Experimental Neurosurgery, Goethe University Hospital, Neuroscience Center, Heinrich-Hoffmann-Straße 7, 60592 Frankfurt, Germany.
Neuro Oncol. 2013 Jul;15(7):840-52. doi: 10.1093/neuonc/not025. Epub 2013 Mar 13.
Diffuse infiltration remains the fulcrum of glioblastoma's incurability, leading inevitably to recurrence. Therefore, uncovering the pathological mechanism is imperative. Because signal transducer and activator of transcription 3 (STAT3) correlates with glioma malignancy and predicts poor clinical outcome, we determined its role in glioma single cell infiltration and tumor growth.
STAT3 was silenced in Tu-2449 glioma cells via lentiviral gene transfer. Target gene expression was measured by real-time reverse transcription PCR, Western blotting, and immunohistochemistry. Microvilli were visualized by staining with wheat germ agglutinin. Migration and invasion were measured by Scratch and Matrigel chamber assays. Diffuse infiltration was studied in 350-μm-thick organotypic tissue cultures over 14 days using cells tagged with enhanced green fluorescent protein and live confocal laser scanning microscopy. Survival of tumor-bearing syngeneic, immunocompetent B6C3F1 mice was analyzed by Kaplan-Meier plots.
STAT3 silencing reduced cell migration and invasion in vitro and stopped single cell infiltration ex vivo, while STAT3-expressing cells disseminated through the neuropil at ∼100 µm/day. STAT3 silencing reduced transcription of several tumor progression genes. Mice with intracranial STAT3 knockdown tumors had a significant (P< .0007) survival advantage over controls, yielding 27% long-term survival. STAT3 knockdown reduced podoplanin expression 50-fold and inhibited concurrent microvilli formation. STAT3 knockdown tumors exhibited a weaker podoplanin immunoreactivity compared with controls. Podoplanin staining was diffuse, preferentially at tumor margins, and absent in normal brain.
Our results show compelling evidence that STAT3 is a key driver of diffuse infiltration and glioma growth and might therefore represent a promising target for an anti-invasive therapy.
弥漫性浸润仍然是胶质母细胞瘤无法治愈的关键,不可避免地导致复发。因此,揭示病理机制至关重要。由于信号转导和转录激活因子 3(STAT3)与神经胶质瘤的恶性程度相关,并预测预后不良,我们确定了其在神经胶质瘤单细胞浸润和肿瘤生长中的作用。
通过慢病毒基因转移使 Tu-2449 神经胶质瘤细胞中的 STAT3 沉默。通过实时逆转录 PCR、Western blot 和免疫组织化学测定靶基因表达。用麦胚凝集素染色显示微绒毛。通过划痕和 Matrigel 室测定测定迁移和侵袭。通过用增强型绿色荧光蛋白标记的细胞和活共聚焦激光扫描显微镜在 14 天内研究厚达 350μm 的器官型组织培养物中的弥漫性浸润。通过 Kaplan-Meier 图分析具有颅内 STAT3 敲低肿瘤的荷瘤同基因、免疫功能正常的 B6C3F1 小鼠的存活情况。
STAT3 沉默减少了体外细胞的迁移和侵袭,并阻止了单细胞浸润,而表达 STAT3 的细胞以每天约 100μm 的速度在神经网中扩散。STAT3 沉默减少了几种肿瘤进展基因的转录。颅内 STAT3 敲低肿瘤的小鼠与对照组相比具有显著的(P<.0007)生存优势,产生 27%的长期存活。STAT3 敲低使 podoplanin 表达减少 50 倍,并抑制了同时的微绒毛形成。与对照组相比,STAT3 敲低肿瘤的 podoplanin 免疫反应性较弱。Podoplanin 染色呈弥漫性,主要位于肿瘤边缘,在正常脑内不存在。
我们的结果提供了令人信服的证据,表明 STAT3 是弥漫性浸润和神经胶质瘤生长的关键驱动因素,因此可能代表抗侵袭治疗的有前途的靶点。