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Updated: Mar 30, 2026

Isolation and Flow Cytometric Analysis of Glioma-infiltrating Peripheral Blood Mononuclear Cells
Published on: November 28, 2015
Activation of multiple growth factor signalling pathways is frequent in meningiomas
David A Hilton1, Aditya Shivane1, Leanne Kirk1
1Department of Cellular and Anatomical Pathology, Derriford Hospital, Plymouth, UK.
Abstract:
A minority of meningiomas are difficult to treat with surgery or radiotherapy, and chemotherapeutic alternatives are limited. This study aims to better understand pathways that are active in meningiomas, in order to direct future treatment strategies. We investigated the expression and activation of multiple growth factor receptors, their ligands and downstream signalling pathways in 30 meningiomas using immunohistochemistry. Expression was correlated with chromosome 22q loss. Membrane expression of VEGF receptor (VEGFR) and platelet-derived growth factor receptor (PDGFR)β was seen in 83% of tumors, Axl in 70%, EGFR in 50% and insulin-like growth factor receptor in 47%. Expression was similar in low- and high-grade tumors, but membrane EGFR expression was not seen in tumors showing chromosome 22q loss (P < 0.05). Expression of ligands (IGF, NRG, VEGF, Gas 6), and signalling proteins (Mek, Erk, Jnk, Akt) and pS6RP, was widespread. Western blot confirmed widespread Axl expression and supported selective expression of EGFR in NF2-intact meningiomas. The majority of meningiomas express and show activation of multiple growth factor receptors and their signalling pathways, irrespective of tumor grade. In addition to previously reported receptors, Axl offers a new therapeutic target. The findings also suggest that anti-EGFR based therapies may be less effective in meningiomas with 22q loss.
Insights
Meningiomas often activate multiple growth factor receptors and pathways. Axl receptor is a new therapeutic target, while EGFR therapies may be less effective in tumors with chromosome 22q loss.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Meningiomas are primary brain tumors with limited treatment options beyond surgery and radiotherapy.
- Chemotherapeutic strategies for meningiomas are currently restricted.
- Understanding active molecular pathways is crucial for developing novel therapeutic approaches.
Purpose of the Study:
- To investigate the expression and activation of growth factor receptors, their ligands, and downstream signaling pathways in meningiomas.
- To correlate receptor expression with chromosome 22q loss.
- To identify potential new therapeutic targets for meningioma treatment.
Main Methods:
- Immunohistochemistry was used to analyze 30 meningioma samples.
- Expression of multiple growth factor receptors (VEGFR, PDGFRβ, Axl, EGFR, IGF receptor) and their ligands was assessed.
- Downstream signaling proteins (Mek, Erk, Jnk, Akt, pS6RP) and chromosome 22q loss were analyzed.
- Western blot was employed to confirm receptor expression.
Main Results:
- High expression of VEGFR, PDGFRβ, Axl, EGFR, and IGF receptor was observed in the majority of meningiomas.
- Expression of ligands and downstream signaling proteins was widespread across tumors.
- Membrane EGFR expression was significantly reduced in meningiomas with chromosome 22q loss.
- Axl receptor was widely expressed, and EGFR expression was selective in NF2-intact meningiomas.
Conclusions:
- Meningiomas commonly exhibit activation of multiple growth factor receptors and signaling pathways, regardless of tumor grade.
- The Axl receptor represents a promising novel therapeutic target for meningiomas.
- Anti-EGFR therapies may have limited efficacy in meningiomas associated with chromosome 22q loss.
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