:DiVA.org:kth-304751DiVA, id: diva2:1613212
Note

QC 20211122

Available from: 2021-11-22 Created: 2021-11-22 Last updated: 2022-06-25Bibliographically approved

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Mardinoglu, Adil

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