Division Molecular Genetics (B060), German Cancer Research Center, Heidelberg, Germany.
J Clin Invest. 2011 Apr;121(4):1344-8. doi: 10.1172/JCI44656. Epub 2011 Mar 14.
Pilocytic astrocytoma (PA) is the most common type of primary brain tumor in children and the second most frequent cancer in childhood. Children with incompletely resected PA represent a clinically challenging patient cohort for whom conventional adjuvant therapies are only moderately effective. This has produced high clinical demand for testing of new molecularly targeted treatments. However, the development of new therapeutics for PA has been hampered by the lack of an adequate in vivo tumor model. Recent studies have identified activation of MAPK signaling, mainly by oncogenic BRAF activation, as a hallmark genetic event in the pathogenesis of human PA. Using in vivo retroviral somatic gene transfer into mouse neural progenitor cells, we have shown here that ectopic expression of the activated BRAF kinase domain is sufficient to induce PA in mice. Further in vitro analyses demonstrated that overexpression of activated BRAF led to increased proliferation of primary mouse astrocytes that could be inhibited by treatment with the kinase inhibitor sorafenib. Our in vivo model for PA shows that the activated BRAF kinase domain is sufficient to induce PA and highlights its role as a potential therapeutic target.
毛细胞型星形细胞瘤(PA)是儿童中最常见的原发性脑肿瘤,也是儿童中第二常见的癌症。未完全切除的 PA 患儿是临床极具挑战性的患者群体,传统的辅助治疗对其疗效仅为中度有效。这就产生了对新的分子靶向治疗方法进行测试的高临床需求。然而,由于缺乏适当的体内肿瘤模型,PA 的新治疗方法的发展受到了阻碍。最近的研究表明,MAPK 信号的激活,主要是通过致癌 BRAF 激活,是人类 PA 发病机制中的标志性遗传事件。通过将逆转录病毒体基因转移到小鼠神经祖细胞中进行体内实验,我们在这里证明,激活的 BRAF 激酶结构域的异位表达足以在小鼠中诱导 PA。进一步的体外分析表明,过表达激活的 BRAF 导致原代小鼠星形胶质细胞增殖增加,而用激酶抑制剂索拉非尼治疗可以抑制这种增殖。我们的 PA 体内模型表明,激活的 BRAF 激酶结构域足以诱导 PA,并强调其作为潜在治疗靶点的作用。