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Induction and Micro-CT Imaging of Cerebral Cavernous Malformations in Mouse Model
Published on: September 4, 2017
Involvement of PTEN promoter methylation in cerebral cavernous malformations
Yuan Zhu1, Andreas Wloch, Qun Wu
1Department of Neurosurgery, University of Marburg, Marburg, Germany. yuan.zhu@uk-essen.de
Background And Purpose:
Cerebral cavernous malformations (CCMs) are prevalent cerebral vascular lesions involving aberrant angiogenesis. However, the underlying mechanism is poorly understood. Phosphatase and tension homolog deleted on chromosome 10 (PTEN), a tumor suppressor, is frequently deficient in various pathologies due to mutation or epigenetic alterations. PTEN promoter hypermethylation is a major epigenetic silencing mechanism leading to activation of angiogenesis in tumors. The present study aimed to investigate whether PTEN promoter methylation was involved in CCMs.
Methods:
PTEN promoter methylation was detected in surgical specimens of CCMs (n=69) by methylation-specific polymerase chain reaction. The methylation status was correlated to the clinical manifestations and to PTEN expression, which was analyzed by both Western blot and immunohistochemistry. To investigate the endothelial proliferation and the potential signaling pathways affected by PTEN methylation, proliferating cell nuclear antigen as well as phosphor-Akt and phosphor-Erk1,2 were detected by immunofluorescence and Western blot, respectively, in CCM specimens.
Results:
Methylation-specific polymerase chain reaction revealed PTEN promoter methylation in 15.9% CCMs. Strikingly, 5 of 6 familial CCMs showed PTEN promoter methylation (83.3%), which was significantly higher than in sporadic cases (9.4%; P<0.001). In addition, PTEN promoter methylation appeared more frequently in multiple CCMs, including familial cases (46.7%), than that in single-lesioned CCMs (11.8%; P<0.05). Immunostaining and Western blot revealed a more significant PTEN downregulation in PTEN-methylated CCMs in comparison to PTEN-unmethylated CCMs. Reduced PTEN expression was inversely correlated to the expression of proliferating cell nuclear antigen and to the activation of Erk1,2, but not of Akt.
Conclusions:
We reported here for the first time the involvement of PTEN promoter methylation in CCMs, particularly in familial CCMs, suggesting this epigenetic alteration as a potential pathomechanism of CCMs. The identification of Erk1,2 as triggered signaling in the lesions may be valuable for the development of effective therapy for this disease.
Insights
PTEN promoter methylation is involved in cerebral cavernous malformations (CCMs), especially familial CCMs. This epigenetic alteration and Erk1,2 signaling may be key to CCM development and treatment.
Area of Science:
- Neuroscience
- Genetics
- Oncology
Background:
- Cerebral cavernous malformations (CCMs) are common vascular lesions in the brain.
- The mechanisms driving CCM development, particularly aberrant angiogenesis, are not fully understood.
- PTEN (phosphatase and tension homolog deleted on chromosome 10), a tumor suppressor, is often deficient in diseases due to epigenetic changes like promoter hypermethylation, which can activate angiogenesis.
Purpose of the Study:
- To investigate the role of PTEN promoter methylation in the pathogenesis of CCMs.
- To determine if PTEN promoter methylation is associated with specific clinical features of CCMs.
- To explore the downstream signaling pathways affected by PTEN methylation in CCMs.
Main Methods:
- PTEN promoter methylation was assessed in 69 CCM surgical specimens using methylation-specific polymerase chain reaction.
- PTEN expression levels were analyzed via Western blot and immunohistochemistry.
- Endothelial proliferation (proliferating cell nuclear antigen) and signaling pathway activation (phosphor-Akt, phosphor-Erk1,2) were evaluated using immunofluorescence and Western blot.
Main Results:
- PTEN promoter methylation was detected in 15.9% of CCMs, significantly higher in familial CCMs (83.3%) than sporadic cases (9.4%).
- Methylation was more frequent in multiple CCMs (46.7%) compared to single lesions (11.8%).
- PTEN-methylated CCMs showed significantly reduced PTEN expression, inversely correlated with proliferating cell nuclear antigen and Erk1,2 activation.
Conclusions:
- PTEN promoter methylation is implicated in CCM pathogenesis, particularly in familial forms, representing a novel epigenetic mechanism.
- The study identifies Erk1,2 signaling activation in CCM lesions, suggesting its potential as a therapeutic target for this disease.
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