Drug resistance in glioblastoma: Challenges, mechanisms and therapeutic strategies (Review). (PubMed, Mol Clin Oncol)
Chemotherapy resistance in GBM, particularly to temozolomide, is driven by factors such as O6-methylguanine-DNA methyltransferase upregulation, defective mismatch repair, hypoxia-induced gene expression and activation of several signaling pathways, such as the NF-κB, Hippo and Wnt pathways...Robust patient stratification and biomarker-driven interventions are critical for tailoring therapies and improving outcomes. The present review highlights the urgent need for innovative, multidisciplinary approaches to address the complexity of GBM resistance and advance therapeutic strategies for this lethal disease.