Intrinsic brain tumors, those that originate from neural cells within the brain and spinal cord, occur more frequently in older adults and children than they do in the general population. The main feature that makes intrinsic brain tumors different from cancers arising from other organs in the body is the fact that they rarely, if ever, metastasize outside the brain. Some cells in brain tumors do, however, stop dividing long enough to migrate a few millimeters away from the parent tumor to form new intracranial tumors. The most malignant of these is called glioblastoma multiforme (GBM).
Brain tumors are the second most common cause of cancer deaths in males and females under the age of 20. After leukemia, intrinsic brain tumors are the second leading cause of cancer deaths in men between the ages of 20 and 29. They are the fifth most frequent cause of cancer deaths among females between the ages of 20 and 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.
The type of cell that gives rise to GBM is the glial cell, of which there are three types. Nerve cells lose their ability to divide once they have reached terminal differentiation. Glial cells, on the other hand, are able to divide throughout the life of the individual. Evidence from both in vivo studies in the '60s and in vitro studies in the '90s and early 21st century support the hypothesis that most, if not all, intrinsic brain tumors begin forming in the developing fetus.
Glial cells come in three different forms: microglia, astrocytes and oligodendrocytes. Of these, astrocytes and astrocytic tumors, are the most common. The nastiest, most malignant and most deadly variant of astrocytoma is the GBM, which has a median time of survival without treatment of less than five months.
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 macrophages of the central nervous system. These cells act quickly recognize and destroy foreign bodies, engulf them and present them to other cells of the immune system, called T-cells, before they get the chance to interfere with healthy brain tissue. Microglia exist in two different forms. Resting cells, which resemble tiny astrocytes, and activated microglia, which are more bloated in appearance.
Brain tumors are the second most common cause of cancer deaths in males and females under the age of 20. After leukemia, intrinsic brain tumors are the second leading cause of cancer deaths in men between the ages of 20 and 29. They are the fifth most frequent cause of cancer deaths among females between the ages of 20 and 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.
The type of cell that gives rise to GBM is the glial cell, of which there are three types. Nerve cells lose their ability to divide once they have reached terminal differentiation. Glial cells, on the other hand, are able to divide throughout the life of the individual. Evidence from both in vivo studies in the '60s and in vitro studies in the '90s and early 21st century support the hypothesis that most, if not all, intrinsic brain tumors begin forming in the developing fetus.
Glial cells come in three different forms: microglia, astrocytes and oligodendrocytes. Of these, astrocytes and astrocytic tumors, are the most common. The nastiest, most malignant and most deadly variant of astrocytoma is the GBM, which has a median time of survival without treatment of less than five months.
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 macrophages of the central nervous system. These cells act quickly recognize and destroy foreign bodies, engulf them and present them to other cells of the immune system, called T-cells, before they get the chance to interfere with healthy brain tissue. Microglia exist in two different forms. Resting cells, which resemble tiny astrocytes, and activated microglia, which are more bloated in appearance.
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