Campanella R
Department of Neurosurgery, University of Milan, Italy.
J Neurosurg Sci. 1992 Jan-Mar;36(1):11-25.
A great deal of experimental evidence shows that the growth of tumors is accompanied by significant changes at the expense of the cell surface. For the present paper, we set out to analyse the composition of membrane lipids (cholesterol, phospholipids, neutral and acidic glycosphingolipids, sulphatides) in human cerebral astrocytomas, which is a group of tumors that offer a valid model for the study of the various grades of cellular transformations in vivo. The results obtained in the present study permit us to draw a series of conclusions in relation to the malignancy grade of glial human tumors. In particular, an increase in the malignancy is accompanied by: 1) a reduction of the total lipids, a reduction that involves all the principal classes of lipids of the plasma membrane, for which it has been possible to demonstrate a correlation of an exponential nature, which is significant with the increasing of the histological grading; 2) a gradual accumulation, in the area of glycosphingolipids, of lattosylceramide and GD3, molecules that can constitute a valid marker of the malignancy grade; moreover, the glycolipid composition of astrocytomas of high degree differs from that of tumors of a low grade because of the presence of more complex glycolipids (trihexosylceramide and tetraosylceramide); 3) a gradual increase, in the area of phospholipids, of PC/PE and PC/SM ratios, indices of the microviscosity of the membrane. The data obtained suggest that the profound modifications of membrane lipids, which are gradually accompanied by a progressive increase in the malignancy of the tumor, can, on the one hand, be responsible for functional variations connected with neoplastic growth, and, on the other hand, constitute valuable biochemical parameters which are useful, together with histological studies, in the diagnosis of these tumors.
大量实验证据表明,肿瘤生长伴随着细胞表面的显著变化,且是以细胞表面为代价的。在本论文中,我们着手分析人脑星形细胞瘤中膜脂(胆固醇、磷脂、中性和酸性糖鞘脂、硫脂)的组成,星形细胞瘤是一组可为体内不同等级细胞转化研究提供有效模型的肿瘤。本研究获得的结果使我们能够就人类胶质肿瘤的恶性程度得出一系列结论。特别是,恶性程度增加伴随着:1)总脂质减少,这种减少涉及质膜所有主要脂质类别,已证明其与组织学分级增加呈指数性质的相关性,且具有显著性;2)在糖鞘脂区域,乳糖神经酰胺和GD3逐渐积累,这些分子可构成恶性程度的有效标志物;此外,高度星形细胞瘤的糖脂组成与低度肿瘤不同,因为存在更复杂的糖脂(三己糖神经酰胺和四己糖神经酰胺);3)在磷脂区域,PC/PE和PC/SM比值逐渐增加,这是膜微粘度的指标。所获得的数据表明,膜脂的深刻变化一方面可能与肿瘤生长相关的功能变化有关,另一方面与肿瘤恶性程度的逐渐增加相伴,这些变化构成了有价值的生化参数,与组织学研究一起,可用于这些肿瘤的诊断。