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.

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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