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Hochhalter et al. Neuroimmunol Neuroinflammation 2017;4:96-108   Neuroimmunology and
           DOI: 10.20517/2347-8659.2017.10
                                                                                  Neuroinflammation

                                                                                                www.nnjournal.net
            Review                                                                              Open Access


           The association between human

           cytomegalovirus and glioblastomas: a review



           Christian B. Hochhalter , Christopher Carr , Brannan E. O’Neill , Marcus L. Ware , Michael J. Strong 1
                                                                                 2
                                1
                                                1
                                                                  1
           1 Department of Neurological Surgery, Tulane University School of Medicine, New Orleans, LA 70112, USA.
           2 Department of Neurological Surgery, Ochsner Clinic Foundation, New Orleans, LA 70112, USA.
           Correspondence to: Dr. Michael J. Strong, Department of Neurological Surgery, Tulane University School of Medicine, New Orleans, LA 70112,
           USA. E-mail: mstrong@tulane.edu
           How to cite this article: Hochhalter CB, Carr C, O’Neill BE, Ware ML, Strong MJ. The association between human cytomegalovirus and
           glioblastomas: a review. Neuroimmunol Neuroinflammation 2017;4:96-108.

                           Dr. Michael J. Strong recently graduated from the MD/PhD program at Tulane University School of Medicine in
                           New Orleans. He will be starting residency training in neurological surgery at the University of Michigan in Ann
                           Arbor. His dissertation project utilized next generation sequencing and bioinformatics to investigate oncogenic
                           pathogens. He has authored 30+ peer-reviewed publications. He has received numerous awards including the
                           Alpha Omega Alpha Student Research Fellowship, the Campagna Scholarship in Neurological Surgery, the
                           American Association of Neurological Surgeons Young Neurosurgeons Committee Mission Fellowship, and the
                           National Institutes of Health National Research Service Award F30 Predoctoral Fellowship.
                                         ABSTRACT

            Article history:              Human cytomegalovirus (HCMV) was reported in glioblastoma multiforme (GBM) over a
            Received: 17-02-2017          decade ago and this finding has the potential to increase our understanding of the disease and it
            Accepted: 23-05-2017          offers an alternative tumor-specific therapeutic target. Due of this promise, there is a fair amount
            Published: 16-06-2017         of time, energy and money being directed towards understanding and utilizing this connection
                                          for eventual therapeutic purposes. Nevertheless, the association between GBM and HCMV
            Key words:                    remains controversial. Several studies have reported conflicting results, further undermining
            Human cytomegalovirus,        the potential clinical value of this association. In this review, the authors will discuss the latest
            cytomegalovirus,              developments on this evolving issue. Specifically, the results of the latest studies, both positive
            gliomas,                      and  negative,  will  be  discussed. Furthermore,  potential  theories  to  explain  discrepancies
            glioblastoma multiforme,      reported in the literature will be proposed. Clinical implications including potential targets
            immunotherapy,                for anti-HCMV therapy and the latest developments in anti-HCMV therapy will be presented.
            brain tumors,                 Finally, solutions to remedy this controversial issue in neuro-oncology will be offered.
            next generation sequencing


           INTRODUCTION                                       malignant primary brain tumor in adults. An estimated
                                                              26,070 new cases of primary malignant brain and
           Glioblastoma multiforme (GBM) is the most common   central  nervous  system  (CNS)  tumors  are  expected

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