What You Should Know About Glioblastoma Multiforme

By Annabelle Holman


Primary brain tumors, those that originate in the brain, are more frequent in children and older adults. One feature that sets brain tumors apart from those arising from other tissues in the body is their inability to exit the brain to form secondary, or metastatic, tumors in other organs. They do, however, have a tendency to invade the surrounding brain to establish new tumors within the cranium. The most serious type of intrinsic brain tumor is called glioblastoma multiforme, or GBM.

Intracranial tumors are the most common cause of death by cancer in people under twenty years old. Second only to leukemia, they are the most common cause of cancer death in men aged 20-29. Neural tumors are the 5th leading cause of cancer fatalities in women aged 20-39.

GBM is rare, with only two or three new cases per 100,000 population. They account for one-fifth of all tumors inside the cranium. Because of GBM cells' ability to break away from the main tumor, migrate a few millimeters within the brain and start dividing again to form new tumors, they are impossible to completely eradicate by surgery. It's is like trying to remove all the butter from a slice of toast.

GBM starts in glial cells within the brain, the so-called "helper" cells. While nerve cells stop dividing once they achieve terminal differentiation, glial cells retain the ability to divide throughout the life of the parent organism, i. E., you and me. In vivo studies in the 1960s and in vitro research from the early 2000s seems to indicate that most, if not all, intrinsic brain tumors originate in the developing fetus.

The human brain is home to three types of glial cells: oligodendrocytes, astrocytes and microglial cells. The most numerous of these are the astrocytes, star-shaped cells. These cells give rise to tumors called astrocytomas, the most malignant of which are the GBM. The median survival time in GBM is less than five months if left untreated.

Astrocytes are characterized by their starry morphology and the presence of glial fibrillary acidic protein (GFAP). The normal function of astrocytes is to supply nutrients to nerve cells, support the vascular cells that comprise the blood brain barrier and repair damaged cells following trauma. New studies suggest that they communicate with neuronal cells by secreting glutamate, the brain's main excitatory neurotransmitter.

Other glial cells include the oligodendrocytes. These have fewer 'arms' than do astrocytes. The primary function of the oligodendrocytes is to form the myelin sheath that insulates nerve cells and accelerates the rate of neural transmission. One oligodendrocyte can insulate up to 50 separate neuronal cells. The myelin sheath is subject to attack by the immune system in the chronic and debilitation condition, multiple sclerosis (MS).

Microglia are the smallest members of the glial cell team. Their main function is to provide a rapid response to invading foreign bodies and prepare them for slaughter by T-cells. They do this by engulfing foreign matter in a process called phagocytosis. Resting microglia are the prettiest, and look like tiny astrocytes. Activated microglial cells look more bulbous with the processes less prominent.




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