Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, UPMC Univ Paris 04 UMR S 1127, Institut du Cerveau et de la Moelle épinière, ICM, 75013, Paris, France.
Equipe de recherche CarThera, Institut du Cerveau et de la Moelle épinière, Ipeps ICM, 75013, Paris, France.
J Neurooncol. 2018 Jul;138(3):479-486. doi: 10.1007/s11060-018-2819-3. Epub 2018 Mar 8.
ATP-binding cassette transporters (ABC transporters) regulate traffic of multiple compounds, including chemotherapeutic agents, through biological membranes. They are expressed by multiple cell types and have been implicated in the drug resistance of some cancer cells. Despite significant research in ABC transporters in the context of many diseases, little is known about their expression and clinical value in glioblastoma (GBM). We analyzed expression of 49 ABC transporters in both commercial and patient-derived GBM cell lines as well as from 51 human GBM tumor biopsies. Using The Cancer Genome Atlas (TCGA) cohort as a training dataset and our cohort as a validation dataset, we also investigated the prognostic value of these ABC transporters in newly diagnosed GBM patients, treated with the standard of care. In contrast to commercial GBM cell lines, GBM-patient derived cell lines (PDCL), grown as neurospheres in a serum-free medium, express ABC transporters similarly to parental tumors. Serum appeared to slightly increase resistance to temozolomide correlating with a tendency for an increased expression of ABCB1. Some differences were observed mainly due to expression of ABC transporters by microenvironmental cells. Together, our data suggest that the efficacy of chemotherapeutic agents may be misestimated in vitro if they are the targets of efflux pumps whose expression can be modulated by serum. Interestingly, several ABC transporters have prognostic value in the TCGA dataset. In our cohort of 51 GBM patients treated with radiation therapy with concurrent and adjuvant temozolomide, ABCA13 overexpression is associated with a decreased progression free survival in univariate (p < 0.01) and multivariate analyses including MGMT promoter methylation (p = 0.05) suggesting reduced sensitivity to temozolomide in ABCA13 overexpressing GBM. Expression of ABC transporters is: (i) detected in GBM and microenvironmental cells and (ii) better reproduced in GBM-PDCL. ABCA13 expression is an independent prognostic factor in newly diagnosed GBM patients. Further prospective studies are warranted to investigate whether ABCA13 expression can be used to further personalize treatments for GBM.
三磷酸腺苷结合盒转运蛋白(ABC 转运蛋白)通过生物膜调节多种化合物的转运,包括化疗药物。它们在多种细胞类型中表达,并与一些癌细胞的耐药性有关。尽管在许多疾病的背景下对 ABC 转运蛋白进行了大量研究,但对于它们在胶质母细胞瘤(GBM)中的表达和临床价值知之甚少。我们分析了商业和患者来源的 GBM 细胞系以及 51 个人 GBM 肿瘤活检组织中 49 种 ABC 转运蛋白的表达。使用癌症基因组图谱(TCGA)队列作为训练数据集和我们的队列作为验证数据集,我们还研究了这些 ABC 转运蛋白在接受标准治疗的新诊断 GBM 患者中的预后价值。与商业 GBM 细胞系不同,在无血清培养基中作为神经球生长的 GBM 患者来源细胞系(PDCL)与亲本肿瘤相似地表达 ABC 转运蛋白。血清似乎略微增加了替莫唑胺的耐药性,这与 ABCB1 表达增加的趋势相关。观察到一些差异主要是由于微环境细胞表达 ABC 转运蛋白所致。总之,我们的数据表明,如果它们是外排泵的靶点,并且其表达可以被血清调节,那么在体外评估化疗药物的疗效可能会被错误估计。有趣的是,在 TCGA 数据集中,一些 ABC 转运蛋白具有预后价值。在我们的 51 名接受放疗联合替莫唑胺辅助治疗的 GBM 患者队列中,ABCA13 过表达与单因素(p<0.01)和包括 MGMT 启动子甲基化在内的多因素分析(p=0.05)中的无进展生存期缩短相关,表明 ABCA13 过表达的 GBM 对替莫唑胺的敏感性降低。ABCA13 表达是新诊断 GBM 患者的独立预后因素。需要进一步的前瞻性研究来探讨 ABCA13 表达是否可用于进一步为 GBM 患者个性化治疗。