Using genomics to guide treatment for glioblastoma

Author:

Young Jacob S1,Prados Michael D1,Butowski Nicholas1

Affiliation:

1. Department of Neurological Surgery, University of California, San Francisco, CA 94143, USA

Abstract

Glioblastoma has been shown to have many different genetic mutations found both within and between tumor samples. Molecular testing and genomic sequencing has helped to classify diagnoses and clarify difficult to interpret histopathological specimens. Genomic information also plays a critical role in prognostication for patients, with IDH mutations and MGMT methylation having significant impact of the response to chemotherapy and overall survival of patients. Unfortunately, personalized medicine and targeted therapy against specific mutations have not been shown to improve patient outcomes. As technology continues to improve, exome and RNA sequencing will play a role in the design of clinical trials, classification of patient subgroups and identification of rare mutations that can be targeted by small-molecule inhibitors and biologic agents.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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