IDH mutation status is associated with a distinct hypoxia/angiogenesis transcriptome signature which is non-invasively predictable with rCBV imaging in human glioma

The recent identification of IDH mutations in gliomas and several other cancers suggests that this pathway is involved in oncogenesis; however effector functions are complex and yet incompletely understood. To study the regulatory effects of IDH on hypoxia-inducible-factor 1-alpha (HIF1A), a driving...

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Hauptverfasser: Vollmuth, Philipp (VerfasserIn) , Sahm, Felix (VerfasserIn) , Radbruch, Alexander (VerfasserIn) , Wick, Wolfgang (VerfasserIn) , Heiland, Sabine (VerfasserIn) , Deimling, Andreas von (VerfasserIn) , Bendszus, Martin (VerfasserIn) , Wiestler, Benedikt (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 05 November 2015
In: Scientific reports
Year: 2015, Jahrgang: 5, Heft: 1
ISSN:2045-2322
DOI:10.1038/srep16238
Online-Zugang:Resolving-System, lizenzpflichtig, Volltext: https://doi.org/10.1038/srep16238
Verlag, lizenzpflichtig, Volltext: https://www.nature.com/articles/srep16238
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Verfasserangaben:Philipp Kickingereder, Felix Sahm, Alexander Radbruch, Wolfgang Wick, Sabine Heiland, Andreas von Deimling, Martin Bendszus & Benedikt Wiestler
Beschreibung
Zusammenfassung:The recent identification of IDH mutations in gliomas and several other cancers suggests that this pathway is involved in oncogenesis; however effector functions are complex and yet incompletely understood. To study the regulatory effects of IDH on hypoxia-inducible-factor 1-alpha (HIF1A), a driving force in hypoxia-initiated angiogenesis, we analyzed mRNA expression profiles of 288 glioma patients and show decreased expression of HIF1A targets on a single-gene and pathway level, strong inhibition of upstream regulators such as HIF1A and downstream biological functions such as angio- and vasculogenesis in IDH mutant tumors. Genotype/imaging phenotype correlation analysis with relative cerebral blood volume (rCBV) MRI - a robust and non-invasive estimate of tumor angiogenesis - in 73 treatment-naive patients with low-grade and anaplastic gliomas showed that a one-unit increase in rCBV corresponded to a two-third decrease in the odds for an IDH mutation and correctly predicted IDH mutation status in 88% of patients. Together, these findings (1) show that IDH mutation status is associated with a distinct angiogenesis transcriptome signature which is non-invasively predictable with rCBV imaging and (2) highlight the potential future of radiogenomics (i.e. the correlation between cancer imaging and genomic features) towards a more accurate diagnostic workup of brain tumors.
Beschreibung:Gesehen am 29.06.2020
Beschreibung:Online Resource
ISSN:2045-2322
DOI:10.1038/srep16238