Background:
In adults, the most lethal and frequent primary brain tumor is glioblastoma. Despite
multimodal aggressive therapies, the median survival time after diagnosis is around 15 months. In part, this is
due to the blood-brain barrier that restricts common treatments (e.g., chemotherapy). Unfortunately, glioma
recurs in 90% of patients. New therapeutic strategies against glioma are urgently required. Substance P (SP),
through the neurokinin (NK)-1 receptor, controls cancer cell proliferation by activating c-myc, mitogenactivated
protein kinases, activator protein 1 and extracellular signal-regulated kinases 1 and 2. Glioma cells
overexpress NK-1 receptors when compared with normal cells. The NK-1 receptor/SP system regulates the
proliferation/migration of glioma cells and stimulates angiogenesis, triggering inflammation which contributes
to glioma progression. In glioma cells, SP favors glycogen breakdown, essential for glycolysis. By contrast, in
glioma, NK-1 receptor antagonists block the proliferation of tumor cells and the breakdown of glycogen and
also promote the death (apoptosis) of these cells. These antagonists also inhibit angiogenesis and exert antimetastatic
and anti-inflammatory actions.
Objective:
This review updates the involvement of the NK-1 receptor/SP system in the development of glioma
and the potential clinical application of NK-1 receptor antagonists as antiglioma agents.
Conclusion:
The NK-1 receptor plays a crucial role in glioma and NK-1 receptor antagonists could be used as
anti-glioma drugs.