Department of Neurosurgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami-ku, Sagamihara, 252-0374, Japan.
Brain Tumor Pathol. 2019 Apr;36(2):63-73. doi: 10.1007/s10014-019-00341-2. Epub 2019 Apr 9.
Glioblastoma (GBM) is a major malignant brain tumor developing in adult brain white matter, characterized by rapid growth and invasion. GBM cells spread into the contralateral hemisphere, even during early tumor development. However, after complete resection of tumor mass, GBM commonly recurs around the tumor removal cavity, suggesting that a microenvironment at the tumor border provides chemo-radioresistance to GBM cells. Thus, clarification of the tumor border microenvironment is critical for improving prognosis in GBM patients. MicroRNA (miRNA) expression in samples from the tumor, tumor border, and peripheral region far from tumor mass was compared, and five miRNAs showing characteristically higher expression in the tumor border were identified, with the top three related to oligodendrocyte differentiation. Pathologically, oligodendrocyte lineage cells increased in the border, but were rare in tumors. Macrophages/microglia also colocalized in the border area. Medium cultured with oligodendrocyte progenitor cells (OPCs) and macrophages induced stemness and chemo-radioresistance in GBM cells, suggesting that OPCs and macrophages/microglia constitute a special microenvironment for GBM cells at the tumor border. The supportive function of OPCs for GBM cells has not been discussed previously. OPCs are indispensable for GBM cells to establish special niches for chemo-radioresistance outside the tumor mass.
胶质母细胞瘤(GBM)是一种发生在成人脑白质中的主要恶性脑肿瘤,其特征是快速生长和侵袭。GBM 细胞会扩散到对侧大脑半球,甚至在肿瘤早期发展阶段也是如此。然而,在肿瘤肿块完全切除后,GBM 通常会在肿瘤切除腔周围复发,这表明肿瘤边界处的微环境为 GBM 细胞提供了化疗和放疗抗性。因此,阐明肿瘤边界微环境对于改善 GBM 患者的预后至关重要。比较了肿瘤、肿瘤边界和远离肿瘤肿块的外围区域样本中的 microRNA(miRNA)表达,鉴定出五种在肿瘤边界表现出明显高表达的 miRNA,其中前三种与少突胶质细胞分化有关。从病理上看,边界处的少突胶质细胞谱系细胞增多,但肿瘤中很少见。巨噬细胞/小胶质细胞也在边界区域聚集。用少突胶质前体细胞(OPC)和巨噬细胞培养的培养基诱导 GBM 细胞的干性和化疗放疗抗性,这表明 OPC 和巨噬细胞/小胶质细胞构成了肿瘤边界处 GBM 细胞的特殊微环境。之前尚未讨论过 OPC 对 GBM 细胞的支持功能。OPC 对于 GBM 细胞在肿瘤肿块外建立化疗和放疗抗性的特殊生态位是不可或缺的。