Handbook of brain tumor chemotherapy:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Amsterdam [u.a.]
Elsevier, Acad. Press
2006
|
Ausgabe: | 1. ed. |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis Klappentext |
Beschreibung: | XVI, 510 S., [12] Bl. Ill., graph. Darst. |
ISBN: | 0120884100 9780120884100 |
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250 | |a 1. ed. | ||
264 | 1 | |a Amsterdam [u.a.] |b Elsevier, Acad. Press |c 2006 | |
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650 | 4 | |a Cerveau - Tumeurs - Chimiothérapie | |
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Datensatz im Suchindex
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---|---|
adam_text | Treatment of patients with a brain tumor remains one of the most challenging and
difficult areas of modern oncology. Recent advances in the molecular biology of these
neoplasms have improved our understanding of the malignant phenotype and have
lead to the development of novel forms of chemotherapy, including targeted agents.
In Handbook of Brain Tumor Chemotherapy, Dr. Herbert Newton and a distinguished
panel of experts in the field of neuro-oncology and brain tumor therapy, review the
state of the art of chemotherapy development and clinical treatment of patients with
this devastating disease. The Handbook is comprehensive in scope and contains
35
chapters, divided into four sections: Section
1 —
covers the basic pharmacology and
clinical applications of brain tumor chemotherapy; Section II
-
reviews the molecular
biology and basic science of brain tumors, with a focus on the development and clinical
application of molecular, targeted therapeutic agents; Section III
—
reviews innovative
approaches to brain tumor chemotherapy delivery; and Section IV — which provides a
detailed review of chemotherapy for each of the major brain tumor types.
Handbook of Brain Tumor Chemotherapy offers a unique cutting-edge compendium of
basic science and clinical information on the subject of brain tumor chemotherapy,
reviewing what has been accomplished thus far and how the field will continue to evolve
with the development of more specific and efficacious chemotherapeutic agents. This
book represents the most complete single-volume resource available for information
on the subject of brain tumor chemotherapy.
Contents
Contributors
xv
Conclusions
37
Acknowledgments
38
I
PHARMACOLOGY AND CLINICAL
APPLICATIONS
1.
Overview of Brain Tumor Epidemiology
and Histopathology
HERBERT B. NEWTON AND ABHIK RAY-CHAUDHURY
Epidemiology of Brain Tumors
03
Pathology of Central Nervous System
Tumors
—
Introduction
05
Pathology of Tumors of Neuroepithelial Origin
06
Pathology of Tumors of the
Meninges
16
Pathology of Primary CNS Lymphoma
17
Pathology of Intracranial Germ Cell Tumors
18
Acknowledgments
19
2.
Clinical Pharmacology of Brain
Tumor Chemotherapy
HERBERT B. NEWTON
Introduction
21
Pharmacology and Drug Distribution
21
Supportive Therapeutics
22
Delivery of Chemotherapeutic Agents
24
Chemotherapeutic Agents
25
Alkylating Agents
25
Natural Products
31
Antimetabolites
32
Topoisomerase Inhibitors
34
Miscellaneous Agents
35
Molecular Therapeutic Agents
37
3.
Chemotherapy and Anti-Epileptic
Drug Interactions
KAREN L. FINK
Introduction
44
Anti-Epileptic Drugs in Neuro-Oncology Patients
44
Drug Metabolism and Resistance
45
AED
Effects on Hepatic Metabolism
46
EIAEDs Effects on Chemotherapy
47
Chemotherapy Effects on AEDs
49
Practical Effects of AED-Chemotherapy Interactions
49
Practical Management
50
Conclusions
54
Acknowledgment
54
4.
Brain Tumor Models for Cancer Therapy
BEVERLY A. TEICHER
Rat Brain Tumor Models
58
Blood-Brain Barrier in Rat Brain Tumor Models
58
Local Delivery in Rat Brain Tumor Models
59
Immunological Approaches in Rat Brain Tumor
Models
61
Chemotherapy and Boron Neutron Capture in Rat Brain
Tumor Models
61
Human Brain Tumor Xenograft Models
62
Blood—Brain Barrier in Human Brain Tumor Xenograft
Models
63
Local Delivery in Human Brain Tumor Xenograft
Models
63
Chemotherapy in Human Brain Tumor Xenograft
Models
64
Angiogenesis in Brain Tumor Models
65
Conclusions
69
ix
CONTENTS
5. Microarray
Analysis and Proteomic
Approaches to Drug Development
NICOLE J. ULLRICH AND SCOTT L. POMEROY
Introduction
74
Microarray Analysis
74
Disease Proteomics
76
Implementation of Protein Microarrays
77
Gene Expression Patterns in Normal and Diseased
Tissues
77
Tumor Expression Profiling: Medulloblastoma
78
Tumor Expression Profiling:
Glioma
79
Drug Discovery
81
Gene Expression as a Predictor of
Chemosensitivity
84
Gene Expression in Response to Drug Therapy
84
Summary
84
6.
Chemotherapy Resistance
ADRIENNE
С.
SCHECK
Common Chemotherapeutic Agents in
Gliomas
89
DNA
Repair and Chemotherapy Resistance
90
Detoxification and Other Mechanisms
of Resistance
95
Summary
98
7.
Clinical Trial Design and
Implementation
NICHOLAS BUTOWSKI AND SUSAN CHANG
Introduction
105
Phase I Trials
106
Phase II Trials
107
Phase III Clinical Trials
109
Special Challenges of Brain Tumor Trials
Conclusions 111
109
II
MOLECULAR BIOLOGY
AND BASIC SCIENCE
8.
Molecular Genetics of Brain
Tumors
—
An Overview
TIM DEMUTH AND MICHAEL E. BERENS
Introduction
115
Descriptive Modeling of the Molecular Pathology of
Brain Tumors
115
Predictive Modeling of Therapeutic Vulnerability
of Brain Tumors
117
Future Directions
120
9.
Regulation of the Cell Cycle and
Interventional Developmental
Therapeutics
STACEY M. IVANCHUK AND JAMES T.
RUTKA
Overview
123
Gl Phase
125
S-Phase
128
M-Phase
129
Therapeutic Small-Molecule Inhibitors
of Cell Cycle
130
Type I Inhibitors: Direct Inhibitors of CDK Catalytic
Activity
131
Type II Inhibitors: Inhibitors of CDK Regulatory
Mechanisms
134
Summary
134
10.
Apoptosis Pathways and
Chemotherapy
JOACHIM P.
STEINBACH
AND MICHAEL WELLER
Architecture of the Major Apoptotic Pathways
141
Deregulation of Apoptotic Pathways in
Brain Tumors
145
Chemotherapeutic Drugs: Mechanism of Action and
Impact on Brain Tumors
147
Novel Approaches for the Induction of Apoptosis
148
Perspective
151
11.
Growth Factor Signaling Pathways and
Receptor Tyrosine Kinase Inhibitors
IAN F. POLLACK
Introduction
155
Glioma
Cell Resistance to Conventional
Therapeutic Modalities
155
Platelet Derived Growth Factor as a Dominant
Glioma
Mi
togen
156
EGFR Amplification/Overexpression in
Glioma
Progression
156
Strategies for Direct Inhibition of Growth Factor Pathway
Activation
160
STI571 as a Potential PDGFR Inhibitor
161
ZD1839 as a Potential EGFR Inhibitor
162
Other Small Molecule EGFR Inhibitors
164
Inhibition of Growth Factor Signaling may Interfere
with Angiogenesis and Tumor Invasion
164
CONTENTS
Xl
Interference with Growth Factor Receptor Signaling may
Potentiate Other Therapies
165
Summary
165
Acknowledgment
166
12.
Ras
Signaling Pathways and Farnesyl
Transferase
Inhibitors
JOYDEEP MUKHERJEE AND ABH1J1T GUHA
Introduction
173
Understanding pZl-Ras Structure and Function
174
Role of p2
1
-Ras
Mutations in Different Malignancies
178
Farnesyltransferase Inhibitors (FTIs)
178
Conclusion and Future Directions
180
13.
PD-Kinase, PKB/Akt, mTOR, and Internal
Signaling Pathways
JEAN L. NAKAMURA AND DAPHNE A. HAAS-KOGAN
Overview of the Biology of PB-kinase and its
Effectors
185
Multi-level Deregulation of
РІЗ
-kinase:
Implications
for Gliomagenesis
187
Therapeutic Implications
188
The
Hypoxie
Tumor
Microenvironment, Angiogenesis,
and Edema
222
The
Hypoxie
Tumor
Microenvironment
and Angiogenic
Cellular Cross talk
224
Anti-angiogenesis Strategies as Novel Anti-tumor
Therapies
226
Future Perspectives
230
Acknowledgments
230
16.
Biology of the Blood-Brain and
Blood-Brain Tumor Barriers
HERBERT H. ENGELHARD AND
TIBOR VALYI-NAGY
The Normal Blood-Brain Barrier:
Ultrastructural
and
Cellular Considerations
236
Functions of the Blood-Brain Barrier; General Factors
Affecting Overall Function
238
Drug Movement across the BBB and Determinants
of CNS Drug Concentration
239
The Blood-Brain Tumor Barrier; Effect of Tumors
on the BBB
240
Therapeutic Disruption or Circumvention
of the BBB
241
Conclusions
242
14.
Tumor Invasiveness and Anti-invasion
Strategies
SANDRA A. REMPEL AND TOM MIKKELSEN
Pathologic Features of Malignant Brain
Tumor Invasion
193
Clinical and Pathological Evaluation of Tumor
Infiltration
193
Patterns of Failure
194
Therapeutic Considerations
194
Environmental Influences
195
Molecular Targets
195
Therapeutic Strategies
212
Other Considerations
213
Summary
213
15.
Mechanisms of Angiogenesis in Brain
Tumors and their Translation into Therapeutic
Anti-tumor Strategies
TILL ACKER AND KARL H. PLATE
Summary
219
Introduction
219
The
Hypoxie
Tumor
Microenvironment
and
HIF Activation
220
III
INNOVATIVE APPROACHES
TO CHEMOTHERAPY
DELIVERY
17.
Intra-
Arterial Chemotherapy
HERBERT B. NEWTON
Introduction
247
Pharmacological Rationale
247
Single-Agent IA Chemotherapy of Newly Diagnosed
Gliomas
249
Combination IA Chemotherapy of Newly Diagnosed
Gliomas
252
Single-Agent IA Chemotherapy of Recurrent
Gliomas
253
Combination IA Chemotherapy of Recurrent
Gliomas
255
IA Chemotherapy for Primary CNS
Lymphoma
257
1A Chemotherapy for Brain
Métastases
257
Toxicity
of IA Chemotherapy
257
Conclusions
258
Acknowledgments
259
XU
CONTENTS
18·
Blood-Brain Barrier Disruption
Chemotherapy
NANCY D. DOOLITTLE,
TULIO
P. MURILLO, AND
EDWARD A.
NEUWELT
Introduction
262
Pre-clinical BBB Delivery Studies
263
Clinical BBBD Technique
264
Clinical BBBD Results
267
Pre-clinical Studies of Thiol Chemoprotection
268
Clinical Studies of Thiol Chemoprotection
269
Future BBBD Directions
270
Summary
271
Acknowledgments
271
Results of High-Dose Chemotherapy and
Auto-transplantation
309
Conclusions
312
22.
CSF Dissemination of Primary
Brain Tumors
MARC
С
CHAMBERLAIN
Introduction
316
General overview
316
Primary brain tumors
318
Treatment
322
Conclusions
326
19.
Interstitial Chemotherapy and
Polymer-Drug Delivery
RAQEEB M. HAQUE, ERIC AMUNDSON, MICHAEL
DORSI,
AND HENRY
BREM
Introduction
274
Physiologic and Pathological Barriers to Anti-Neoplasties
in the CNS
275
Delivery Systems and Strategies for Brain Tumor Targeted
Delivery
276
Development of Polymer-Based Local Delivery
Systems
278
BCNU (Gliadel®)
278
Other Chemotherapeutics
285
Future Directions
288
Conclusions
288
Disclosure
290
20.
Intratumoral Administration and
Convection-Enhanced Delivery
MIKE YUE CHEN, ZHI-JIAN CHEN, GEORGE T. GILLIES,
PETER J.
HAAR,
AND WILIAM
С
BROADDUS
General Overview
295
Physical Principles
295
Animal Studies
297
Convection-Enhanced Delivery in Animal Brain Tumor
Models
298
Human Studies
299
Challenges
302
21.
Marrow Ablative Chemotherapy with
Hematopoietic Stem Cell Rescue
ANNA BUTTURINI, MATTHEW CARABASI, AND
JONATHAN L. FINLAY
Introduction
305
Marrow Ablative Therapies
307
23.
Chemotherapy-Activating
Gene Therapy
KAVEH ASADI-MOGHADDAM AND
ANTONIO
E. CHIOCCA
Basic Concepts of
Gene Therapy
332
Activation of Chemotherapy with Gene
Therapy
332
Clinical Trials
338
Limitations and Problems
340
Conclusions
340
Further Information
340
__________
IV
_________
CHEMOTHERAPY OF
SPECIFIC TUMOR TYPES
24.
Chemotherapy of High-Grade
Astrocytomas
HERBERT B. NEWTON
Introduction
347
Overview of Initial Treatment
347
Chemotherapy of AA and
GBM
—
Historical Overview
348
Concomitant Chemotherapy and Irradiation
Approaches
351
Neoadjuvant Chemotherapy
Approaches
353
Adjuvant Chemotherapy Approaches
355
Chemotherapy for Recurrent High-Grade
Astrocytomas
356
Conclusions
359
CONTENTS
хш
Acknowledgments
359
25.
Chemotherapy of Low-Grade Astrocytomas
MARK G. MALKIN
Background
364
Pathologic Nomenclature
364
Epidemiology
365
Location
365
Clinical Presentation and Imaging
Findings
365
Prognostic Factors
365
Progression and Outcome of LGA
366
A Single Randomized Trial
366
Phase II Trials
366
Pending Study
369
26.
Chemotherapy of Oligodendrogliomas
NINA
A. PALEOLOGOS
AND CHRISTOPHER FAHEY
Introduction
371
Genetics
371
Prognosis
372
Anaplastic Oligodendroglioma
373
Low-Grade Oligodendroglioma
377
Salvage Therapy
402
Primary Intraocular Lymphoma
HlV-related PCNSL
403
403
29.
Chemotherapy o{
Medullobłastoma
HERBERT B. NEWTON
Introduction
407
Neuro-Imaging and Initial Treatment
408
Chemotherapy of Infants and Very Young
Children
409
Chemotherapy of Children and Adolescents
411
Chemotherapy of Adult Patients
414
Chemotherapy with Bone Marrow
Transplantation
415
Molecular Genetics and Targeted Therapeutics
415
Overview and Future Considerations
419
Acknowledgments
421
30.
Chemotherapy of Ependymoma
MARK G. MALKIN
Background
426
Trials Dedicated to
Ependymoma
427
Trials Including Ependymoma
429
27.
Chemotherapy of Oligoastrocy
tomas
ALLISON L. WEATHERS AND NINA
A. PALEOLOGOS
Introduction
382
Genetics
383
Prognosis
383
Anaplastic Oligoastrocy
tomas
385
Low-Grade Oligoastrocytomas
389
28.
Chemotherapy for Primary Central Nervous
System Lymphoma
FRANCOIS G. EL KAMAR AND LAUREN
E. ABREY
Overview
395
Management
396
Methotrexate
396
Intra-arteriat MTX
397
Maintenance Therapy
397
HD-MTX Based Combination Chemotherapy for
PCNSL
397
Non-Methotrexate Combination Regimens
401
Intrathecal Chemotherapy
401
31.
Chemotherapy for Glioneuronal
Tumors
NIMISH MOHILE AND JEFFREY J. RAIZER
Introduction
432
Central Neurocytoma
432
Ganglioglioma and Gangliocytoma
433
Desmoplastic Infantile Ganglioglioma (DIG) and
Desmoplastic Infantile Astrocytoma
(DIA)
434
Dysembryoplastic Neuroepithelial Tumor
435
Dysplastic Gangliogliocytoma of the Cerebellum
435
Cerebellar Liponeurocytoma
435
32.
Chemotherapy of Pineal
Parenchymal Tumors
HERBERT B. NEWTON
Pineal Anatomy and Physiology
439
Epidemiology
440
Biology and Molecular Genetics
441
Clinical Presentation
442
XIV
CONTENTS
Neuro-Imaging
and Laboratory Diagnosis
442
Initial Evaluation and Treatment
443
Chemotherapy of Pineal Parenchymal Tumors
444
Conclusions
445
Acknowledgments
446
33.
Current Therapeutic Management
Strategies for Primary Intracranial
Germ Cell Tumors
MARK T. JENNINGS
Introduction
448
Epidemiology
449
Clinical Presentation
449
Prognostic Variables
450
Therapeutic Effectiveness and Consequent
Prognosis
451
Long-Term Complications of the Disease and its
Therapy
458
Conclusions
459
34.
Chemotherapy of Meningiomas
HERBERT B. NEWTON
Introduction and Epidemiology
463
Biology and Molecular Genetics
464
Clinical Presentation
466
Neuro-Imaging
467
Initial Evaluation and Treatment
468
Chemotherapy of Meningiomas
469
Conclusions
472
Acknowledgments
472
35.
Chemotherapy for Brain
Métastases
HERBERT B. NEWTON
Introduction
475
Biology and Molecular Genetics
476
Clinical Presentation and Prognostic Factors
477
Traditional Chemotherapeutic Approaches
477
Temozolomide
480
Intra-Arteriai Treatment Approaches
482
Interstitial Chemotherapy
483
Molecular Treatment Approaches
484
Overview and Future Considerations
485
36.
The Role of Chemotherapy
in
Pediatric
Gliomas
LORNA
К.
FITZPATRICK
AND PATRICIA
К.
DUFFNER
Introduction
490
Low-Grade gliomas
491
Optic Pathway/Hypothalamic Gliomas
493
High-Grade Gliomas
494
Diffuse Intrinsic
Pontine
Gliomas
494
High-Dose Chemotherapy and Autologous Stem Cell
Rescue in
Pediatrie
Gliomas
495
Index
499
|
adam_txt |
Treatment of patients with a brain tumor remains one of the most challenging and
difficult areas of modern oncology. Recent advances in the molecular biology of these
neoplasms have improved our understanding of the malignant phenotype and have
lead to the development of novel forms of chemotherapy, including "targeted" agents.
In Handbook of Brain Tumor Chemotherapy, Dr. Herbert Newton and a distinguished
panel of experts in the field of neuro-oncology and brain tumor therapy, review the
state of the art of chemotherapy development and clinical treatment of patients with
this devastating disease. The Handbook is comprehensive in scope and contains
35
chapters, divided into four sections: Section
1 —
covers the basic pharmacology and
clinical applications of brain tumor chemotherapy; Section II
-
reviews the molecular
biology and basic science of brain tumors, with a focus on the development and clinical
application of molecular, "targeted" therapeutic agents; Section III
—
reviews innovative
approaches to brain tumor chemotherapy delivery; and Section IV — which provides a
detailed review of chemotherapy for each of the major brain tumor types.
Handbook of Brain Tumor Chemotherapy offers a unique cutting-edge compendium of
basic science and clinical information on the subject of brain tumor chemotherapy,
reviewing what has been accomplished thus far and how the field will continue to evolve
with the development of more specific and efficacious chemotherapeutic agents. This
book represents the most complete single-volume resource available for information
on the subject of brain tumor chemotherapy.
Contents
Contributors
xv
Conclusions
37
Acknowledgments
38
I
PHARMACOLOGY AND CLINICAL
APPLICATIONS
1.
Overview of Brain Tumor Epidemiology
and Histopathology
HERBERT B. NEWTON AND ABHIK RAY-CHAUDHURY
Epidemiology of Brain Tumors
03
Pathology of Central Nervous System
Tumors
—
Introduction
05
Pathology of Tumors of Neuroepithelial Origin
06
Pathology of Tumors of the
Meninges
16
Pathology of Primary CNS Lymphoma
17
Pathology of Intracranial Germ Cell Tumors
18
Acknowledgments
19
2.
Clinical Pharmacology of Brain
Tumor Chemotherapy
HERBERT B. NEWTON
Introduction
21
Pharmacology and Drug Distribution
21
Supportive Therapeutics
22
Delivery of Chemotherapeutic Agents
24
Chemotherapeutic Agents
25
Alkylating Agents
25
Natural Products
31
Antimetabolites
32
Topoisomerase Inhibitors
34
Miscellaneous Agents
35
Molecular Therapeutic Agents
37
3.
Chemotherapy and Anti-Epileptic
Drug Interactions
KAREN L. FINK
Introduction
44
Anti-Epileptic Drugs in Neuro-Oncology Patients
44
Drug Metabolism and Resistance
45
AED
Effects on Hepatic Metabolism
46
EIAEDs Effects on Chemotherapy
47
Chemotherapy Effects on AEDs
49
Practical Effects of AED-Chemotherapy Interactions
49
Practical Management
50
Conclusions
54
Acknowledgment
54
4.
Brain Tumor Models for Cancer Therapy
BEVERLY A. TEICHER
Rat Brain Tumor Models
58
Blood-Brain Barrier in Rat Brain Tumor Models
58
Local Delivery in Rat Brain Tumor Models
59
Immunological Approaches in Rat Brain Tumor
Models
61
Chemotherapy and Boron Neutron Capture in Rat Brain
Tumor Models
61
Human Brain Tumor Xenograft Models
62
Blood—Brain Barrier in Human Brain Tumor Xenograft
Models
63
Local Delivery in Human Brain Tumor Xenograft
Models
63
Chemotherapy in Human Brain Tumor Xenograft
Models
64
Angiogenesis in Brain Tumor Models
65
Conclusions
69
ix
CONTENTS
5. Microarray
Analysis and Proteomic
Approaches to Drug Development
NICOLE J. ULLRICH AND SCOTT L. POMEROY
Introduction
74
Microarray Analysis
74
Disease Proteomics
76
Implementation of Protein Microarrays
77
Gene Expression Patterns in Normal and Diseased
Tissues
77
Tumor Expression Profiling: Medulloblastoma
78
Tumor Expression Profiling:
Glioma
79
Drug Discovery
81
Gene Expression as a Predictor of
Chemosensitivity
84
Gene Expression in Response to Drug Therapy
84
Summary
84
6.
Chemotherapy Resistance
ADRIENNE
С.
SCHECK
Common Chemotherapeutic Agents in
Gliomas
89
DNA
Repair and Chemotherapy Resistance
90
Detoxification and Other Mechanisms
of Resistance
95
Summary
98
7.
Clinical Trial Design and
Implementation
NICHOLAS BUTOWSKI AND SUSAN CHANG
Introduction
105
Phase I Trials
106
Phase II Trials
107
Phase III Clinical Trials
109
Special Challenges of Brain Tumor Trials
Conclusions 111
109
II
MOLECULAR BIOLOGY
AND BASIC SCIENCE
8.
Molecular Genetics of Brain
Tumors
—
An Overview
TIM DEMUTH AND MICHAEL E. BERENS
Introduction
115
Descriptive Modeling of the Molecular Pathology of
Brain Tumors
115
Predictive Modeling of Therapeutic Vulnerability
of Brain Tumors
117
Future Directions
120
9.
Regulation of the Cell Cycle and
Interventional Developmental
Therapeutics
STACEY M. IVANCHUK AND JAMES T.
RUTKA
Overview
123
Gl Phase
125
S-Phase
128
M-Phase
129
Therapeutic Small-Molecule Inhibitors
of Cell Cycle
130
Type I Inhibitors: Direct Inhibitors of CDK Catalytic
Activity
131
Type II Inhibitors: Inhibitors of CDK Regulatory
Mechanisms
134
Summary
134
10.
Apoptosis Pathways and
Chemotherapy
JOACHIM P.
STEINBACH
AND MICHAEL WELLER
Architecture of the Major Apoptotic Pathways
141
Deregulation of Apoptotic Pathways in
Brain Tumors
145
Chemotherapeutic Drugs: Mechanism of Action and
Impact on Brain Tumors
147
Novel Approaches for the Induction of Apoptosis
148
Perspective
151
11.
Growth Factor Signaling Pathways and
Receptor Tyrosine Kinase Inhibitors
IAN F. POLLACK
Introduction
155
Glioma
Cell Resistance to Conventional
Therapeutic Modalities
155
Platelet'Derived Growth Factor as a Dominant
Glioma
Mi
togen
156
EGFR Amplification/Overexpression in
Glioma
Progression
156
Strategies for Direct Inhibition of Growth Factor Pathway
Activation
160
STI571 as a Potential PDGFR Inhibitor
161
ZD1839 as a Potential EGFR Inhibitor
162
Other Small Molecule EGFR Inhibitors
164
Inhibition of Growth Factor Signaling may Interfere
with Angiogenesis and Tumor Invasion
164
CONTENTS
Xl
Interference with Growth Factor Receptor Signaling may
Potentiate Other Therapies
165
Summary
165
Acknowledgment
166
12.
Ras
Signaling Pathways and Farnesyl
Transferase
Inhibitors
JOYDEEP MUKHERJEE AND ABH1J1T GUHA
Introduction
173
Understanding pZl-Ras Structure and Function
174
Role of p2
1
-Ras
Mutations in Different Malignancies
178
Farnesyltransferase Inhibitors (FTIs)
178
Conclusion and Future Directions
180
13.
PD-Kinase, PKB/Akt, mTOR, and Internal
Signaling Pathways
JEAN L. NAKAMURA AND DAPHNE A. HAAS-KOGAN
Overview of the Biology of PB-kinase and its
Effectors
185
Multi-level Deregulation of
РІЗ
-kinase:
Implications
for Gliomagenesis
187
Therapeutic Implications
188
The
Hypoxie
Tumor
Microenvironment, Angiogenesis,
and Edema
222
The
Hypoxie
Tumor
Microenvironment
and Angiogenic
Cellular Cross talk
224
Anti-angiogenesis Strategies as Novel Anti-tumor
Therapies
226
Future Perspectives
230
Acknowledgments
230
16.
Biology of the Blood-Brain and
Blood-Brain Tumor Barriers
HERBERT H. ENGELHARD AND
TIBOR VALYI-NAGY
The Normal Blood-Brain Barrier:
Ultrastructural
and
Cellular Considerations
236
Functions of the Blood-Brain Barrier; General Factors
Affecting Overall Function
238
Drug Movement across the BBB and Determinants
of CNS Drug Concentration
239
The "Blood-Brain Tumor" Barrier; Effect of Tumors
on the BBB
240
Therapeutic Disruption or Circumvention
of the BBB
241
Conclusions
242
14.
Tumor Invasiveness and Anti-invasion
Strategies
SANDRA A. REMPEL AND TOM MIKKELSEN
Pathologic Features of Malignant Brain
Tumor Invasion
193
Clinical and Pathological Evaluation of Tumor
Infiltration
193
Patterns of Failure
194
Therapeutic Considerations
194
Environmental Influences
195
Molecular Targets
195
Therapeutic Strategies
212
Other Considerations
213
Summary
213
15.
Mechanisms of Angiogenesis in Brain
Tumors and their Translation into Therapeutic
Anti-tumor Strategies
TILL ACKER AND KARL H. PLATE
Summary
219
Introduction
219
The
Hypoxie
Tumor
Microenvironment
and
HIF Activation
220
III
INNOVATIVE APPROACHES
TO CHEMOTHERAPY
DELIVERY
17.
Intra-
Arterial Chemotherapy
HERBERT B. NEWTON
Introduction
247
Pharmacological Rationale
247
Single-Agent IA Chemotherapy of Newly Diagnosed
Gliomas
249
Combination IA Chemotherapy of Newly Diagnosed
Gliomas
252
Single-Agent IA Chemotherapy of Recurrent
Gliomas
253
Combination IA Chemotherapy of Recurrent
Gliomas
255
IA Chemotherapy for Primary CNS
Lymphoma
257
1A Chemotherapy for Brain
Métastases
257
Toxicity
of IA Chemotherapy
257
Conclusions
258
Acknowledgments
259
XU
CONTENTS
18·
Blood-Brain Barrier Disruption
Chemotherapy
NANCY D. DOOLITTLE,
TULIO
P. MURILLO, AND
EDWARD A.
NEUWELT
Introduction
262
Pre-clinical BBB Delivery Studies
263
Clinical BBBD Technique
264
Clinical BBBD Results
267
Pre-clinical Studies of Thiol Chemoprotection
268
Clinical Studies of Thiol Chemoprotection
269
Future BBBD Directions
270
Summary
271
Acknowledgments
271
Results of High-Dose Chemotherapy and
Auto-transplantation
309
Conclusions
312
22.
CSF Dissemination of Primary
Brain Tumors
MARC
С
CHAMBERLAIN
Introduction
316
General overview
316
Primary brain tumors
318
Treatment
322
Conclusions
326
19.
Interstitial Chemotherapy and
Polymer-Drug Delivery
RAQEEB M. HAQUE, ERIC AMUNDSON, MICHAEL
DORSI,
AND HENRY
BREM
Introduction
274
Physiologic and Pathological Barriers to Anti-Neoplasties
in the CNS
275
Delivery Systems and Strategies for Brain Tumor Targeted
Delivery
276
Development of Polymer-Based Local Delivery
Systems
278
BCNU (Gliadel®)
278
Other Chemotherapeutics
285
Future Directions
288
Conclusions
288
Disclosure
290
20.
Intratumoral Administration and
Convection-Enhanced Delivery
MIKE YUE CHEN, ZHI-JIAN CHEN, GEORGE T. GILLIES,
PETER J.
HAAR,
AND WILIAM
С
BROADDUS
General Overview
295
Physical Principles
295
Animal Studies
297
Convection-Enhanced Delivery in Animal Brain Tumor
Models
298
Human Studies
299
Challenges
302
21.
Marrow Ablative Chemotherapy with
Hematopoietic Stem Cell Rescue
ANNA BUTTURINI, MATTHEW CARABASI, AND
JONATHAN L. FINLAY
Introduction
305
Marrow Ablative Therapies
307
23.
Chemotherapy-Activating
Gene Therapy
KAVEH ASADI-MOGHADDAM AND
ANTONIO
E. CHIOCCA
Basic Concepts of
Gene Therapy
332
Activation of Chemotherapy with Gene
Therapy
332
Clinical Trials
338
Limitations and Problems
340
Conclusions
340
Further Information
340
_
IV
_
CHEMOTHERAPY OF
SPECIFIC TUMOR TYPES
24.
Chemotherapy of High-Grade
Astrocytomas
HERBERT B. NEWTON
Introduction
347
Overview of Initial Treatment
347
Chemotherapy of AA and
GBM
—
Historical Overview
348
Concomitant Chemotherapy and Irradiation
Approaches
351
Neoadjuvant Chemotherapy
Approaches
353
Adjuvant Chemotherapy Approaches
355
Chemotherapy for Recurrent High-Grade
Astrocytomas
356
Conclusions
359
CONTENTS
хш
Acknowledgments
359
25.
Chemotherapy of Low-Grade Astrocytomas
MARK G. MALKIN
Background
364
Pathologic Nomenclature
364
Epidemiology
365
Location
365
Clinical Presentation and Imaging
Findings
365
Prognostic Factors
365
Progression and Outcome of LGA
366
A Single Randomized Trial
366
Phase II Trials
366
Pending Study
369
26.
Chemotherapy of Oligodendrogliomas
NINA
A. PALEOLOGOS
AND CHRISTOPHER FAHEY
Introduction
371
Genetics
371
Prognosis
372
Anaplastic Oligodendroglioma
373
Low-Grade Oligodendroglioma
377
Salvage Therapy
402
Primary Intraocular Lymphoma
HlV-related PCNSL
403
403
29.
Chemotherapy o{
Medullobłastoma
HERBERT B. NEWTON
Introduction
407
Neuro-Imaging and Initial Treatment
408
Chemotherapy of Infants and Very Young
Children
409
Chemotherapy of Children and Adolescents
411
Chemotherapy of Adult Patients
414
Chemotherapy with Bone Marrow
Transplantation
415
Molecular Genetics and "Targeted" Therapeutics
415
Overview and Future Considerations
419
Acknowledgments
421
30.
Chemotherapy of Ependymoma
MARK G. MALKIN
Background
426
Trials Dedicated to
Ependymoma
427
Trials Including Ependymoma
429
27.
Chemotherapy of Oligoastrocy
tomas
ALLISON L. WEATHERS AND NINA
A. PALEOLOGOS
Introduction
382
Genetics
383
Prognosis
383
Anaplastic Oligoastrocy
tomas
385
Low-Grade Oligoastrocytomas
389
28.
Chemotherapy for Primary Central Nervous
System Lymphoma
FRANCOIS G. EL KAMAR AND LAUREN
E. ABREY
Overview
395
Management
396
Methotrexate
396
Intra-arteriat MTX
397
Maintenance Therapy
397
HD-MTX Based Combination Chemotherapy for
PCNSL
397
Non-Methotrexate Combination Regimens
401
Intrathecal Chemotherapy
401
31.
Chemotherapy for Glioneuronal
Tumors
NIMISH MOHILE AND JEFFREY J. RAIZER
Introduction
432
Central Neurocytoma
432
Ganglioglioma and Gangliocytoma
433
Desmoplastic Infantile Ganglioglioma (DIG) and
Desmoplastic Infantile Astrocytoma
(DIA)
434
Dysembryoplastic Neuroepithelial Tumor
435
Dysplastic Gangliogliocytoma of the Cerebellum
435
Cerebellar Liponeurocytoma
435
32.
Chemotherapy of Pineal
Parenchymal Tumors
HERBERT B. NEWTON
Pineal Anatomy and Physiology
439
Epidemiology
440
Biology and Molecular Genetics
441
Clinical Presentation
442
XIV
CONTENTS
Neuro-Imaging
and Laboratory Diagnosis
442
Initial Evaluation and Treatment
443
Chemotherapy of Pineal Parenchymal Tumors
444
Conclusions
445
Acknowledgments
446
33.
Current Therapeutic Management
Strategies for Primary Intracranial
Germ Cell Tumors
MARK T. JENNINGS
Introduction
448
Epidemiology
449
Clinical Presentation
449
Prognostic Variables
450
Therapeutic Effectiveness and Consequent
Prognosis
451
Long-Term Complications of the Disease and its
Therapy
458
Conclusions
459
34.
Chemotherapy of Meningiomas
HERBERT B. NEWTON
Introduction and Epidemiology
463
Biology and Molecular Genetics
464
Clinical Presentation
466
Neuro-Imaging
467
Initial Evaluation and Treatment
468
Chemotherapy of Meningiomas
469
Conclusions
472
Acknowledgments
472
35.
Chemotherapy for Brain
Métastases
HERBERT B. NEWTON
Introduction
475
Biology and Molecular Genetics
476
Clinical Presentation and Prognostic Factors
477
Traditional Chemotherapeutic Approaches
477
Temozolomide
480
Intra-Arteriai Treatment Approaches
482
Interstitial Chemotherapy
483
Molecular Treatment Approaches
484
Overview and Future Considerations
485
36.
The Role of Chemotherapy
in
Pediatric
Gliomas
LORNA
К.
FITZPATRICK
AND PATRICIA
К.
DUFFNER
Introduction
490
Low-Grade gliomas
491
Optic Pathway/Hypothalamic Gliomas
493
High-Grade Gliomas
494
Diffuse Intrinsic
Pontine
Gliomas
494
High-Dose Chemotherapy and Autologous Stem Cell
Rescue in
Pediatrie
Gliomas
495
Index
499 |
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index_date | 2024-07-02T14:34:49Z |
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spelling | Handbook of brain tumor chemotherapy ed. by Herbert B. Newton 1. ed. Amsterdam [u.a.] Elsevier, Acad. Press 2006 XVI, 510 S., [12] Bl. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Cerveau - Tumeurs - Chimiothérapie Brain Neoplasms drug therapy Brain Tumors Chemotherapy Chemotherapie (DE-588)4127083-6 gnd rswk-swf Hirntumor (DE-588)4072521-2 gnd rswk-swf Hirntumor (DE-588)4072521-2 s Chemotherapie (DE-588)4127083-6 s DE-604 Newton, Herbert B. Sonstige oth Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014777166&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014777166&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
spellingShingle | Handbook of brain tumor chemotherapy Cerveau - Tumeurs - Chimiothérapie Brain Neoplasms drug therapy Brain Tumors Chemotherapy Chemotherapie (DE-588)4127083-6 gnd Hirntumor (DE-588)4072521-2 gnd |
subject_GND | (DE-588)4127083-6 (DE-588)4072521-2 |
title | Handbook of brain tumor chemotherapy |
title_auth | Handbook of brain tumor chemotherapy |
title_exact_search | Handbook of brain tumor chemotherapy |
title_exact_search_txtP | Handbook of brain tumor chemotherapy |
title_full | Handbook of brain tumor chemotherapy ed. by Herbert B. Newton |
title_fullStr | Handbook of brain tumor chemotherapy ed. by Herbert B. Newton |
title_full_unstemmed | Handbook of brain tumor chemotherapy ed. by Herbert B. Newton |
title_short | Handbook of brain tumor chemotherapy |
title_sort | handbook of brain tumor chemotherapy |
topic | Cerveau - Tumeurs - Chimiothérapie Brain Neoplasms drug therapy Brain Tumors Chemotherapy Chemotherapie (DE-588)4127083-6 gnd Hirntumor (DE-588)4072521-2 gnd |
topic_facet | Cerveau - Tumeurs - Chimiothérapie Brain Neoplasms drug therapy Brain Tumors Chemotherapy Chemotherapie Hirntumor |
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