Neurosurgery Research Laboratory.
Neurosurg Focus. 2014 Feb;36(2):E8. doi: 10.3171/2013.11.FOCUS13478.
Glioblastoma is the most common primary brain tumor with a median 12- to 15-month patient survival. Improving patient survival involves better understanding the biological mechanisms of glioblastoma tumorigenesis and seeking targeted molecular therapies. Central to furthering these advances is the collection and storage of surgical biopsies (biobanking) for research. This paper addresses an imaging modality, confocal reflectance microscopy (CRM), for safely screening glioblastoma biopsy samples prior to biobanking to increase the quality of tissue provided for research and clinical trials. These data indicate that CRM can immediately identify cellularity of tissue biopsies from animal models of glioblastoma. When screening fresh human biopsy samples, CRM can differentiate a cellular glioblastoma biopsy from a necrotic biopsy without altering DNA, RNA, or protein expression of sampled tissue. These data illustrate CRM's potential for rapidly and safely screening clinical biopsy samples prior to biobanking, which demonstrates its potential as an effective screening technique that can improve the quality of tissue biobanked for patients with glioblastoma.
胶质母细胞瘤是最常见的原发性脑肿瘤,患者的中位生存时间为 12 至 15 个月。提高患者的生存率需要更好地了解胶质母细胞瘤发生的生物学机制,并寻求靶向分子治疗。进一步推进这些进展的核心是收集和储存手术活检(生物库)用于研究。本文介绍了一种成像方式,共聚焦反射显微镜(CRM),用于在生物储存之前安全筛选胶质母细胞瘤活检样本,以提高用于研究和临床试验的组织质量。这些数据表明,CRM 可以立即识别胶质母细胞瘤动物模型组织活检的细胞密度。在筛选新鲜的人类活检样本时,CRM 可以区分细胞性胶质母细胞瘤活检和坏死性活检,而不会改变取样组织的 DNA、RNA 或蛋白质表达。这些数据说明了 CRM 在生物储存之前快速、安全地筛选临床活检样本的潜力,这表明它作为一种有效的筛选技术具有潜力,可以提高胶质母细胞瘤患者生物储存的组织质量。