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Updated: Jul 2, 2026

Evaluation of Biomarkers in Glioma by Immunohistochemistry on Paraffin-Embedded 3D Glioma Neurosphere Cultures
Published on: January 9, 2019
Signal transduction molecules in gliomas of all grades
Ralph P Ermoian1, Tania Kaprealian, Kathleen R Lamborn
1Department of Radiation Oncology, The University of California, San Francisco, 1600 Divisadero St. Suite H1031, San Francisco, CA, 94143-1708, USA.
Purpose:
To interrogate grade II, III, and IV gliomas and characterize the critical effectors within the PI3-kinase pathway upstream and downstream of mTOR. Experimental design Tissues from 87 patients who were treated at UCSF between 1990 and 2004 were analyzed. Twenty-eight grade II, 17 grade III glioma, 26 grade IV gliomas, and 16 non-tumor brain specimens were analyzed. Protein levels were assessed by immunoblots; RNA levels were determined by polymerase chain reaction amplification. To address the multiple comparisons, first an overall analysis was done comparing the four groups using Spearman's Correlation Coefficient. Only if this analysis was statistically significant were individual pairwise comparisons done.
Results:
Multiple comparison analyses revealed a significant correlation with grade for all variables examined, except phosphorylated-S6. Expression of phosphorylated-4E-BP1, phosphorylated-PKB/Akt, PTEN, TSC1, and TSC2 correlated with grade (P < 0.01 for all). We extended our analyses to ask whether decreases in TSC proteins levels were due to changes in mRNA levels, or due to changes in post-transcriptional alterations. We found significantly lower levels of TSC1 and TSC2 mRNA in GBMs than in grade II gliomas or non-tumor brain (P < 0.01).
Conclusions:
Expression levels of critical signaling molecules upstream and downstream of mTOR differ between non-tumor brain and gliomas of any grade. The single variable whose expression did not differ between non-tumor brain and gliomas was phosphorylated-S6, suggesting that other protein kinases, in addition to mTOR, contribute significantly to S6 phosphorylation. mTOR provides a rational therapeutic target in gliomas of all grades, and clinical benefit may emerge as mTOR inhibitors are combined with additional agents.
Insights
Key signaling molecules in the PI3-kinase pathway, upstream and downstream of mTOR, differ in gliomas. This suggests mTOR is a therapeutic target for all glioma grades.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Cancer Signaling Pathways
Background:
- Gliomas are primary brain tumors with varying grades (II, III, IV).
- The phosphoinositide 3-kinase (PI3K)/AKT/mammalian target of rapamycin (mTOR) pathway is crucial in cell growth and survival.
- Dysregulation of this pathway is implicated in various cancers, including gliomas.
Purpose of the Study:
- To investigate the expression of critical effectors in the PI3K pathway, both upstream and downstream of mTOR, in different grades of gliomas.
- To compare these molecular profiles with non-tumor brain tissue.
Main Methods:
- Analysis of tumor and non-tumor brain specimens from 87 patients.
- Quantification of protein levels using immunoblots.
- Assessment of RNA levels via polymerase chain reaction (PCR) amplification.
- Statistical analysis using Spearman's Correlation Coefficient for multiple comparisons.
Main Results:
- Expression levels of phosphorylated-4E-BP1, phosphorylated-PKB/Akt, PTEN, TSC1, and TSC2 significantly correlated with glioma grade (P < 0.01).
- Lower levels of TSC1 and TSC2 messenger RNA (mRNA) were observed in glioblastoma multiforme (GBM) compared to grade II gliomas and non-tumor brain.
- Phosphorylated-S6 expression did not differ significantly between non-tumor brain and gliomas of any grade.
Conclusions:
- Expression patterns of key PI3K pathway molecules differ across glioma grades and compared to normal brain tissue.
- The lack of difference in phosphorylated-S6 suggests involvement of other kinases in S6 phosphorylation.
- mTOR represents a viable therapeutic target for gliomas, potentially enhanced by combination therapies.
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