Evidence map›Paper›PMID 40628732›Full record

ReviewSignal transduction and targeted therapy2025

Glioblastoma at the crossroads: current understanding and future therapeutic horizons.

Shilpi Singh, Devanjan Dey, Debashis Barik, Iteeshree Mohapatra, Stefan Kim, Mayur Sharma, Sujata Prasad, Peize Wang, Amar Singh, Gatikrushna Singh

Abstract readReview
In one paragraph

Review in Signal transduction and targeted therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 174 papers.

0numbers the graph read from it
0cells of the map it votes in
174citing 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

174 citing papers in PubMed.

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  9. Molecular therapy. Oncology · 2026
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114 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

10 authors.

Shilpi SinghDepartment of Neurosurgery, University of Minnesota, Minneapolis, MN, USA.
Devanjan DeySchulze Diabetes Institute, Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
Debashis BarikCenter for Computational Natural Science and Bioinformatics, International Institute of Information Technology, Hyderabad, Telangana, India.
Iteeshree MohapatraDepartment of Veterinary and Biomedical Sciences, University of Minnesota, Saint Paul, MN, USA.
Stefan KimDepartment of Neurosurgery, University of Minnesota, Minneapolis, MN, USA.
Mayur SharmaDepartment of Neurosurgery, University of Minnesota, Minneapolis, MN, USA.
Sujata PrasadMLM Medical Labs LLC, Oakdale, MN, USA.
Peize WangDepartment of Neurosurgery, University of Minnesota, Minneapolis, MN, USA.
Amar SinghSchulze Diabetes Institute, Department of Surgery, University of Minnesota, Minneapolis, MN, USA. singh423@umn.edu.ORCID 0000-0002-4721-1513
Gatikrushna SinghDepartment of Neurosurgery, University of Minnesota, Minneapolis, MN, USA. gsingh@umn.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glioblastoma (GBM) remains the most aggressive and lethal brain tumor in adults and poses significant challenges to patient survival. This review provides a comprehensive exploration of the molecular and genetic landscape of GBM, focusing on key oncogenic drivers, such as epidermal growth factor receptor (EGFR), platelet-derived growth factor receptor (PDGFR), and the PI3K/AKT/mTOR pathway, which are critical for tumorigenesis and progression. We delve into the role of epigenetic alterations, including DNA methylation and histone modifications, in driving therapy resistance and tumor evolution. The tumor microenvironment is known for its pivotal role in immune evasion, with tumor-associated macrophages, myeloid-derived suppressor cells, and regulatory T cells creating an immunosuppressive niche that sustains GBM growth. Emerging therapies, such as immunotherapies, oncolytic viral therapies, extracellular vesicle-based approaches, and non-coding RNA interventions, are highlighted as promising avenues to disrupt GBM pathogenesis. Advances in precision medicine and innovative technologies, including electric field therapy and locoregional treatments, are discussed for their potential to overcome the blood‒brain barrier and treatment resistance. Additionally, this review underscores the importance of metabolic reprogramming, particularly hypoxia-driven adaptations and altered lipid metabolism, in fueling GBM progression and influencing the therapeutic response. The role of glioma stem cells in tumor recurrence and resistance is also emphasized, highlighting the need for targeted therapeutic approaches. By integrating molecular targeting, immune energetics, and technological advancements, this review outlines a multidisciplinary framework for improving GBM treatment outcomes. Ultimately, the convergence of genetic, metabolic, and immune-based strategies offers transformative potential in GBM management, paving the way for increased patient survival and quality of life.

Indexed as

Brain NeoplasmsGlioblastomaTumor MicroenvironmentEpigenesis, GeneticHumansImmunotherapy

Identifiers

PMID40628732
PMCPMC12238593

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.