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Updated: Dec 25, 2025

Evaluation of Biomarkers in Glioma by Immunohistochemistry on Paraffin-Embedded 3D Glioma Neurosphere Cultures
Published on: January 9, 2019
Transformation Foci in IDH1-mutated Gliomas Show STAT3 Phosphorylation and Downregulate the Metabolic Enzyme ETNPPL,
N Leventoux1,2, M Augustus1, S Azar1
1Institute for Neurosciences of Montpellier, Institut National de la Santé et de la Recherche Médicale (INSERM). U1051 - Hôpital Saint-Éloi, 80 Avenue Augustin Fliche - 34091 Montpellier cedex 5, Montpellier, France.
Abstract:
IDH1-mutated gliomas are slow-growing brain tumours which progress into high-grade gliomas. The early molecular events causing this progression are ill-defined. Previous studies revealed that 20% of these tumours already have transformation foci. These foci offer opportunities to better understand malignant progression. We used immunohistochemistry and high throughput RNA profiling to characterize foci cells. These have higher pSTAT3 staining revealing activation of JAK/STAT signaling. They downregulate RNAs involved in Wnt signaling (DAAM2, SFRP2), EGFR signaling (MLC1), cytoskeleton and cell-cell communication (EZR, GJA1). In addition, foci cells show reduced levels of RNA coding for Ethanolamine-Phosphate Phospho-Lyase (ETNPPL/AGXT2L1), a lipid metabolism enzyme. ETNPPL is involved in the catabolism of phosphoethanolamine implicated in membrane synthesis. We detected ETNPPL protein in glioma cells as well as in astrocytes in the human brain. Its nuclear localization suggests additional roles for this enzyme. ETNPPL expression is inversely correlated to glioma grade and we found no ETNPPL protein in glioblastomas. Overexpression of ETNPPL reduces the growth of glioma stem cells indicating that this enzyme opposes gliomagenesis. Collectively, these results suggest that a combined alteration in membrane lipid metabolism and STAT3 pathway promotes IDH1-mutated glioma malignant progression.
Insights
Early molecular changes in IDH1-mutated gliomas involve altered lipid metabolism and JAK/STAT signaling activation. Reduced Ethanolamine-Phosphate Phospho-Lyase (ETNPPL) expression promotes glioma progression, while its overexpression inhibits growth.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Cancer Research
Background:
- IDH1-mutated gliomas are slow-growing tumors with poorly understood malignant progression.
- Transformation foci within these tumors offer insights into early molecular events driving progression.
Purpose of the Study:
- To characterize the molecular alterations in transformation foci of IDH1-mutated gliomas.
- To identify key molecular pathways and enzymes involved in glioma progression.
Main Methods:
- Immunohistochemistry and high-throughput RNA profiling were employed to analyze foci cells.
- Expression levels of specific RNAs and proteins, including ETNPPL, were assessed.
Main Results:
- Foci cells exhibited increased pSTAT3 staining, indicating JAK/STAT pathway activation.
- Downregulation of RNAs involved in Wnt and EGFR signaling, cytoskeleton, and cell-cell communication was observed.
- Reduced levels of Ethanolamine-Phosphate Phospho-Lyase (ETNPPL/AGXT2L1), a lipid metabolism enzyme, were found in foci cells and inversely correlated with glioma grade.
- ETNPPL protein was detected in glioma cells and astrocytes, with nuclear localization suggesting additional functions.
Conclusions:
- Combined alterations in membrane lipid metabolism (reduced ETNPPL) and STAT3 pathway activation promote malignant progression in IDH1-mutated gliomas.
- ETNPPL acts as a tumor suppressor, opposing gliomagenesis, as evidenced by its reduced expression in high-grade gliomas and inhibitory effect on glioma stem cell growth.
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