Aug 2026· Brain and Behavior· Vol 16· 0 citations· 238 references
Medicine
TL;DR
The use of molecular diagnostics, including biomarkers, genetic profiling, and advanced imaging, has significantly improved early identification and patient stratification, and the combination of natural compounds shows potential for creating safe, effective, and pathway‐specific treatments for GBM.
Abstract
ABSTRACT Purpose Glioblastoma (GBM), the most aggressive and common primary brain tumor in adults, has a poor prognosis, rapid growth, and resistance to treatment. Abnormal activation of signaling pathways like PI3K/AKT/mTOR, MAPK/ERK, JAK/STAT, Wnt/β‐catenin, NF‐κB, and Notch facilitates uncontrolled proliferation, angiogenesis, invasion, and immune evasion. Conventional treatments are insufficient in modifying complex networks, necessitating the urgent need for novel multitargeted treatments. Natural compounds are increasingly being considered as potential treatments for GBM due to their ability to control multiple oncogenic pathways simultaneously and their lower toxicity compared to synthetic medicines. This review provides an integrated and translational perspective on GBM, differing from past reviews that focused on the anticancer effects of individual phytochemicals or specific signaling pathways. We discussed the relationship between natural compounds and key oncogenic signaling networks, focusing on GBM pathogenesis, blood–brain barrier penetration, nanotechnology‐assisted delivery, and strategies combining standard therapies. Furthermore, this review critically distinguished in vitro, in vivo, and clinical evidence, focusing on bioavailability challenges, ongoing clinical trials, and future opportunities in precision oncology. Method To ensure the inclusion of the most appropriate articles in this review, an in‐depth search was carried out on prominent medical, biological, and chemical databases, including Scopus, PubMed, and Web of Science. The search strategy employed combinations of Medical Subject Headings and Boolean operators, focusing on terms related to glioblastoma, natural compounds, and various molecular mechanisms involved in drug delivery, clinical trials, and diagnosis. Finding These natural compounds demonstrated potential in preclinical GBM models for inducing apoptosis, suppressing angiogenesis, modulating oxidative stress, and enhancing chemosensitivity. Additionally, some natural compounds can cross the blood–brain barrier, thereby increasing their translational significance. The use of molecular diagnostics, including biomarkers, genetic profiling, and advanced imaging, has significantly improved early identification and patient stratification. Specific compounds with strong translational potential, such as curcumin, resveratrol, EGCG, quercetin, berberine, and luteolin, are highlighted along with their main molecular targets and therapeutic effects. The integration of natural compounds into precision‐based therapy approaches has been made possible. Conclusion Future research aims to combine molecular diagnostics with phytochemical therapies, validate clinical trial outcomes, and enhance bioavailability with nanotechnology delivery systems. The combination of natural compounds shows potential for creating safe, effective, and pathway‐specific treatments for GBM.
A narrative review summarizes the major signaling pathways implicated in GBM pathogenesis, including EGFR, PI3K/AKT/mTOR, Wnt, and TGF-β signaling, while also discussing emerging therapeutic targets such as FGFR3–TACC3 fusions, regorafenib, and natural killer cell-based immunotherapy.
OBJECTIVES
Glioblastoma (GBM) is a highly aggressive brain cancer characterized by rapid growth, extensive infiltration, significant molecular diversity, and notable resistance to standard treatments, resulting in a poor prognosis for patients. This emphasizes the necessity for innovative therapeutic strategies based on novel mechanisms.
KEY FINDINGS
GBM tumorigenesis, glioma stem cell maintenance, immunological evasion, and treatment resistance are significantly influenced by the abnormal activation of various oncogenic signaling pathways, such as PI3K/Akt/mTOR, JAK/STAT, NF-κB, MAPK, Wnt/β-catenin, and receptor tyrosine kinases like EGFR and Axl. Phytochemicals such as quercetin, curcumin, resveratrol, and epigallocatechin gallate influence crucial signaling pathways in GBM by inhibiting specific pathways, inducing apoptosis and autophagy, suppressing glioma stemness, and modifying the tumor microenvironment. Furthermore, nano-based delivery systems such as dendrimers, lipid-based nanocarriers, polymeric nanoparticles, and biomimetic exosome-inspired systems enhance stability, bioavailability, and targeted delivery, thereby improving therapeutic efficacy.
SUMMARY
This review i) explores the potential of phytochemicals in targeting these pathways, ii) summarizes current evidence on phytochemicalmediated modulation of dysregulated signaling pathways in GBM, and iii) highlights emerging nanobased delivery strategies to improve therapeutic efficacy. Overall, phytochemical modulation of signaling pathways paired with nano-based drug delivery shows potential for enhancing treatment efficacy in GBM.
Md. Rezaul Islam, Abdur Rauf, Hanan A. Ogaly et al.· The Journal of pharmacy and...· 0 citations
Glioblastoma (GBM) is the most aggressive primary brain malignancy in adults, which remains difficult to treat because of extensive intratumoral heterogeneity, intrinsic and acquired treatment resistance, a profoundly immunosuppressive tumor microenvironment (TME), and restricted drug delivery across the blood–brain barrier (BBB). Owing to their relatively low molecular mass, potential for BBB penetration, and ability to modulate multiple targets, natural and synthetic compounds have attracted increasing interest as candidates for GBM treatment. This narrative review summarizes the mechanisms by which naturally derived compounds—including saponins, flavonoids, and sesquiterpene lactones—and synthetic small molecules exert anti-GBM effects on tumor and the TME. Their reported actions include suppressing key prosurvival pathways, such as the phosphoinositide 3-kinase/protein kinase B/mechanistic target of rapamycin (PI3K/AKT/mTOR), nuclear factor kappa B (NF-κB), and mutant p53 signaling; activating regulated cell-death processes, including apoptosis, pyroptosis, and parthanatos, as well as autophagy-associated cell death; and remodeling the tumor immune milieu to promote CD8+ T-cell infiltration. In preclinical models, some of these agents also overcome temozolomide (TMZ) resistance and resensitize glioma stem cells (GSCs) to chemotherapy or radiotherapy. Future studies should prioritize molecularly informed patient stratification, rational combination strategies, and advanced nanocarrier-mediated delivery platforms to facilitate the clinical translation of small-molecule therapeutics for GBM.
Bing-Xia Huang, Yan Wang· International Journal of Mol...· 0 citations
Rational combination strategies are outlined that simultaneously target the RAS/MAPK axis and key TME vulnerabilities, such as immunotherapy combinations, CAF reprogramming, and ECM normalization, to overcome stromal-mediated resistance and achieve deeper, more sustained clinical responses.
Wen-Hao Ma, Xing-Yu Guo, Xiu-Ting Liu· Cancer Advances· 0 citations
This comprehensive review highlights BMBC resistance mechanisms, drawing from preclinical models, clinical studies, and genomic analyses, and highlights the potential for personalized, multi-targeted approaches to improve patient outcomes in BMBC.
Paromita Sarker, Shreyas S. Rao· Biochimica et biophysica act...· 0 citations
Prostate cancer (PCa) is a major malignancy in men and current treatment options remain limited by therapeutic resistance and treatment-related toxicity. Signal transducer and activator of transcription 3 (STAT3) is a key regulator of PCa progression and an attractive therapeutic target. Natural products provide diverse chemical scaffolds for the discovery of STAT3-targeting agents. This review summarizes natural product-derived compounds that modulate STAT3 signaling in PCa, with a focus on their mechanisms of action, structure-activity relationships, target engagement evidence and translational potential. The reviewed compounds regulate STAT3 signaling through diverse mechanisms, including modulation of upstream kinases, inhibition of STAT3 phosphorylation and nuclear translocation and suppression of STAT3-dependent transcription, thereby affecting PCa cell proliferation, apoptosis, invasion and metastasis. Importantly, the strength of mechanistic evidence varies substantially among compounds, with only a subset supported by direct target engagement approaches, whereas others rely primarily on pathway-level assays or computational predictions. Structural optimization may improve target engagement and selectivity as well as key pharmacological properties, thereby further enhancing their therapeutic potential. However, limited bioavailability, multi-target effects, insufficient in vivo validation and scarce clinical evidence remain major barriers to translation. Overall, natural product-derived STAT3 modulators represent promising leads for PCa therapy, but further rigorous target validation and pharmacological optimization are needed to facilitate their clinical advancement.