Conclusion
We have highlighted here only the very small number of proteases which are known to be involved in gliomas. The astonishing large number of proteases which have not so far been characterized in brain tumors suggest these may also be critical in the pathophysiology of brain tumors. Most of the work herein described is largely descriptive and there are a small number of studies that use either genetic manipulation or specific inhibitors of protease function to clarify their contributions. A great deal of work needs to be done to clarify their roles but preliminary approaches are therapeutically promising and already some protease inhibitors are in clinical trials. Therapeutic approaches which use protease manipulation as potential treatment need to take into account interplay between the various proteases here which may lead to several unintended effects. Finally it is likely that none of these approaches to protease manipulation alone would be entirely effective as treatments in brain tumors and these would need to be combined which other conventional agents approaches such as surgery, radiation and chemotherapy. In spite of these cautionary comments this manipulation of proteases offer a very exciting new avenue of treatment to a group of patients who are desperately in need of better therapies.
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Forsyth, P.A., Edwards, D.R., LaFleur, M.A., Yong, V.W. (2002). Proteases and Their Inhibitors in Gliomas. In: Lajtha, A., Banik, N.L. (eds) Role of Proteases in the Pathophysiology of Neurodegenerative Diseases. Springer, Boston, MA. https://doi.org/10.1007/0-306-46847-6_16
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