A sensitization by VPA of human being glioma cells to TMZ and irradiation was just reported recently 
A sensitization by VPA of human being glioma cells to TMZ and irradiation was just reported recently . The tumor suppressor gene plays a major role in the regulation of cellular stress responses. RT induced a G2 cell cycle arrest, but only in the case of U87MG, TMZ and/or VPA only resulted in this cell cycle block. Further, fractionated RT significantly improved the number of apoptotic and necrotic tumor cells in all three cell lines. However, only in U87MG, the treatment with TMZ and/or VPA only, or in combination with fractionated RT, induced significantly more cell death compared to untreated or irradiated settings. While necrotic glioblastoma cells were present after VPA, TMZ especially led to significantly increased amounts of U87MG cells in the radiosensitive G2 cell cycle phase. While CT did not impact on the release of Hsp70, fractionated RT resulted in significantly improved extracellular concentrations of Hsp70 in p53 mutated and WT glioblastoma cells. Conclusions Our results indicate that fractionated RT is the main Lactacystin stimulus for Lactacystin induction of glioblastoma cell death forms with immunogenic potential. The generated tumor cell microenvironment might be beneficial to include immune therapies for GBM in the future. experiments, TMZ is definitely capable of inducing cell cycle arrest in the G2/M phase , senescence , apoptosis , or autophagy  in glioma cells. Data about the release of danger signals and the loss of the tumor cell membrane integrity, characteristic for main and secondary necrotic cells, are still lacking. Epileptic seizures are common in 30 to 50% of GBM individuals . Patients receiving valproic acid (VPA) as anticonvulsant during TMZ centered radiotherapy have a better outcome than individuals treated with additional antiepileptic medicines (AED) or not receiving any AED . VPA can be given orally and also crosses the blood-brain barrier . Levels in the brain reach about 7 to 28% of the serum/plasma concentration, which ranges between 20-100?g/ml in epilepsy individuals . Furthermore, VPA is an effective histone deacetylase (HDAC) inhibitor . It induces growth arrest, apoptosis, senescence, and autophagy in medullablastoma and glioma cells [17,18]. A sensitization by VPA of human being glioma cells to TMZ and irradiation was just reported recently . The tumor suppressor gene takes on a major part in the rules of cellular stress responses. In non-malignant cells the p53 protein has a short half-life time and is indicated at low levels. However, its protein level raises after exposure to stress stimuli like ionizing radiation, genotoxic DNA-damaging providers or hypoxia, thereby modulating cell cycle, DNA restoration, apoptosis, senescence, cellular differentiation, rate of metabolism, angiogenesis and immune response. Nevertheless, the function of p53 is definitely often modified or impaired due to Itga2 mutations after neoplastic transformation. Mutations in have been seen in 25-30% of main GBM [20,21]. The incidence of p53 mutations in glioma cell lines is similar to the primary tumor . Several established human being GBM cell lines with crazy type (WT, e.g. in U87MG) or mutant p53 (e.g. in T98G, U251MG, U138MG, A-172) exist for studying the effect of p53 in malignancy treatment . The contribution of the immune system in eliminating small tumor masses, recurrent tumors or metastases has become progressively obvious [24,25]. Chemotherapeutic providers and -irradiation induce DNA damage, which leads to cell cycle arrest and proliferation quit. Irreparable damages result in the induction of senescence or Lactacystin unique forms of cell death [26,27]. The two main cell death forms are apoptosis and necrosis. In contrast to necrotic cells, apoptotic cells are usually non-inflammatory and even anti-inflammatory, because of their maintenance of the plasma membrane integrity and swift clearance by macrophages. However, some chemotherapeutic providers, like anthracyclines and oxaliplatin, as well as ionizing irradiation are capable of inducing immunogenic forms of apoptotic cell death . Because of the loss of membrane integrity, necrotic cell death leads, besides.