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β-catenin 和 Gli1 是胶质母细胞瘤的预后标志物。

β-catenin and Gli1 are prognostic markers in glioblastoma.

机构信息

Siena Biotech S.p.A., Italy.

出版信息

Cancer Biol Ther. 2011 Apr 15;11(8):753-61. doi: 10.4161/cbt.11.8.14894.

Abstract

Glioblastomas (GBMs), the most common primary malignancies of the central nervous system, are highly aggressive and heterogeneous, and remain a dramatic therapeutic challenge. Markers mirroring the complex molecular profile of GBMs that are predictive of patient outcomes are needed to define novel multi-targeted treatment strategies. Resistance to current GBM therapies is partly due to a subpopulation of stem-like and other self-renewing cells (hereafter called glioma stem-like cancer cells, GSCC), which are therefore of key interest as therapeutic entry points. Wnt and Hedgehog are among the main pathways involved in GSCC renewal. β-catenin and Gli1 are markers of Wnt and Hedgehog activation respectively and both pathways are known to be altered in gliomas. To date, there are no investigations of Gli1 protein expression in GBM tissue, and recently a high expression of β-catenin has been found to have a poor prognostic impact in GBM patients in a study. We have therefore quantified the positivity for β-catenin, Gli1, as well as Ki-67, p53, and EGFR proteins on immunohistochemically-stained GBM sections from 106 patients in an investigation for potential predictive biomarkers. Correlation between these markers and survival was evaluated by pair-wise Pearson correlation coefficient and by bi-dimensional hierarchical clustering, followed by survival estimations using linear regression models and classification trees. We demonstrated that both β-catenin and, for the first time, Gli1 proteins are highly predictive markers of short survival, being found in 75 and 90% of the highly predictive trees, respectively, whereas Ki-67, p53 and EGFR were under 30% and thus, not considered as predictive. Our results indicate a role of β-catenin and Gli1 in GBM malignant behaviour, and suggest that inhibiting members of Wnt and Hedgehog pathways could be a valuable therapeutic strategy for GBM patients.

摘要

胶质母细胞瘤(GBM)是中枢神经系统最常见的原发性恶性肿瘤,其侵袭性和异质性很高,仍然是一个极具挑战性的治疗难题。需要有反映 GBM 复杂分子谱且能预测患者预后的标志物,以确定新的多靶点治疗策略。目前 GBM 治疗的耐药性部分归因于具有干细胞样和其他自我更新能力的细胞亚群(以下称为胶质母细胞瘤干细胞样癌细胞,GSCC),因此作为治疗切入点具有重要意义。Wnt 和 Hedgehog 是与 GSCC 自我更新相关的主要通路之一。β-catenin 和 Gli1 分别是 Wnt 和 Hedgehog 激活的标志物,并且已知这两条通路在神经胶质瘤中都发生了改变。迄今为止,尚未有研究报道 GBM 组织中 Gli1 蛋白的表达情况,最近的一项研究发现,β-catenin 高表达与 GBM 患者的预后不良有关。因此,我们在一项针对潜在预测生物标志物的研究中,对 106 名患者的 GBM 组织免疫组化染色切片进行了β-catenin、Gli1 以及 Ki-67、p53 和 EGFR 蛋白的定量分析。通过两两 Pearson 相关系数和二维层次聚类评估这些标志物与生存之间的相关性,然后使用线性回归模型和分类树进行生存估计。我们的研究结果表明,β-catenin 和Gli1 蛋白都是预测生存率的高度敏感标志物,在预测效果好的树中分别有 75%和 90%的患者呈阳性,而 Ki-67、p53 和 EGFR 则低于 30%,因此不被认为是具有预测价值的标志物。我们的研究结果表明,β-catenin 和 Gli1 在 GBM 的恶性行为中起作用,并提示抑制 Wnt 和 Hedgehog 通路的成员可能是 GBM 患者的一种有价值的治疗策略。

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