Lévy Pascale, Ripoche Hugues, Laurendeau Ingrid, Lazar Vladimir, Ortonne Nicolas, Parfait Béatrice, Leroy Karen, Wechsler Janine, Salmon Isabelle, Wolkenstein Pierre, Dessen Philippe, Vidaud Michel, Vidaud Dominique, Bièche Ivan
Laboratoire de Génétique Moléculaire-Institut National de la Sante et de la Recherche Medicale U745, Faculté des Sciences Pharmaceutiques et Biologiques, Université Paris V, 4 avenue de l'Observatoire, Paris, France.
Clin Cancer Res. 2007 Jan 15;13(2 Pt 1):398-407. doi: 10.1158/1078-0432.CCR-06-0182. Epub 2007 Jan 3.
Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder with a complex variety of clinical manifestations. The hallmark of NF1 is the onset of heterogeneous (dermal or plexiform) benign neurofibromas. Plexiform neurofibromas can give rise to malignant peripheral nerve sheath tumors, which are resistant to conventional therapies.
To identify new signaling pathways involved in the malignant transformation of plexiform neurofibromas, we applied a 22,000-oligonucleotide microarray approach to a series of plexiform neurofibromas and malignant peripheral nerve sheath tumors. Changes in the expression of selected genes were then confirmed by real-time quantitative reverse transcription-PCR.
We identified two tenascin gene family members that were significantly deregulated in both human NF1-associated tumors and NF1-deficient primary cells: Tenascin C (TNC) was up-regulated whereas tenascin XB (TNXB) was down-regulated during tumor progression. TNC activation is mainly due to the up-regulation of large TNC splice variants. Immunohistochemical studies showed that TNC transcripts are translated into TNC protein in TNC-overexpressing tumors. Aberrant transcriptional activation of TNC seems to be principally mediated by activator protein transcription factor complexes.
TNXB and TNC may be involved in the malignant transformation of plexiform neurofibromas. Anti-TNC antibodies, already used successfully in clinical trials to treat malignant human gliomas, may be an appropriate new therapeutic strategy for NF1.
1型神经纤维瘤病(NF1)是一种常染色体显性疾病,临床表现复杂多样。NF1的标志是出现异质性(皮肤型或丛状型)良性神经纤维瘤。丛状神经纤维瘤可发展为恶性外周神经鞘瘤,而后者对传统治疗有抗性。
为了确定参与丛状神经纤维瘤恶性转化的新信号通路,我们对一系列丛状神经纤维瘤和恶性外周神经鞘瘤应用了22,000寡核苷酸微阵列方法。然后通过实时定量逆转录PCR确认所选基因表达的变化。
我们鉴定出两个腱生蛋白基因家族成员,它们在人类NF1相关肿瘤和NF1缺陷原代细胞中均显著失调:在肿瘤进展过程中,腱生蛋白C(TNC)上调,而腱生蛋白XB(TNXB)下调。TNC的激活主要归因于大TNC剪接变体的上调。免疫组织化学研究表明,在TNC过表达的肿瘤中,TNC转录本被翻译成TNC蛋白。TNC的异常转录激活似乎主要由激活蛋白转录因子复合物介导。
TNXB和TNC可能参与丛状神经纤维瘤的恶性转化。已在治疗恶性人类胶质瘤临床试验中成功使用的抗TNC抗体,可能是NF1一种合适的新治疗策略。