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Essay On Glioblastoma

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Glioblastoma(GB) is the most common primary malignant solid brain tumor in adults1. Known for its aggressive characteristics and poor prognosis, the median survival rates of GB patients remain less than 18 months2,3. Tumor relapse owing to chemotherapeutic resistance is almost universal and GB is no exception, thus reflecting in high mortality and morbidity rates4. The WHO 2016 classification of brain tumors identifies GB tumors based on histology, molecular and genetic characterization into defined transcription profiles such as classical, neural, pro-neural and mesenchymal types5. Additionally, the commonly occurring genetic aberrations of primary GB are amplifications/mutations of EGFR, PDGFRA, PTEN, and of secondary GB are IDH1, MDM2 …show more content…

The concept of neurogenesis being confined to the embryonic stage became less obvious with the onset of discovery of neural stem cells maintained in two distinct regions of the mammalian adult brain namely dentate gyrus (DG) of the hippocampus and the sub ventricular zone (SVZ) of the forebrain lateral ventricles14,18,19. What makes these neural stem cells a more credible target for oncogenic transformation? The continual presence of undifferentiated, mitotically active, self renewable stem cells at the apex of the hierarchy bundled in discrete germinal niches in the mammalian brain throughout the lifespan of an organism allows them to accumulate mutations, thus rendering them vulnerable for neoplastic reprogramming. There has been increasing evidence that the genetic and epigenetic mechanisms that initiate and maintain the NSC developmental state are possibly deregulated in GB to emerge as Glioma initiating cells or Brain tumor stem cells20. The discovery of BTSC has high clinical significance in the neuro-oncology field, as evidenced by major diverse roles it plays in various aspects of tumor growth such as tumor initiation, maintenance, progression, angiogenesis and tumor recurrence owing to therapeutic resistance, some of which are described

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