Ganciclovir as a potential treatment for glioma: a systematic review and meta-analysis.

BACKGROUND: Glioma is a challenging malignant tumor with a low survival rate and no effective treatment. Recently, ganciclovir, an antiviral drug, combined with gene therapy and its own antiviral ability, has been proposed as a potential treatment for glioma. However, there are differences in the results of various clinical trials. In this study, we conducted a systematic review and meta-analysis to evaluate the efficacy of ganciclovir in treating glioma. METHODS: We searched databases such as PubMed, EMBASE, and Cochrane Library before March 30, 2023. The search terms included glioma, ganciclovir, valganciclovir and treatment. Calculated 1, 2 and 4-year survival rate by risk difference (RD), and overall survival (OS) by odds ratio (OR). RESULTS: Five randomized controlled trials (RCTs) with a total of 606 high-grade glioma patients were included. The results showed that ganciclovir can improve 2-yeaer (RD = 0.179, 95% CI 0.012-0.346, P = 0.036) and 4-year survival rate (RD = 0.185, 95% CI 0.069-0.3, P = 0.002) and OS (OR 2.393, 95% CI 1.212-4.728, P = 0.012) compared with the control group. CONCLUSIONS: This meta-analysis showed that ganciclovir significantly improved the prognosis of glioma patients. Therefore, we suggest that more cases of ganciclovir as a glioma treatment can be conducted, or a large clinical trial can be designed.

Effects of dissolved inorganic carbon and nutrient levels on carbon fixation and properties of Thermosynechococcus sp. in a continuous system.

The concept of CO(2) chemo-absorption by sodium hydroxide in a wet scrubber followed by microalgae cultivation was used as a means to reduce the major greenhouse gas. A thermophilic and alkaline tolerable cyanobacterium named Thermosynechococcus CL-1 (TCL-1) was cultivated in continuous system, with a carbonate-bicarbonate buffer as carbon source. The effects of dissolved inorganic carbon (DIC(in)) and nutrient levels in influent on cell mass productivity, DIC removal efficiency, and alkaline solution regeneration by TCL-1 were investigated. The results show the highest cell mass productivity reaches 1.7 g L(-1)d(-1) under the highest DIC and nutrients level. Conversely, the best regeneration of alkaline solution proceeds from pH 9.5 to 11.3 under the lowest level. In addition, the highest ΔDIC (DIC consumption) and DIC removal efficiency are 42 mM and 43% at 113.2 and 57 mM DIC(in), respectively.