Marine-Derived Therapeutics for the Management of Glioblastoma: A Case Series and Comprehensive Review of the Literature

Introduction: Glioblastoma is a fatal intracranial neoplasm that is refractory to treatment, with inevitable disease recurrence and progression to death. Marine-derived compounds, including those found in nutraceutical products, may provide therapeutic benefit in the setting of glioblastoma. We pres...

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Main Authors: Nishika Karbhari, Simon Khagi
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Onco
Subjects:
Online Access:https://www.mdpi.com/2673-7523/4/4/26
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author Nishika Karbhari
Simon Khagi
author_facet Nishika Karbhari
Simon Khagi
author_sort Nishika Karbhari
collection DOAJ
description Introduction: Glioblastoma is a fatal intracranial neoplasm that is refractory to treatment, with inevitable disease recurrence and progression to death. Marine-derived compounds, including those found in nutraceutical products, may provide therapeutic benefit in the setting of glioblastoma. We present two patient cases whose courses demonstrate a compelling role for marine-derived products in the management of glioblastoma. Cases: Case 1 describes a patient with <i>MGMT</i> promoter unmethylated glioblastoma who went on to complete standard of care chemoradiation along with concurrent use of a majority sea cucumber (MSC) blend known as SeaCare<sup>®</sup> (SeaCare, Torrington, CT, USA). Her survival of over 2 years significantly exceeds the recognized median survival time of glioblastoma. Case 2 describes a patient with a complicated course who experienced dramatic improvement after the initiation of the MSC blend, with an exceptional survival time of over 4 years post-diagnosis. Discussion: The mechanisms of marine-derived products that underlie these dramatic clinical effects are likely multifaceted but may hinge on the modification of the tumor immune microenvironment and suppression of tumorigenic effects. Specifically, the change in tumor-associated macrophages (TAMs) within the tumor microenvironment is central to this complex interplay. Conclusions: Ultimately, the use of marine products in the treatment of glioblastoma may present a novel and promising therapeutic strategy that warrants further investigation.
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spelling doaj-art-b7b2950d9a2c47f2967a320c01353ad02025-08-20T02:57:28ZengMDPI AGOnco2673-75232024-11-014436938010.3390/onco4040026Marine-Derived Therapeutics for the Management of Glioblastoma: A Case Series and Comprehensive Review of the LiteratureNishika Karbhari0Simon Khagi1Department of Neurology, Mayo Clinic, Rochester, MN 55905, USAHoag Family Cancer Institute, Newport Beach, CA 92663, USAIntroduction: Glioblastoma is a fatal intracranial neoplasm that is refractory to treatment, with inevitable disease recurrence and progression to death. Marine-derived compounds, including those found in nutraceutical products, may provide therapeutic benefit in the setting of glioblastoma. We present two patient cases whose courses demonstrate a compelling role for marine-derived products in the management of glioblastoma. Cases: Case 1 describes a patient with <i>MGMT</i> promoter unmethylated glioblastoma who went on to complete standard of care chemoradiation along with concurrent use of a majority sea cucumber (MSC) blend known as SeaCare<sup>®</sup> (SeaCare, Torrington, CT, USA). Her survival of over 2 years significantly exceeds the recognized median survival time of glioblastoma. Case 2 describes a patient with a complicated course who experienced dramatic improvement after the initiation of the MSC blend, with an exceptional survival time of over 4 years post-diagnosis. Discussion: The mechanisms of marine-derived products that underlie these dramatic clinical effects are likely multifaceted but may hinge on the modification of the tumor immune microenvironment and suppression of tumorigenic effects. Specifically, the change in tumor-associated macrophages (TAMs) within the tumor microenvironment is central to this complex interplay. Conclusions: Ultimately, the use of marine products in the treatment of glioblastoma may present a novel and promising therapeutic strategy that warrants further investigation.https://www.mdpi.com/2673-7523/4/4/26glioblastomamicroenvironmenttumor-associated macrophagemarine derivedsea cucumberseagrass
spellingShingle Nishika Karbhari
Simon Khagi
Marine-Derived Therapeutics for the Management of Glioblastoma: A Case Series and Comprehensive Review of the Literature
Onco
glioblastoma
microenvironment
tumor-associated macrophage
marine derived
sea cucumber
seagrass
title Marine-Derived Therapeutics for the Management of Glioblastoma: A Case Series and Comprehensive Review of the Literature
title_full Marine-Derived Therapeutics for the Management of Glioblastoma: A Case Series and Comprehensive Review of the Literature
title_fullStr Marine-Derived Therapeutics for the Management of Glioblastoma: A Case Series and Comprehensive Review of the Literature
title_full_unstemmed Marine-Derived Therapeutics for the Management of Glioblastoma: A Case Series and Comprehensive Review of the Literature
title_short Marine-Derived Therapeutics for the Management of Glioblastoma: A Case Series and Comprehensive Review of the Literature
title_sort marine derived therapeutics for the management of glioblastoma a case series and comprehensive review of the literature
topic glioblastoma
microenvironment
tumor-associated macrophage
marine derived
sea cucumber
seagrass
url https://www.mdpi.com/2673-7523/4/4/26
work_keys_str_mv AT nishikakarbhari marinederivedtherapeuticsforthemanagementofglioblastomaacaseseriesandcomprehensivereviewoftheliterature
AT simonkhagi marinederivedtherapeuticsforthemanagementofglioblastomaacaseseriesandcomprehensivereviewoftheliterature