Hara Atsuko, Hashimura Miki, Tsutsumi Koji, Akiya Masashi, Inukai Madoka, Ohta Yasutaka, Saegusa Makoto
Department of Pathology, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.
Division of Cell Biology, Department of Biosciences, Kitasato University School of Science, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.
Cancer Med. 2016 Dec;5(12):3412-3425. doi: 10.1002/cam4.937. Epub 2016 Oct 27.
FilGAP, a Rac-specific Rho-GTPase-activating protein (GAP), acts as a mediator of Rho/ROCK-dependent amoeboid movement, and its knockdown results in Rac-driven mesenchymal morphology. Herein, we focused on the possible roles of FilGAP expression in astrocytomas. In clinical samples, FilGAP expression was significantly increased in grade (G) II astrocytomas as compared to normal astrocytes, but its expression strongly decreased in a grade-dependent manner, and was positively associated with isocitrate dehydrogenase 1 (IDH1) mutations and inversely to cytoplasmic Rac1. Patients with astrocytoma showing a high FilGAP score had favorable overall survival as compared to the low score patients. Multivariate Cox regression analysis also showed that a high FilGAP score was a significant and independent favorable prognostic factor. Moreover, patients with high FilGAP score and IDH1 mutant-type astrocytomas had significantly the best Overall survival (OS) and Progression-free survival (PFS), in contrast to the patients with low FilGAP score and wild-type IDH1 tumors who had the worst prognosis. In GIV tumors (GBM: glioblastomas), elongated tumor cells with low FilGAP expression were frequently observed in tumor core lesions, whereas the rounded cells with abundant expression were found in the peripheral areas adjacent to non-neoplastic brain tissues. In an astrocytoma cell line, suppression of endogenous FilGAP expression by siRNAs caused an increased proportion of mesenchymal elongated cells, probably through increased Rac1 activity. These findings suggest that FilGAP, as well as IDH1 status, may be useful for predicting the behavior of astrocytomas. In addition, the FilGAP/Rac1 axis may serve as an important regulator of tumor progression in GBMs, probably through alteration of cell morphology.
FilGAP是一种特异性作用于Rac的Rho鸟苷三磷酸酶激活蛋白(GAP),作为Rho/ROCK依赖性阿米巴样运动的介质,其敲低会导致Rac驱动的间充质形态。在此,我们聚焦于FilGAP表达在星形细胞瘤中的可能作用。在临床样本中,与正常星形胶质细胞相比,II级星形细胞瘤中FilGAP表达显著增加,但其表达以分级依赖的方式强烈降低,且与异柠檬酸脱氢酶1(IDH1)突变呈正相关,与细胞质Rac1呈负相关。与低FilGAP评分患者相比,FilGAP评分高的星形细胞瘤患者总生存期良好。多因素Cox回归分析还显示,高FilGAP评分是一个显著且独立的有利预后因素。此外,与FilGAP评分低且IDH1野生型肿瘤患者预后最差相反,FilGAP评分高且IDH1突变型星形细胞瘤患者的总生存期(OS)和无进展生存期(PFS)显著最佳。在IV级肿瘤(胶质母细胞瘤:GBM)中,在肿瘤核心病变中经常观察到FilGAP表达低的细长肿瘤细胞,而在与非肿瘤性脑组织相邻的周边区域发现表达丰富的圆形细胞。在星形细胞瘤细胞系中,小干扰RNA(siRNAs)抑制内源性FilGAP表达可能通过增加Rac1活性导致间充质细长细胞比例增加。这些发现表明,FilGAP以及IDH1状态可能有助于预测星形细胞瘤的行为。此外,FilGAP/Rac1轴可能通过改变细胞形态,成为GBM肿瘤进展的重要调节因子。