Aug 2026· Brain and Behavior· Vol 16· 0 citations· 238 references
Medicine
TL;DR
The use of molecular diagnostics, including biomarkers, genetic profiling, and advanced imaging, has significantly improved early identification and patient stratification, and the combination of natural compounds shows potential for creating safe, effective, and pathway‐specific treatments for GBM.
Abstract
Glioblastoma (GBM), the most aggressive and common primary brain tumor in adults, has a poor prognosis, rapid growth, and resistance to treatment. Abnormal activation of signaling pathways like PI3K/AKT/mTOR, MAPK/ERK, JAK/STAT, Wnt/β‐catenin, NF‐κB, and Notch facilitates uncontrolled proliferation, angiogenesis, invasion, and immune evasion. Conventional treatments are insufficient in modifying complex networks, necessitating the urgent need for novel multitargeted treatments. Natural compounds are increasingly being considered as potential treatments for GBM due to their ability to control multiple oncogenic pathways simultaneously and their lower toxicity compared to synthetic medicines. This review provides an integrated and translational perspective on GBM, differing from past reviews that focused on the anticancer effects of individual phytochemicals or specific signaling pathways. We discussed the relationship between natural compounds and key oncogenic signaling networks, focusing on GBM pathogenesis, blood–brain barrier penetration, nanotechnology‐assisted delivery, and strategies combining standard therapies. Furthermore, this review critically distinguished in vitro, in vivo, and clinical evidence, focusing on bioavailability challenges, ongoing clinical trials, and future opportunities in precision oncology.
A narrative review summarizes the major signaling pathways implicated in GBM pathogenesis, including EGFR, PI3K/AKT/mTOR, Wnt, and TGF-β signaling, while also discussing emerging therapeutic targets such as FGFR3–TACC3 fusions, regorafenib, and natural killer cell-based immunotherapy.
Future studies should prioritize molecularly informed patient stratification, rational combination strategies, and advanced nanocarrier-mediated delivery platforms to facilitate the clinical translation of small-molecule therapeutics for GBM.
Bing-Xia Huang, Yan Wang· International Journal of Mol...· 0 citations
Rational combination strategies are outlined that simultaneously target the RAS/MAPK axis and key TME vulnerabilities, such as immunotherapy combinations, CAF reprogramming, and ECM normalization, to overcome stromal-mediated resistance and achieve deeper, more sustained clinical responses.
Wen-Hao Ma, Xing-Yu Guo, Xiu-Ting Liu· Cancer Advances· 0 citations
This comprehensive review highlights BMBC resistance mechanisms, drawing from preclinical models, clinical studies, and genomic analyses, and highlights the potential for personalized, multi-targeted approaches to improve patient outcomes in BMBC.
Paromita Sarker, Shreyas S. Rao· Biochimica et biophysica act...· 0 citations
Overall, natural product-derived STAT3 modulators represent promising leads for PCa therapy, but further rigorous target validation and pharmacological optimization are needed to facilitate their clinical advancement.