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ZEB1 expression is increased in IDH1-mutant lower-grade gliomas
Cody L Nesvick1,2, Chao Zhang3, Nancy A Edwards3
1Surgical Neurology Branch, National Institutes of Neurological Disorders and Stroke, 9000 Rockville Pike, Building 10 Room 3D17, Bethesda, MD, 20892, USA. Cody.Nesvick@gmail.com.
Journal of Neuro-Oncology
|August 29, 2016
Summary
Transcription factors driving epithelial-mesenchymal transition (EMT) impact glioma survival. Increased Zinc Finger E box-binding Homeobox 1 (ZEB1) expression correlated with better overall survival in grades II-III gliomas.
Area of Science:
- Neuro-oncology
- Cancer Biology
- Molecular Genetics
Background:
- Epithelial-mesenchymal transition (EMT) transcription factors (EMT-TFs) are implicated in epithelial tumor progression but their role in central nervous system tumors remains unclear.
- EMT-TFs are known to promote invasion, chemoresistance, and stem-cell phenotypes in epithelial cancers.
- This study investigates the functional impact of EMT-TFs in grades II-III gliomas.
Purpose of the Study:
- To determine the impact of EMT-promoting transcription factors on overall survival in grades II-III gliomas.
- To compare the expression of EMT-TFs across common genetic subtypes of gliomas.
- To validate findings in a cohort of 31 gliomas.
Main Methods:
- Utilized National Cancer Institute (NCI) Repository for Molecular Brain Neoplasia Data (REMBRANDT) and Cancer Genome Atlas (TCGA) Lower-Grade Glioma (LGG) datasets.
- Performed Kaplan-Meier analysis to assess overall survival (OS).
- Validated findings using quantitative real-time polymerase chain reaction (PCR) and immunohistochemistry.
Main Results:
- Increased expression of Zinc Finger E box-binding Homeobox 1 (ZEB1) was associated with significantly increased overall survival (OS) in grades II-III gliomas.
- ZEB1 expression was higher in IDH1/2-mutant gliomas, which showed lower levels of ZEB1 targets and higher levels of microRNA 200C (MIR200C) targets.
- Validation confirmed increased ZEB1 mRNA and protein in IDH1-mutant grades II-III gliomas.
Conclusions:
- A novel relationship exists between IDH1/2 mutations and the expression of ZEB1 and its transcriptional targets in gliomas.
- ZEB1 expression is linked to improved survival in grades II-III gliomas.
- Targeting ZEB1-associated pathways may offer a new therapeutic strategy for these tumors.

