Intracranial Gliomas Part III - Innovative Treatment Modalities

Intracranial Gliomas Part III - Innovative Treatment Modalities
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Описание книги

At present most intracranial gliomas are considered incurable with current treatment strategies, and the search for new modalities that may effectively control tumor growth continues. The chapters in this volume describe basic principles and therapeutic possibilities of several innovative techniques, including photodynamic therapy, laser-induced interstitial thermotherapy, stereotactic cryodestruction, high-intensity focused ultrasound ablation, boron neutron capture therapy, proton and carbon ion irradiation, targeted therapy, immunotherapy, gene therapy, local chemotherapy, and alternating electric fields therapy. Potential applications of extracellular vesicles and nanotechnology for management of gliomas are highlighted as well. Many of these methods have already demonstrated antitumor efficacy in clinical testing, whereas others are still under development. The materials presented in this book are mainly directed at clinicians treating patients with brain tumors, as well as clinical and basic researchers working in the field of neuro-oncology.

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Группа авторов. Intracranial Gliomas Part III - Innovative Treatment Modalities

Progress in Neurological Surgery

Intracranial Gliomas. Part III – Innovative Treatment Modalities

Contents

Series Editor’s Note

Preface

Photodynamic Therapy of Malignant Gliomas

Abstract

Introduction

Basic Principles of Photodynamic Therapy

Photosensitizer

Light

Mechanism of Photodynamic Therapy and the Role of Oxygen

Current Status of Photodynamic Therapy for Malignant Gliomas

Controlled Studies

Personal Experience with Photodynamic Therapy of Gliomas

Stereotactic Interstitial Photodynamic Therapy

Intraoperative Photodynamic Therapy

Safety of Photodynamic Therapy

Conclusion

Acknowledgments

Disclosure Statement

References

Laser-Induced Interstitial Thermotherapy of Gliomas

Abstract

Introduction

Basic Principles

Neurobiological Effects

Posttreatment MRI

Role of Intraoperative MRI during LITT

Main Technological Systems for LITT

NeuroBlate® System

Visualase® System

Systematic Review of Clinical Results of LITT for Intracranial Gliomas

Conclusions

Disclosure Statement

References

Stereotactic Cryodestruction of Gliomas

Abstract

Introduction

Rationale for Stereotactic Cryodestruction of Intracranial Gliomas

Personal Experience with Stereotactic Cryodestruction of Intracranial Gliomas

Device for Cryosurgery

Treatment Planning and Surgical Technique

Postoperative Management

Perioperative Complications

Imaging Changes

Survival Analysis

Advantages and Limitations of Stereotactic Cryodestruction of Gliomas

Conclusion

Disclosure Statement

References

High-Intensity Focused Ultrasound Ablation Therapy of Gliomas

Abstract

Introduction

Ultrasound

Thermal Effects

Cavitation

Ultrasound Systems for Clinical Treatments

Magnetic Resonance Thermometry

Clinical Experience with HIFU Ablative Therapy

Conclusion

Disclosure Statement

References

Boron Neutron Capture Therapy of Malignant Gliomas

Abstract

Introduction

Basic Principles of BNCT

Selective Accumulation of the Boron-Containing Compound in the Tumor

Role of Positron Emission Tomography

Clinical Results of BNCT of Malignant Gliomas

Recurrent Malignant Gliomas

Newly Diagnosed Malignant Gliomas

Recent Developments: From Nuclear Reactors to Accelerators

Conclusion

Disclosure Statement

References

Proton and Carbon Ion Therapy of Intracranial Gliomas

Abstract

Introduction

Standard Fractionated Radiotherapy of Intracranial Gliomas

Rationale for Particle Therapy of Gliomas

Comparison of Proton and Carbon Ion Radiotherapy

Clinical Results of Particle Therapy for Intracranial Gliomas. Low-Grade Gliomas

High-Grade Gliomas

Recurrent Gliomas

Limitations of Current Clinical Knowledge

Conclusion

Disclosure Statement

References

Novel and Prospective Molecular Targets for Therapy of Intracranial Gliomas

Abstract

Introduction

Inhibitors of Growth Factor Receptors

EGFR

PDGFR

Inhibitors of Intracellular Signaling Pathways

PI3K/AKT/mTOR-Targeted Therapies

Ras/Raf/MEK-Targeted Therapies

p53- and Rb-Targeted Therapies

Alterations in Tumor Metabolism

IDH1/IDH2

Anti-Invasion Strategies

Other Molecular Targets and Agents. PARP Inhibitors

Histone Deacetylase Inhibitors

MicroRNA

Cannabinoids

Summary and Conclusion

Disclosure Statement

References

Cytokine Therapy of Gliomas

Abstract

Introduction

Cytokines and Cytokine Therapies

Interleukin-4

Interleukin-13

Transforming Growth Factor-β

Interleukin-2

Granulocyte-Macrophage Colony-Stimulating Factor

Interferon-Based Therapies

Interferon-α

Interferon-β

Interferon-γ

Conclusion

Disclosure Statement

References

Cell-Based Immunotherapy of Gliomas

Abstract

Introduction

Immunotherapy for Gliomas

Tumor-Induced Immunosuppression

Immunotargeting the CNS

Passive Cellular Immunotherapy with Adoptive Cell Transfer

Tumor-Infiltrating Lymphocytes

Lymphokine-Activated Killer Cells

γδ T Cells

Allogeneic Mixed-Lymphocyte-Reactive T Cells

Engineered Immunity with Genetically Modified T Cells

Chimeric Antigen Receptors

Active Cellular Immunotherapy with Dendritic Cell-Based Vaccines

Patient-Specific Multi-Antigen Vaccine Therapy

Specific Targets

Conclusions

Disclosure Statement

References

Vaccine Therapy of High-Grade Gliomas

Abstract

Introduction

Vaccine Therapies for High-Grade Gliomas

Autologous Formalin-Fixed Tumor Vaccine

Role of Vaccines in Combination Therapy of High-Grade Gliomas

Conclusion

Disclosure Statement

References

Gene Therapy and Virotherapy of Gliomas

Abstract

Introduction

Common Delivery Vehicles for Gene Therapy. Virus-Based Gene(s) Delivery

Non-Viral Approaches of Gene(s) Delivery

Common Viruses for Oncolytic Virotherapy of Gliomas. Herpes Simplex Virus Type 1

Adenoviruses

Reoviruses

Measles Virus

Poliovirus

Other Viruses

Therapeutic Genes for Treatment of Gliomas. Conditional Cytotoxic Genes

Targeted Toxins

Transgenes for Targeting Specific Hallmarks of Glioma

Immunomodulatory Gene Therapy

Combinatorial Therapy: Oncolytic Viruses Carrying Therapeutic Gene(s)

Potential Advantages of Gene Therapy and Virotherapy

Conclusion

Acknowledgment

Disclosure Statement

References

Stem Cell Therapy of Gliomas

Abstract

Introduction

Definition of Stem Cells

Classification of Stem Cells

Clinical Applications of Stem Cells: Overview

Stem Cells in Brain Tumor Therapy: Types, History, and Rationale

Neural Stem Cells

Mesenchymal Stem Cells

Alternative Strategies

Biological Basis for Stem Cell Homing to Gliomas

Modifications to Increase Stem Cell Homing

Types of Therapeutic Cargo

Secreted Proteins

Antiangiogenic Factors

Prodrug-Converting Enzymes

Replication-Competent Oncolytic Viruses

Antibodies

Nanoparticles

Administration Routes of Stem Cell Therapy in Clinical Applications

Clinical Trials

Conclusions

Acknowledgments

Disclosure Statement

References

Convection-Enhanced Delivery for Management of Malignant Gliomas

Abstract

Introduction

Convection-Enhanced Delivery

Basic Principles

Practical Challenges

The PRECISE Trial

Conclusion

Disclosure Statement

References

Targeted Local Therapy for Management of Intracranial High-Grade Gliomas

Abstract

Introduction

Intratumoral Injections and Infusions

Convection-Enhanced Delivery

Nanocarriers

Liposomes

Nanoparticles

Dendrimers

Gels

Microchips

Polymers

Conclusion

Disclosure Statement

References

Extracellular Vesicles as a Platform for Glioma Therapeutic Development

Abstract

Introduction

Definitions

Exosomes

Microvesicles

Methods of EV Purification and Characterization

EV as a Basis for Glioma Therapy

Inhibition of EV Production and Uptake

EV-Based Immunotherapy

EV for Therapeutic Delivery

Conclusion

Disclosure Statement

References

Alternating Electric Fields Therapy for Malignant Gliomas: From Bench Observation to Clinical Reality

Abstract

Introduction

Basic Mechanisms of TTFields Therapy

Induction of a Mechanical Force on Protein Dipoles

Alterations of Mitotic Function during Cytokinesis

Molecular Targets of TTFields

Apoptosis and Immunogenicity

Distribution of TTFields within the Brain

Clinical Results of TTFields Therapy of Intracranial Gliomas

Conclusion

Disclosure Statement

References

Perspectives of Nanotechnology in the Management of Gliomas

Abstract

Introduction

Molecular Imaging

Optical Capabilities of Nanoparticles

Applications of the Nanoparticle-Based Imaging

Nanoparticles for MRI

Instrumentation for Fluorescence Nanoscopy

Toward Clinical Applications

Tumor Imaging with Near-Infrared Emitting Nanoparticles

Nanomaterials for Drug Delivery

Applications of Hybrid Nanomaterials

Current Limitations and Future Perspectives

Biological Considerations

Technical Considerations

Need for Interdisciplinary Teamwork

Conclusion

Disclosure Statement

Acknowledgments

References

Author Index

Subject Index

Отрывок из книги

Vol. 30

Intracranial Gliomas

.....

Prabhu, S.S. (Houston, TX)

Targeted Local Therapy for Management of Intracranial High-Grade Gliomas

.....

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