Bardot V, Dutrillaux A M, Luccioni C, Poisson M, Delattre J Y, Vega F, Dutrillaux B
CEA, DSV/DPTE/LCG, Fontenay-aux-Roses.
Rev Neurol (Paris). 1992;148(6-7):408-16.
Most chromosome aberrations in gliomas are numerical, resulting in either gains or deficiencies of whole chromosomes. In tumors of low malignancy, the karyotype is frequently normal or exhibits a loss of sex chromosome and a gain of chromosome 7. These two anomalies may not be directly related to malignancy. In the highly malignant cases, the two most frequent aberrations are the gain of chromosome 7 and the loss of chromosome 10, other anomalies such as losses or deletions of chromosomes, 9, 22, 6, 13 and 14 being detected at various frequencies. Several of these chromosomes carry important genes of adenine metabolism: AK1 and AK3 (adenylate kinase) and MTAP (methylthioadenosine phosphorylase) for chromosome 9; ADK (adenosine kinase) and mitochondrial ATPase for chromosome 10; ADSL (adenylosuccinate lyase) for chromosome 22, NP (nucleoside phosphorylase) for chromosome 14. We performed the corresponding assays of enzyme activity on both fresh tumors and tumors grafted on nude mice, which showed that these enzymes had a relatively low activity although the tumors were proliferating. However, chromosome losses do not seem to directly cause the metabolic alterations by gene dosage effect. Interestingly, chromosome 10, frequently deficient, also carries genes of importance for glycolysis (hexokinase) and glutamate metabolism (glutamate dehydrogenase and glutamate oxaloacetate transaminase). The deficiency for these genes could be taken into account for a better type of chemotherapy by antimetabolics.
神经胶质瘤中的大多数染色体畸变是数量性的,导致整条染色体的增加或缺失。在低恶性肿瘤中,核型通常正常或表现为性染色体丢失和7号染色体增加。这两种异常可能与恶性程度没有直接关系。在高恶性病例中,最常见的两种畸变是7号染色体增加和10号染色体丢失,还以不同频率检测到其他异常,如9号、22号、6号、13号和14号染色体的丢失或缺失。这些染色体中有几条携带腺嘌呤代谢的重要基因:9号染色体上的AK1和AK3(腺苷酸激酶)以及MTAP(甲硫腺苷磷酸化酶);10号染色体上的ADK(腺苷激酶)和线粒体ATP酶;22号染色体上的ADSL(腺苷琥珀酸裂解酶),14号染色体上的NP(核苷磷酸化酶)。我们对新鲜肿瘤和接种到裸鼠身上的肿瘤都进行了相应的酶活性测定,结果显示尽管肿瘤在增殖,但这些酶的活性相对较低。然而,染色体丢失似乎并不是通过基因剂量效应直接导致代谢改变。有趣的是,经常缺失的10号染色体还携带对糖酵解(己糖激酶)和谷氨酸代谢(谷氨酸脱氢酶和谷氨酸草酰乙酸转氨酶)很重要的基因。这些基因的缺失可作为考虑采用抗代谢物进行更好化疗类型的依据。