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Nitric oxide synthase expression of oligodendrogliomas
H Broholm1, O Braendstrup, M Lauritzen
1Department of Pathology, Glostrup Hospital, Copenhagen, Denmark. hbroholm@rh.Dk
Clinical Neuropathology
|January 5, 2002
Summary
Nitric oxide synthase (NOS) expression was studied in oligodendrogliomas. Inducible NOS (iNOS) expression in tumor cells may indicate anti-tumor activity, potentially slowing progression in these brain tumors.
Area of Science:
- Neuroscience
- Oncology
- Biochemistry
Background:
- Nitric oxide (NO) plays crucial roles in the central nervous system, including neurotransmission and vasodilation.
- NO synthesis is regulated by three isoforms of NO synthase (NOS): neuronal NOS (nNOS), inducible NOS (iNOS), and endothelial NOS (eNOS).
- Altered NOS expression is implicated in the pathophysiology of high-grade astrocytic tumors (WHO grades III and IV).
Purpose of the Study:
- To investigate the expression of all three NOS isoforms in oligodendrogliomas, a distinct group of primary gliomas.
- To correlate NOS expression patterns with tumor grade (WHO grade II and III) and compare them with astrocytoma findings.
- To explore the potential role of NO and its synthases in oligodendroglioma biology and progression.
Main Methods:
- Immunohistochemical analysis of NOS isoform expression (nNOS, iNOS, eNOS) in 35 WHO grade II oligodendrogliomas and 7 WHO grade III anaplastic oligodendrogliomas.
- Utilized formalin-fixed, paraffin-embedded tissue samples for examination.
- Correlated findings with tumor grade and astrocytoma expression patterns.
Main Results:
- Tumor cells showed minimal nNOS and sparse eNOS expression.
- Vascular endothelial cells in both tumor and surrounding tissues exhibited strong eNOS expression, suggesting NO's role in regulating blood flow and angiogenesis in these tumors.
- Significantly, inducible NOS (iNOS) was expressed in oligodendroglial tumor cells in 54% of low-grade and 29% of anaplastic tumors, a pattern distinct from astroglial tumors.
Conclusions:
- Endothelial NOS (eNOS) in oligodendroglioma vasculature likely influences tumor vascularity and angiogenesis.
- The observed iNOS expression in oligodendroglial tumor cells diverges from astroglial tumors and may suggest an anti-tumor function.
- This iNOS activity could potentially contribute to a slower progression from low-grade to anaplastic oligodendrogliomas.