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胚胎干细胞标志物 Cripto-1 蛋白表达与胶质母细胞瘤患者生存的年龄相关性。

Age-Dependent Association between Protein Expression of the Embryonic Stem Cell Marker Cripto-1 and Survival of Glioblastoma Patients.

机构信息

NorLux Neuro-Oncology Laboratory, Department of Biomedicine, University of Bergen, Bergen, Norway.

Department of Pathology, Haukeland University Hospital, Bergen, Norway.

出版信息

Transl Oncol. 2013 Dec 1;6(6):732-41. doi: 10.1593/tlo.13427.

Abstract

Exploring the re-emergence of embryonic signaling pathways may reveal important information for cancer biology. Nodal is a transforming growth factor-β (TGF-β)-related morphogen that plays a critical role during embryonic development. Nodal signaling is regulated by the Cripto-1 co-receptor and another TGF-β member, Lefty. Although these molecules are poorly detected in differentiated tissues, they have been found in different human cancers. Poor prognosis of glioblastomas justifies the search for novel signaling pathways that can be exploited as potential therapeutic targets. Because our intracranial glioblastoma rat xenograft model has revealed importance of gene ontology categories related to development and differentiation, we hypothesized that increased activity of Nodal signaling could be found in glioblastomas. We examined the gene expressions of Nodal, Cripto-1, and Lefty in microarrays of invasive and angiogenic xenograft samples developed from four patients with glioblastoma. Protein expression was evaluated by immunohistochemistry in 199 primary glioblastomas, and expression levels were analyzed for detection of correlations with available clinical information. Gene expression of Nodal, Lefty, and Cripto-1 was detected in the glioblastoma xenografts. Most patient samples showed significant levels of Cripto-1 detected by immunohistochemistry, whereas only weak to moderate levels were detected for Nodal and Lefty. Most importantly, the higher Cripto-1 scores were associated with shorter survival in a subset of younger patients. These findings suggest for the first time that Cripto-1, an important molecule in developmental biology, may represent a novel prognostic marker and therapeutic target in categories of younger patients with glioblastoma.

摘要

探索胚胎信号通路的再出现可能为癌症生物学揭示重要信息。Nodal 是一种转化生长因子-β(TGF-β)相关的形态发生素,在胚胎发育过程中发挥关键作用。Nodal 信号受 Cripto-1 共受体和另一种 TGF-β成员 Lefty 调节。尽管这些分子在分化组织中检测不到,但它们已在不同的人类癌症中发现。胶质母细胞瘤的预后不良证明了寻找新的信号通路的必要性,这些通路可以作为潜在的治疗靶点。由于我们的颅内胶质母细胞瘤大鼠异种移植模型揭示了与发育和分化相关的基因本体类别重要性,我们假设在胶质母细胞瘤中可以发现 Nodal 信号的活性增加。我们检查了来自四名胶质母细胞瘤患者的侵袭性和血管生成异种移植样本的微阵列中的 Nodal、Cripto-1 和 Lefty 的基因表达。通过免疫组织化学在 199 例原发性胶质母细胞瘤中评估蛋白质表达,并分析表达水平以检测与可用临床信息的相关性。在胶质母细胞瘤异种移植中检测到 Nodal、Lefty 和 Cripto-1 的基因表达。大多数患者样本显示出 Cripto-1 的免疫组织化学检测的显著水平,而 Nodal 和 Lefty 的检测水平较弱到中等。最重要的是,较高的 Cripto-1 评分与一组年轻患者的较短生存期相关。这些发现首次表明,发育生物学中的重要分子 Cripto-1 可能代表年轻胶质母细胞瘤患者类别中的一种新的预后标志物和治疗靶点。

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