Molecular and Cellular Biochemistry

, Volume 312, Issue 1–2, pp 71–80 | Cite as

Chemoresistance in gliomas

Article

Abstract

Despite improved knowledge and advanced treatments of gliomas, the overall survival rate for glioma patients remains low. Gliomas comprise of significant cell heterogeneity that contains a large number of multidrug resistant (MDR) phenotypes and cancer stem cells (CSCs), a combination that may contribute to the resistance to treatment. This article reviews the MDR related genes, major-vault protein (MVP), anti-apoptotic protein (Bcl-2) and the molecular mechanisms that may contribute to chemoresistance, in addition to the upregulated MDR phenotypes present in CSCs that has recently been identified in gliomas. Moreover, future potential therapies that modulate MDR phenotypes and CSCs are also reviewed. An improved understanding of MDR may lead to a combined treatment, targeting both CSCs and their protective MDR phenotypes leading eventually to attractive strategies for the treatment of gliomas.

Keywords

Glioma Brain tumour Multidrug resistance Cancer stem cells 

Notes

Acknowledgements

The authors would like to thank Dr Leroy Shervington for editing the script and Andrew Bamber, David Burnham, Clare Christopher and Christopher Clark for their contribution. This work was supported by a grant from the University of Central Lancashire.

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© Springer Science+Business Media, LLC. 2008

Authors and Affiliations

  1. 1.Brain Tumour North West, Faculty of ScienceUniversity of Central LancashirePrestonUK

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