Despite progress in research on the molecular aspects of malignantgliomas, the prognosis of these brain tumors continues to bedismal. In glioblastoma, the most common glioma variant in adults,median survival has remained at 9 to 12 months for decades.1One reason for the lack of clinical advances is ignorance ofthe cellular origin of this disease, which delays the applicationof molecular analyses to treatment and impairs the ability toanticipate tumor behavior reliably. For nearly 80 years, theclassification system for gliomas has remained largely unchanged2,3;its power to predict the course of disease is based . . . [Full Text of this Article]
The Cell of Origin of Gliomas
Neural Stem Cells and Glial Progenitor Cells
Properties of Neural Stem Cells
Transformation of Neural Stem Cells
Molecular Mechanisms
Stem Cells in Other Neoplasms
Developmental Patterns
Sonic Hedgehog Pathway
Transcription Factors
Epidermal Growth Factor
PTEN Pathway
Heterogeneity of Gliomas
Cellular Environment
Blocked Differentiation
Migration of Glioma Cells
Conclusions
Source Information
From the Department of Neurological Surgery, Brain Tumor Research Center, and the Developmental Stem Cell Biology Program, University of California, San Francisco.
Address reprint requests to Dr. Sanai at the Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Ave., M-779, Campus Box 0112, San Francisco, CA 94143, or at sanain@neurosurg.ucsf.edu.
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