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BPC-157: The Science & Evidence Handbook: Mechanisms, Molecular Pathways, Preclinical Research, Human Evidence, Potential Benefits, Risks, and What Science ... (The Peptide Science & Evidence Series) eBook : Connolly, Logan Kindle
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Introduction Brain Tumors and Metastases The term ‘brain tumors’ refers to a mixed group of neoplasms growing inside the central nervous system (CNS) ( In adults, the global age-standardized rate of primary brain tumors is approximately 6.8 per 100,000, with the highest rates seen in Europe ( The only established treatment for high-grade astrocytomas consists of maximal surgical resection of the tumor, followed by concurrent radiation and chemotherapy with temozolomide (TMZ), prolonging the median survival by only four months ( In children, brain tumors represent the second most common cancer, comprising approximately 24% of all pediatric malignancies ( Metastatic tumors are the most frequent type of intracranial tumor in adults, with reported incidence rates between 2-14 persons per 100,000 population ( The Blood-Brain Barrier—A Significant Challenge Chemotherapeutic treatments for primary and metastatic brain tumors are limited by the reduced BBB penetration of the existing anticancer agents ( The BBB is comprised of a functionally complex, tightly regulated neurovascular unit that includes endothelial cells, pericytes and astrocytic end feet ( Overcoming the Blood-Brain Barrier A number of strategies have been investigated to overcome the limitations of the BBB in the treatment of brain cancers: the first is to bypass the BBB, the second is to increase its permeability, and the third is to use carrier molecules that are permeable to the BBB ( Bypassing the Blood-Brain Barrier: Intraventricular Infusion and Intracerebral Implants Intraventricular infusion and intracerebral implants are the main strategies used to bypass the BBB ( Tumor Treating Fields (TTFields), developed by Novocure, is a non-invasive, loco-regional anti-mitotic treatment which uses alternating electric fields in the intermediate frequency range (200 kHz) to disrupt cancer cell division with minimal systemic toxicity ( Increasing the Permeability of the Blood-Brain Barrier To overcome the limitations of the BBB, several approaches to physically and chemically disrupt the barrier have been developed
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