Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Nanfang Neurology Research Institution, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Carcinogenesis. 2018 Feb 9;39(2):214-224. doi: 10.1093/carcin/bgx125.
Intratumoral heterogeneity greatly hinders efficiency of target therapy in glioblastoma (GBM). To decipher the underlying mechanisms of heterogeneity, patient-derived adult GBM cells were separately isolated from margins of T1 gadolinium enhancing tumor lesions (PNCs) and T1 gadolinium enhancing core lesions (ECs). Single clone culture was conducted in ECs and U87MG cell line to screen clones with distinct biological phenotypes. Single cell clones with diverse phenotypes were simultaneously separated from ECs and U87 cell line. PNCs, GCs(H) and U87(H) exhibited longer cellular protrusion than ECs, GCs(L) and U87(L), respectively. Cell strains with longer protrusion exhibited higher invasive ability and lower sensitivity to temozolomide (TMZ) and radiation. Subsequently, TPD52L2 was verified as the functional protein to regulate the cellular heterogeneity by the proteomics analysis. Downregulation of TPD52L2 enhanced cell invasion whereas inhibited cell proliferation rate and sensitivity to chemotherapy in vivo and in vitro, this condition was reversed when TPD52L2 was overexpressed. The invasiveness was facilitated by up-regulating CTNNB1/β-catenin and SNAI1/Snail mediated EMT process. In addition, the clinical data of 88 GBM cases in our neurosurgery center was analyzed to reveal the influence of TPD52L2 in the prognosis of GBM. Low expression of TPD52L2 exacerbated prognosis of GBM patients received standard radiotherapy plus concomitant and adjuvant TMZ (Stupp strategy). Taken together, TPD52L2 is an important biomarker influencing GBM prognosis.
肿瘤内异质性极大地阻碍了胶质母细胞瘤 (GBM) 靶向治疗的效率。为了解析异质性的潜在机制,我们从 T1 钆增强肿瘤病变的边缘 (PNCs) 和 T1 钆增强核心病变 (ECs) 中分别分离出患者来源的成人 GBM 细胞。在 ECs 和 U87MG 细胞系中进行单细胞克隆培养,以筛选具有不同生物学表型的克隆。从 ECs 和 U87 细胞系中同时分离出具有不同表型的单细胞克隆。与 ECs、GCs(L) 和 U87(L) 相比,PNCs、GCs(H) 和 U87(H) 的细胞突起更长。具有更长突起的细胞株具有更高的侵袭能力,对替莫唑胺 (TMZ) 和辐射的敏感性更低。随后,通过蛋白质组学分析证实 TPD52L2 是调节细胞异质性的功能蛋白。下调 TPD52L2 增强了细胞侵袭能力,而抑制了细胞增殖率和对化疗的敏感性,在体内和体外过表达 TPD52L2 时则相反。通过上调 CTNNB1/β-catenin 和 SNAI1/Snail 介导的 EMT 过程促进了侵袭性。此外,还分析了我们神经外科中心的 88 例 GBM 病例的临床数据,以揭示 TPD52L2 对 GBM 预后的影响。TPD52L2 低表达加重了接受标准放疗加同期和辅助 TMZ (Stupp 策略) 的 GBM 患者的预后。总之,TPD52L2 是影响 GBM 预后的重要生物标志物。