Yao Kevin C, Komata Tadashi, Kondo Yasuko, Kanzawa Takao, Kondo Seiji, Germano Isabelle M
Department of Neurosurgery, Mount Sinai School of Medicine, New York, New York, USA.
J Neurosurg. 2003 Feb;98(2):378-84. doi: 10.3171/jns.2003.98.2.0378.
Ionizing radiation is the gold-standard adjuvant treatment for glioblastoma multiforme (GBM), the most aggressive primary brain tumor. The mechanisms underlying neoplastic glial cell growth inhibition after administration of ionizing radiation, however, remain largely unknown. In this report, the authors characterize the response of GBM cells to ionizing radiation and elucidate factors that correlate with the radiosensitivity of these tumors.
Six human GBM cell lines were subjected to increasing doses of radiation. Each demonstrated a dose-dependent suppression of cell proliferation. In the most radiosensitive cell line, the authors demonstrated a transient increase in the expression of the cyclin-dependent kinase inhibitors (CDKIs) p21 and p27, which corresponded with a G1 cell-cycle arrest. In contrast, the most radioresistant cell line demonstrated a decrease in p21 and p27 expression levels, which correlated with a failure to arrest. Apoptosis did not occur in any cell line following irradiation. Instead, autophagic cell changes were observed following administration of radiation, regardless of the relative radiosensitivity of the cell line.
These findings elucidate some of the molecular responses of GBMs to irradiation and suggest novel targets for future therapy.
电离辐射是多形性胶质母细胞瘤(GBM)——最具侵袭性的原发性脑肿瘤——的金标准辅助治疗方法。然而,给予电离辐射后肿瘤性胶质细胞生长抑制的潜在机制仍 largely 未知。在本报告中,作者描述了GBM细胞对电离辐射的反应,并阐明了与这些肿瘤放射敏感性相关的因素。
六种人GBM细胞系接受递增剂量的辐射。每种细胞系均表现出剂量依赖性的细胞增殖抑制。在放射敏感性最高的细胞系中,作者证明细胞周期蛋白依赖性激酶抑制剂(CDKIs)p21和p27的表达短暂增加,这与G1期细胞周期停滞相对应。相反,放射抗性最强的细胞系显示p21和p27表达水平降低,这与未能停滞相关。照射后任何细胞系均未发生凋亡。相反,无论细胞系的相对放射敏感性如何,给予辐射后均观察到自噬性细胞变化。
这些发现阐明了GBM对辐射的一些分子反应,并为未来治疗提出了新的靶点。