Evidence map›Paper›PMID 30248992›Full record

ReviewInternational journal of molecular sciences2018

Glioblastoma Chemoresistance: The Double Play by Microenvironment and Blood-Brain Barrier.

Martina Da Ros, Veronica De Gregorio, Anna Lisa Iorio, Laura Giunti, Milena Guidi, Maurizio de Martino, Lorenzo Genitori, Iacopo Sardi

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 142 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  15. Biomolecules & biomedicine · 2025
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82 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Martina Da RosNeuro-oncology Unit, Department of Pediatric Oncology, Meyer Children's Hospital, Florence, 50139, Italy. martina.daros@meyer.it.
Veronica De GregorioNeuro-oncology Unit, Department of Pediatric Oncology, Meyer Children's Hospital, Florence, 50139, Italy. veronicadegregorio@libero.it.
Anna Lisa IorioNeuro-oncology Unit, Department of Pediatric Oncology, Meyer Children's Hospital, Florence, 50139, Italy. annalisa.iorio@meyer.it.
Laura GiuntiMedical Genetics Unit, Meyer Children's University Hospital, 50139 Florence, Italy. laura.giunti@meyer.it.
Milena GuidiNeuro-oncology Unit, Department of Pediatric Oncology, Meyer Children's Hospital, Florence, 50139, Italy. mileguidi@hotmail.it.
Maurizio de MartinoDirector Post Graduate Pediatric School University of Florence, Director Meyer Health Campus, Florence, 50139, Italy. maurizio.demartino@unifi.it.
Lorenzo GenitoriNeurosurgery Unit, Department of Neurosciences, Meyer Children's Hospital, Florence, 50139, Italy. lorenzo.genitori@meyer.it.
Iacopo SardiNeuro-oncology Unit, Department of Pediatric Oncology, Meyer Children's Hospital, Florence, 50139, Italy. iacopo.sardi@meyer.it.ORCID 0000-0002-8763-6524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For glioblastoma, the tumor microenvironment (TME) is pivotal to support tumor progression and therapeutic resistance. TME consists of several types of stromal, endothelial and immune cells, which are recruited by cancer stem cells (CSCs) to influence CSC phenotype and behavior. TME also promotes the establishment of specific conditions such as hypoxia and acidosis, which play a critical role in glioblastoma chemoresistance, interfering with angiogenesis, apoptosis, DNA repair, oxidative stress, immune escape, expression and activity of multi-drug resistance (MDR)-related genes. Finally, the blood brain barrier (BBB), which insulates the brain microenvironment from the blood, is strongly linked to the drug-resistant phenotype of glioblastoma, being a major physical and physiological hurdle for the delivery of chemotherapy agents into the brain. Here, we review the features of the glioblastoma microenvironment, focusing on their involvement in the phenomenon of chemoresistance; we also summarize recent advances in generating systems to modulate or bypass the BBB for drug delivery into the brain. Genetic aspects associated with glioblastoma chemoresistance and current immune-based strategies, such as checkpoint inhibitor therapy, are described too.

Indexed as

Drug Resistance, NeoplasmAnimalsAntineoplastic AgentsBlood-Brain BarrierBrain NeoplasmsGlioblastomaHumansTumor MicroenvironmentAntineoplastic Agentsblood-brain barrierchemoresistanceglioblastomamicroenvironment

Identifiers

PMID30248992
PMCPMC6213072

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.