Gliomas are the most common central nervous tumors in children and adolescents. However, spinal cord low-grade gliomas (sLGGs) are rare, with scarce information on tumor genomics and epigenomics. To define the molecular landscape of sLGGs, we integrated clinical data, histology, and multi-level genetic and epigenetic analyses on a consecutive cohort of 26 pediatric patients. Driver molecular alteration was found in 92% of patients (24/26). A novel variant of KIAA1549:BRAF fusion (ex10:ex9) was identified using RNA-seq in four cases. Importantly, only one-third of oncogenic drivers could be revealed using standard diagnostic methods, and two-thirds of pediatric patients with sLGGs required extensive molecular examination. The majority (23/24) of detected alterations were potentially druggable targets. Four patients in our cohort received targeted therapy with MEK or NTRK inhibitors. Three of those exhibited clinical improvement (two with trametinib, one with larotrectinib), and two patients achieved partial response. Methylation profiling was implemented to further refine the diagnosis and revealed intertumoral heterogeneity in sLGGs. Although 55% of tumors clustered with pilocytic astrocytoma, other rare entities were identified in this patient population. In particular, diffuse leptomeningeal glioneuronal tumors (n = 3) and high-grade astrocytoma with piloid features (n = 1) and pleomorphic xanthoastrocytoma (n = 1) were present. A proportion of tumors (14%) had no match with the current version of the classifier. Complex molecular genetic sLGGs characterization was invaluable to refine diagnosis, which has proven to be essential in such a rare tumor entity. Moreover, identifying a high proportion of drugable targets in sLGGs opened an opportunity for new treatment modalities.
- MeSH
- astrocytom * genetika MeSH
- dítě MeSH
- genomika MeSH
- gliom * genetika patologie MeSH
- lidé MeSH
- mitogenem aktivované proteinkinasy kinas MeSH
- mladiství MeSH
- nádory míchy * genetika MeSH
- nádory mozku * genetika MeSH
- protoonkogenní proteiny B-raf genetika MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- Publikační typ
- časopisecké články MeSH
- Klíčová slova
- dabrafenib,
- MeSH
- biologická terapie MeSH
- dítě MeSH
- gliom * imunologie terapie MeSH
- inhibitory proteinkinas aplikace a dávkování terapeutické užití MeSH
- lidé MeSH
- magnetická rezonanční tomografie MeSH
- protoonkogenní proteiny B-raf antagonisté a inhibitory terapeutické užití MeSH
- výsledek terapie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
Motolské pediatrické semináře ; 8
První vydání 150 stran : ilustrace, tabulky ; 23 cm
Sborník prací ze semináře, který se zaměřil na biologickou léčbu v pediatrii. Určeno odborné veřejnosti.; Publikace shromažďuje fakta z oborů imunologie, dětská dermatologie, dětská gastrenterologie, dětská nefrologie, dětská diabetologie a dětská onkologie, doplněná o aktuality z covidové éry.
- MeSH
- biologická terapie MeSH
- biologické přípravky MeSH
- dítě MeSH
- klinické lékařství MeSH
- Check Tag
- dítě MeSH
- Publikační typ
- sborníky MeSH
- Konspekt
- Pediatrie
- NLK Obory
- pediatrie
- biomedicínské inženýrství
- NLK Publikační typ
- semináře
Histone H3.3 glycine 34 to arginine/valine (G34R/V) mutations drive deadly gliomas and show exquisite regional and temporal specificity, suggesting a developmental context permissive to their effects. Here we show that 50% of G34R/V tumors (n = 95) bear activating PDGFRA mutations that display strong selection pressure at recurrence. Although considered gliomas, G34R/V tumors actually arise in GSX2/DLX-expressing interneuron progenitors, where G34R/V mutations impair neuronal differentiation. The lineage of origin may facilitate PDGFRA co-option through a chromatin loop connecting PDGFRA to GSX2 regulatory elements, promoting PDGFRA overexpression and mutation. At the single-cell level, G34R/V tumors harbor dual neuronal/astroglial identity and lack oligodendroglial programs, actively repressed by GSX2/DLX-mediated cell fate specification. G34R/V may become dispensable for tumor maintenance, whereas mutant-PDGFRA is potently oncogenic. Collectively, our results open novel research avenues in deadly tumors. G34R/V gliomas are neuronal malignancies where interneuron progenitors are stalled in differentiation by G34R/V mutations and malignant gliogenesis is promoted by co-option of a potentially targetable pathway, PDGFRA signaling.
- MeSH
- astrocyty metabolismus patologie MeSH
- biologické modely MeSH
- buněčný rodokmen MeSH
- chromatin metabolismus MeSH
- embryo savčí metabolismus MeSH
- epigeneze genetická MeSH
- genetická transkripce MeSH
- gliom genetika patologie MeSH
- histony genetika metabolismus MeSH
- interneurony metabolismus MeSH
- karcinogeneze genetika patologie MeSH
- lysin metabolismus MeSH
- mutace genetika MeSH
- myši inbrední C57BL MeSH
- nádory mozku genetika patologie MeSH
- nervové kmenové buňky metabolismus MeSH
- oligodendroglie metabolismus MeSH
- přední mozek embryologie MeSH
- přeprogramování buněk genetika MeSH
- promotorové oblasti (genetika) genetika MeSH
- regulace genové exprese u nádorů MeSH
- růstový faktor odvozený z trombocytů - receptor alfa genetika metabolismus MeSH
- stupeň nádoru MeSH
- transkriptom genetika MeSH
- umlčování genů MeSH
- zvířata MeSH
- Check Tag
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- Research Support, U.S. Gov't, Non-P.H.S. MeSH
- MeSH
- astrocytom komplikace genetika MeSH
- dítě MeSH
- isocitrátdehydrogenasa genetika MeSH
- lidé MeSH
- Liův-Fraumeniho syndrom komplikace genetika MeSH
- mladiství MeSH
- mutace MeSH
- nádorový supresorový protein p53 genetika MeSH
- nádory mozku komplikace genetika MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Cancer cells without mitochondrial DNA (mtDNA) do not form tumors unless they reconstitute oxidative phosphorylation (OXPHOS) by mitochondria acquired from host stroma. To understand why functional respiration is crucial for tumorigenesis, we used time-resolved analysis of tumor formation by mtDNA-depleted cells and genetic manipulations of OXPHOS. We show that pyrimidine biosynthesis dependent on respiration-linked dihydroorotate dehydrogenase (DHODH) is required to overcome cell-cycle arrest, while mitochondrial ATP generation is dispensable for tumorigenesis. Latent DHODH in mtDNA-deficient cells is fully activated with restoration of complex III/IV activity and coenzyme Q redox-cycling after mitochondrial transfer, or by introduction of an alternative oxidase. Further, deletion of DHODH interferes with tumor formation in cells with fully functional OXPHOS, while disruption of mitochondrial ATP synthase has little effect. Our results show that DHODH-driven pyrimidine biosynthesis is an essential pathway linking respiration to tumorigenesis, pointing to inhibitors of DHODH as potential anti-cancer agents.
- MeSH
- buněčné dýchání MeSH
- lidé MeSH
- mitochondriální DNA metabolismus MeSH
- mitochondrie metabolismus MeSH
- myši inbrední BALB C MeSH
- myši inbrední C57BL MeSH
- myši MeSH
- nádorové buněčné linie MeSH
- nádory metabolismus MeSH
- oxidativní fosforylace MeSH
- oxidoreduktasy působící na CH-CH vazby fyziologie MeSH
- pyrimidiny metabolismus MeSH
- ubichinon metabolismus MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- myši MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Intramural MeSH
Cell growth and survival depend on a delicate balance between energy production and synthesis of metabolites. Here, we provide evidence that an alternative mitochondrial complex II (CII) assembly, designated as CIIlow, serves as a checkpoint for metabolite biosynthesis under bioenergetic stress, with cells suppressing their energy utilization by modulating DNA synthesis and cell cycle progression. Depletion of CIIlow leads to an imbalance in energy utilization and metabolite synthesis, as evidenced by recovery of the de novo pyrimidine pathway and unlocking cell cycle arrest from the S-phase. In vitro experiments are further corroborated by analysis of paraganglioma tissues from patients with sporadic, SDHA and SDHB mutations. These findings suggest that CIIlow is a core complex inside mitochondria that provides homeostatic control of cellular metabolism depending on the availability of energy.
- MeSH
- biosyntetické dráhy fyziologie MeSH
- energetický metabolismus fyziologie MeSH
- fyziologický stres * MeSH
- genový knockout MeSH
- HEK293 buňky MeSH
- kontrolní body fáze S buněčného cyklu fyziologie MeSH
- lidé MeSH
- malá interferující RNA metabolismus MeSH
- mitochondrie metabolismus MeSH
- mutace MeSH
- myši inbrední BALB C MeSH
- myši nahé MeSH
- myši MeSH
- nádorové buněčné linie MeSH
- paragangliom genetika patologie MeSH
- respirační komplex II genetika metabolismus MeSH
- sukcinátdehydrogenasa genetika metabolismus MeSH
- xenogenní modely - testy protinádorové aktivity MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- myši MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
Iron and copper release participates in the myocardial injury under ischemic conditions and hence protection might be achieved by iron chelators. Data on copper chelation are, however, sparse. The effect of the clinically used copper chelator D-penicillamine in the catecholamine model of acute myocardial injury was tested in cardiomyoblast cell line H9c2 and in Wistar Han rats. D-Penicillamine had a protective effect against catecholamine-induced injury both in vitro and in vivo. It protected H9c2 cells against the catecholamine-induced viability loss in a dose-dependent manner. In animals, both intravenous D-penicillamine doses of 11 (low) and 44 mg/kg (high) decreased the mortality caused by s.c. isoprenaline (100 mg/kg) from 36% to 14% and 22%, respectively. However, whereas the low D-penicillamine dose decreased the release of cardiac troponin T (specific marker of myocardial injury), the high dose resulted in an increase. Interestingly, the high dose led to a marked elevation in plasma vitamin C. This might be related to potentiation of oxidative stress, as suggested by additional in vitro experiments with D-penicillamine (iron reduction and the Fenton reaction). In conclusion, D-penicillamine has protective potential against catecholamine-induced cardiotoxicity; however the optimal dose selection seems to be crucial for further application.
- MeSH
- buněčné linie MeSH
- chelátory železa farmakologie MeSH
- deferoxamin farmakologie MeSH
- ionty MeSH
- kardiotonika chemie farmakologie MeSH
- katecholaminy MeSH
- koncentrace vodíkových iontů MeSH
- myokard patologie MeSH
- penicilamin chemie farmakologie MeSH
- potkani Wistar MeSH
- troponin T metabolismus MeSH
- viabilita buněk účinky léků MeSH
- železo metabolismus MeSH
- zvířata MeSH
- Check Tag
- mužské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH