Samadani Uzma, Judkins Alexander R, Akpalu Albert, Aronica Eleonora, Crino Peter B
Department of Neurosurgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA.
Epilepsia. 2007 Apr;48(4):646-53. doi: 10.1111/j.1528-1167.2007.00925.x.
Gangliogliomas (GGs) are neuronal-glial tumors highly associated with epilepsy. We hypothesized that the expression of select gene families including neurotransmitter receptor subunits and growth factors would be distinct in neurons and astrocytes within GG compared with adjacent cortex and that these changes would yield insights into seizure onset and lesion formation.
Candidate gene expression was defined in single immunohistochemically labeled neurons and astrocytes microdissected from GG specimens compared with neurons and astrocytes microdissected from morphologically intact cortex adjacent to the GG or normal control cortex.
Differential expression of 16 genes including glutamate transporter (EAAC1) and receptor (NMDA2C, mGluR5), growth factor (hepatocyte growth factor), and receptor (platelet derived growth factor receptor beta, fibroblast growth factor receptor 3) mRNAs was detected in GG neurons compared with control neurons. In astrocytes, altered expression of p75NGF, mGluR3, TGFbeta3 and Glt-1 mRNAs was detected. Nestin mRNA, a gene that exhibits enhanced expression in balloon cell cortical dysplasia, was increased in GG neurons. Because of the morphological similarities between GG and cortical dysplasia, we show that there is activation of the mTOR cascade in GG as evidenced by enhanced expression of phospho-p70S6kinase and phosphoribosomal S6 proteins.
We find differential candidate gene expression in neurons and astrocytes in GG compared with adjacent cortex and show that there is activation of the mTOR pathway. These changes highlight pathways that may be pivotal for epileptogenesis and lesion growth.
神经节胶质瘤(GGs)是与癫痫高度相关的神经元-胶质细胞瘤。我们推测,与相邻皮质相比,GG内神经元和星形胶质细胞中包括神经递质受体亚基和生长因子在内的特定基因家族的表达会有所不同,并且这些变化将有助于深入了解癫痫发作的起始和病变形成。
与从GG相邻的形态完整的皮质或正常对照皮质中显微切割得到的神经元和星形胶质细胞相比,在从GG标本中显微切割得到的单个免疫组化标记的神经元和星形胶质细胞中定义候选基因表达。
与对照神经元相比,在GG神经元中检测到16种基因的差异表达,包括谷氨酸转运体(EAAC1)和受体(NMDA2C、mGluR5)、生长因子(肝细胞生长因子)以及受体(血小板衍生生长因子受体β、成纤维细胞生长因子受体3)的mRNA。在星形胶质细胞中,检测到p75NGF、mGluR3、TGFβ3和Glt-1 mRNA的表达改变。巢蛋白mRNA(一种在气球样细胞皮质发育异常中表达增强的基因)在GG神经元中增加。由于GG与皮质发育异常在形态上相似,我们发现GG中mTOR级联反应被激活,磷酸化的p70S6激酶和磷酸化核糖体S6蛋白表达增强证明了这一点。
我们发现与相邻皮质相比,GG中神经元和星形胶质细胞的候选基因表达存在差异,并表明mTOR途径被激活。这些变化突出了可能对癫痫发生和病变生长至关重要的途径。