Cancers 2014, 6(1), 226-239; doi:10.3390/cancers6010226

Glioblastoma Multiforme: A Look Inside Its Heterogeneous Nature

1,†,* email, 1,†email and 1,2email
1 Translational Research Program, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron University Hospital, 119-129 Passeig Vall d'Hebron, Barcelona 08035, Spain 2 Catalan Institution of Research and Advanced Studies (ICREA), Barcelona 08035, Spain These authors contributed equally to this work.
* Author to whom correspondence should be addressed.
Received: 1 November 2013; in revised form: 23 December 2013 / Accepted: 9 January 2014 / Published: 27 January 2014
(This article belongs to the Special Issue Glioblastoma)
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Abstract: Heterogeneity is a hallmark of tumors and has a crucial role in the outcome of the malignancy, because it not only confounds diagnosis, but also challenges the design of effective therapies. There are two types of heterogeneity: inter-tumor and intra-tumor heterogeneity. While inter-tumor heterogeneity has been studied widely, intra-tumor heterogeneity has been neglected even though numerous studies support this aspect of tumor pathobiology. The main reason has been the technical difficulties, but with new advances in single-cell technology, intra-tumor heterogeneity is becoming a key area in the study of cancer. Several models try to explain the origin and maintenance of intra-tumor heterogeneity, however, one prominent model compares cancer with a tree where the ubiquitous mutations compose the trunk and mutations present in subpopulations of cells are represented by the branches. In this review we will focus on the intra-tumor heterogeneity of glioblastoma multiforme (GBM), the most common brain tumor in adults that is characterized by a marked heterogeneity at the cellular and molecular levels. Better understanding of this heterogeneity will be essential to design effective therapies against this devastating disease to avoid tumor escape.
Keywords: heterogeneity; glioblastoma; clonal evolution; cancer stem cell

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MDPI and ACS Style

Inda, M.-D.-M.; Bonavia, R.; Seoane, J. Glioblastoma Multiforme: A Look Inside Its Heterogeneous Nature. Cancers 2014, 6, 226-239.

AMA Style

Inda M-D-M, Bonavia R, Seoane J. Glioblastoma Multiforme: A Look Inside Its Heterogeneous Nature. Cancers. 2014; 6(1):226-239.

Chicago/Turabian Style

Inda, Maria-del-Mar; Bonavia, Rudy; Seoane, Joan. 2014. "Glioblastoma Multiforme: A Look Inside Its Heterogeneous Nature." Cancers 6, no. 1: 226-239.

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