Integrin-αvβ3 as a Therapeutic Target in Glioblastoma: Back to the Future?

Pharmaceutics. 2022 May 13;14(5):1053. doi: 10.3390/pharmaceutics14051053.

Abstract

Glioblastoma (GBM), the most common primary malignant brain tumor, is associated with a dismal prognosis. Standard therapies including maximal surgical resection, radiotherapy, and temozolomide chemotherapy remain poorly efficient. Improving GBM treatment modalities is, therefore, a paramount challenge for researchers and clinicians. GBMs exhibit the hallmark feature of aggressive invasion into the surrounding tissue. Among cell surface receptors involved in this process, members of the integrin family are known to be key actors of GBM invasion. Upregulation of integrins was reported in both tumor and stromal cells, making them a suitable target for innovative therapies targeting integrins in GBM patients, as their impairment disrupts tumor cell proliferation and invasive capacities. Among them, integrin-αvβ3 expression correlates with high-grade GBM. Driven by a plethora of preclinical biological studies, antagonists of αvβ3 rapidly became attractive therapeutic candidates to impair GBM tumorigenesis. In this perspective, the advent of nuclear medicine is currently one of the greatest components of the theranostic concept in both preclinical and clinical research fields. In this review, we provided an overview of αvβ3 expression in GBM to emphasize the therapeutic agents developed. Advanced current and future developments in the theranostic field targeting αvβ3 are finally discussed.

Keywords: cilengitide; glioblastoma; integrins; nuclear medicine; theranostics.

Publication types

  • Review

Grants and funding

This work was supported by the Government of the Principality of Monaco; The Fondation François Xavier Mora; The Fondation Cordon de Vie; The Fondation Flavien; The Fondation de France, The foundation Max et Yvonne De Foras.