Abstract
Objective
The purpose of this study is to detect different protein profiles in medulloblastoma (MDB) that may be clinically relevant and to check the correspondence of histological classification of MDB with proteomic profiles.
Materials and methods
Surgical specimens, snap frozen at the time of neurosurgery, entered the proteomic study. Eight samples from patients (age range, 4 months–26 years) with different MDB histotypes (five classic, one desmoplastic/nodular, one with extensive nodularity, and one anaplastic) were analyzed by two-dimensional gel electrophoresis. One sample for each histotype was further characterized by matrix-assisted laser desorption/ionization time of flight mass spectrometry analysis.
Results
Eighty-six unique proteins were identified and compared to histology, with the determination of proteins expressed by single histotypes and of a smaller number of proteins shared by two or three histotypes. The sharp difference of protein expression was found to be in agreement with WHO histological classification, with the identification of type-specific proteins with limited overlapping between histotypes.
Conclusion
Proteomic analysis confirmed and strengthened the difference between histotypes as biologically relevant. Cluster analysis enhanced the distance of extensive nodularity MDB from other histotypes. Possible innovative approaches to therapy may rely upon a proteomic-based classification of MDB tightly correlated to histology. The utility of snap freezing tumoral samples must be stressed and should become a mandatory task for pathologists.
Similar content being viewed by others
References
Giangaspero F, Eberhart CG, Haapsalo H, Pietsch T, Wiestler O, Ellison DW (2007) Medulloblastoma. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (eds) WHO classification of tumours of central nervous system. IARC Press, Lyon, pp 132–140
Gilbertson RJ, Gajjar A (2005) Molecular biology of medulloblastoma: will it ever make a difference to clinical management? J Neurooncol 75:273–278
Rutkowski S, Bode U, Deinlein F, Ottensmeier H, Warmuth-Metz M, Soerensen N, Graf N, Emser A, Pietsch T, Wolff JE, Kortmann RD, Kuehl J (2005) Treatment of early childhood medulloblastoma by postoperative chemotherapy alone. N Engl J Med 352:978–986
Gajjar A, Chintagumpala M, Ashley D, Kellie S, Kun LE, Merchant TE, Woo S, Wheeler G, Ahern V, Krasin MJ, Fouladi M, Broniscer A, Krance R, Hale GA, Stewart CF, Dauser R, Sanford RA, Fuller C, Lau C, Boyett JM, Wallace D, Gilbertson RJ (2006) Risk-adapted craniospinal radiotherapy followed by high-dose chemotherapy and stem-cell rescue in children with newly diagnosed medulloblastoma (St Jude Medulloblastoma-96): long-term results from a prospective, multicentre trial. Lancet Oncol 7:813–820
Kool M, Koster J, Bunt J Hasselt NE, Lakeman A, van Sluis P, Troost D, Meeteren NS, Caron HN, Cloos J, Mrsić A, Ylstra B, Grajkowska W, Hartmann W, Pietsch T, Ellison D, Clifford SC, Versteeg R (2008) Integrated genomics identifies five medulloblastoma subtypes with distinct genetic profiles, pathway signatures and clinicopathological features. PLoS One 3:e3088
Ellison DW, Kocak M, Dalton J, Megahed H, Lusher ME, Ryan SL, Zhao W, Nicholson SL, Taylor RE, Bailey S, Clifford SC (2011) Definition of disease-risk stratification groups in childhood medulloblastoma using combined clinical, pathologic, and molecular variables. J Clin Oncol 29(11):1400–1407
Rutkowski S, von Hoff K, Emser A, Zwiener I, Pietsch T, Figarella-Branger D, Giangaspero F, Ellison DW, Garre ML, Biassoni V, Grundy RG, Finlay JL, Dhall G, Raquin MA, Grill J (2010) Survival and prognostic factors of early childhood medulloblastoma: an international meta-analysis. J Clin Oncol 28(33):4961–4968
Barbero G, Carta F, Giribaldi G, Mandili G, Crobu S, Ceruti C, Fontana D, Destefanis P, Turrini F (2006) Protein/RNA coextraction and small two-dimensional polyacrylamide gel electrophoresis for proteomic/gene expression analysis of renal cancer biopsies. Anal Biochem 349:62–71
Development Core Team (2009) R: a Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria. ISBN 3-900051-07-0. http://www.R-project.org
Bolker B, Bonebakker L, Gentleman R, Huber W, Liaw A, Lumley. T, Maechler M, Magnusson A, Moeller S, Schwartz M, Venables B (2010) gplots: Various R programming tools for plotting data. R package version 2.8.0. http://CRAN.R-project.org/package=gplots
Polans AS, Witkowska D, Haley TL, Amundson D, Baizer L, Adamus G (1995) Recoverin, a photoreceptor-specific calcium-binding protein, is expressed by the tumor of a patient with cancer-associated retinopathy. Proc Natl Acad Sci U S A 96:9176–9180
Deighton RF, McGregor R, Kemp J, McCulloch J, Whittle IR (2010) Glioma pathophysiology: insights emerging from proteomics. Brain Pathol 20:691–701
Le Mercier M, Fortin S, Mathieu V, Kiss R, Lefranc F (2010) Galectins and gliomas. Brain Pathol 20:17–27
Miller NL, Wevrick R, Mellon PL (2009) Necdin, a Prader–Willi syndrome candidate gene, regulates gonadotropin-releasing hormone neurons during development. Hum Mol Genet 18:248–260
Kuo MF, Wang HS, Kuo QT, Shun CT, Hsu HC, Yang SH, Yuan RH (2009) High expression of stathmin protein predicts a fulminant course in medulloblastoma. J Neurosurg Pediatr 4:74–80
Zanini C, Mandili G, Baci D, Morra I, Forni M (2010) Proteomic profile modification of anaplastic medulloblastoma after in-vivo radiotherapy: a case study. Journal Cancer Therapy 2:97–103. doi:10.4236/jct.2010.12017 http://www.scirp.org/journal/jct
Zhang DY, Ye F, Gao L, Liu X, Zhao X et al (2009) Proteomics, pathway array and signaling network-based medicine in cancer. Cell Div. 4:20
Peyrl A, Krapfenbauer K, Slavc I, Yang JW, Strobel T, Lubec G (2003) Protein profiles of medulloblastoma cell lines DAOY and D283: identification of tumor-related proteins and principles. Proteomics 3:1781–1800
Zanini C, Mandili G, Pulerà F, Morra I, Peretta P, Turrini F, Forni M (2009) Immunohistochemical and proteomic profile of melanotic medulloblastoma. Pediatr Blood Cancer 52:875–877
Hoff K, Hartmann W, von Bueren AO, Gerber NU, Grotzer MA, Pietsch T, Rutkowski S (2010) Large cell/anaplastic medulloblastoma: outcome according to myc status, histopathological, and clinical risk factors. Pediatr Blood Cancer 54:369–376
Hidvegi T, Ewing M, Hale P, Dippold C, Beckett C, Kemp C, Maurice N, Mukherjee A, Goldbach C, Watkins S, Michalopoulos G, Perlmutter DH (2010) An autophagy-enhancing drug promotes degradation of mutant alpha1-antitrypsin Z and reduces hepatic fibrosis. Science 329:229–232
Mitchell BS (2003) The proteasome—an emerging therapeutic target in cancer. N Engl J Med 348:2597–2598
Acknowledgments
The study was partially supported by UGI–Unione Genitori Italiani contro il tumore dei bambini (ugi@ugi-torino.it)–Ospedale Infantile Regina Margherita, Turin, Italy.
Conflict of interest
The authors have no conflict of interest to declare.
Author information
Authors and Affiliations
Corresponding author
Electronic supplementary material
Below is the link to the electronic supplementary material.
Online Resource 1
Clinical data of patients (DOC 40 kb)
Online Resource 2
Representative colloidal Comassie-stained 2-DE maps of MDB in four different histotypes. Proteins were separated in a pH 3-10NL strips, followed by SDS–PAGE on 10%. After mass spectrometry analysis, 86 unique proteins corresponding to 450 spots cut were identified. Identifications are reported in Tables 1 and 2. Classic MDB (a), desmoplastic/nodular MDB (b), extensive nodularity MDB (c), anaplastic MDB (d) (JPEG 153 kb)
Rights and permissions
About this article
Cite this article
Zanini, C., Mandili, G., Bertin, D. et al. Analysis of different medulloblastoma histotypes by two-dimensional gel and MALDI-TOF. Childs Nerv Syst 27, 2077–2085 (2011). https://doi.org/10.1007/s00381-011-1515-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-011-1515-9