Evidence map›Paper›PMID 38173841›Full record

ReviewFrontiers in oncology2023

Review: therapeutic approaches for circadian modulation of the glioma microenvironment.

Ella A Nettnin, Thien Nguyen, Sophia Arana, Maria Isabel Barros Guinle, Cesar A Garcia, Erin M Gibson, Laura M Prolo

Abstract readReview
In one paragraph

Review in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
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

7 authors.

Ella A NettninDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, United States.
Thien NguyenDivision of Pediatric Hematology/Oncology, Lucile Packard Children's Hospital, Palo Alto, CA, United States.
Sophia AranaDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, United States.
Maria Isabel Barros GuinleDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, United States.
Cesar A GarciaDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, United States.
Erin M GibsonDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States.
Laura M ProloDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-grade gliomas are malignant brain tumors that are characteristically hard to treat because of their nature; they grow quickly and invasively through the brain tissue and develop chemoradiation resistance in adults. There is also a distinct lack of targeted treatment options in the pediatric population for this tumor type to date. Several approaches to overcome therapeutic resistance have been explored, including targeted therapy to growth pathways (ie. EGFR and VEGF inhibitors), epigenetic modulators, and immunotherapies such as Chimeric Antigen Receptor T-cell and vaccine therapies. One new promising approach relies on the timing of chemotherapy administration based on intrinsic circadian rhythms. Recent work in glioblastoma has demonstrated temporal variations in chemosensitivity and, thus, improved survival based on treatment time of day. This may be due to intrinsic rhythms of the glioma cells, permeability of the blood brain barrier to chemotherapy agents, the tumor immune microenvironment, or another unknown mechanism. We review the literature to discuss chronotherapeutic approaches to high-grade glioma treatment, circadian regulation of the immune system and tumor microenvironment in gliomas. We further discuss how these two areas may be combined to temporally regulate and/or improve the effectiveness of immunotherapies.

Indexed as

chronotherapycircadianglioblastomagliomapediatric high-grade gliomatumor microenvironment (TME)

Identifiers

PMID38173841
PMCPMC10762863

What OpenQuestion holds

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Registered trials

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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.