Abstract
The hematopoietic growth factors granulocyte- and granulocyte–macrophage colony stimulating factor (G-CSF and GM-CSF) are nowadays widely used in routine cancer therapies as potent factors to control radiation and chemotherapy induced neutropenia, a side effect that frequently endangers the success of tumor therapies. However, there is little information about the role of G-CSF and GM-CSF for tumor growth or progression. We were interested in the expression and potential role of both factors in human meningiomas, tumors of arachnoidal origin that account for about 20% of all primary intracranial tumors. Therefore, we analyzed immunohistochemically the protein expression of G-CSF, GM-CSF and their respective receptors in 30 meningioma tissues of different malignancy and histopathological type. Both factors and receptors were not expressed in the corresponding normal tissue. In contrast, G-CSF, GM-CSF and their receptors were expressed to a varying degree in human meningiomas. Increasing expression of both factors and receptors correlated significantly with enhanced proliferation in the tumor and thus with higher malignancy. In addition, a strong perivascular expression of G-CSF was associated with a highly vascularized tumor type. Thus, expression of both G-CSF and GM-CSF is associated with the expression of proliferation vascularization, two markers of an increasingly malignant tumor phenotype, suggesting a contribution of both factors to tumor progression.
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Kleihues P, Burger PC, Scheithauer BW: The new WHO classification of brain tumours. Brain Pathol 3: 255–268, 1993
Perry A, Stafford SL, Scheithauer BW, Suman VJ, Lohse CM: Meningioma grading: an analysis of histologic parameters. Am J Surg Pathol 21(12): 1455–1465, 1997
Wilson CB: Meningiomas: genetics, malignancy, and the role of radiation in induction and treatment. The Richard C Schneider Lecture. J Neurosurg 81(5): 666–675, 1994
Matsuno A, Fujimaki T, Sasaki T, Nagashima T, Ide T, Asai A, Matsuura R, Utsunomiya H, Kirino T: Clinical and histopathological analysis of proliferative potentials of recurrent and non-recurrent meningiomas. Acta Neuropathol (Berl) 91(5): 504–510, 1996
Yao YT: Clinicopathologic analysis of 615 cases of meningioma with special reference to recurrence. J Formos Med Assoc 93(2): 145–152, 1994
Ruttledge MH, Sarrazin J, Rangaratnam S, Phelan CM, Twist E, Merel P, Delattre O, Thomas G, Nordenskjold M, Collins VP et al.: Evidence for the complete inactivation of the NF2 gene in the majority of sporadic meningiomas. Nat Genet 6(2): 180–184, 1994
Detta A, Kenny BG, Smith C, Logan A, Hitchcock E: Correlation of proto-oncogene expression and proliferation in meningiomas. Neurosurgery 33(6): 1065–1074, 1993
Riva P, Larizza L: Expression of c-sis and c-fos genes in human meningiomas and neurinomas. Int J Cancer 51(6): 873–877, 1992
Aaronson SA: Growth factors and cancer. Science 254: 1146–1153, 1991
Shamah SM, Alberta JA, Giannobile WV, Guha A, Kwon YK, Carroll RS, Black PM, Stiles CD: Detection of activated platelet-derived growth factor receptors in human meningioma. Cancer Res 57(18): 4141–4147, 1997
Carroll RS, Black PM, Zhang J, Kirsch M, Percec I, Lau N, Guha A: Expression and activation of epidermal growth factor receptors in meningiomas. J Neurosurg 87(2): 315–323, 1997
Lichtor T, Kurpakus MA, Gurney ME: Expression of insulin-like growth factors and their receptors in human meningiomas. J Neuro-Oncol 17(3): 183–190, 1993
Todo T, Adams EF, Fahlbusch R, Dingermann T, Werner H: Autocrine growth stimulation of human meningioma cells by platelet-derived growth factor. J Neurosurg 84(5): 852–858, 1996
Nordqvist AC, Mathiesen T: Expression of IGF-II, IGFBP-2,-5, and-6 in meningiomas with different brain invasiveness. J Neuro-Oncol 57(1): 19–26, 2002
Sanson M, Cornu P: Biology of meningiomas. Acta Neurochir (Wien) 142(5): 493–505, 2000
Goldsmith BJ, Wara WM, Wilson CB, Larson DA: Postoperative irradiation for subtotally resected meningiomas. A retrospective analysis of 140 patients treated from 1967 to 1990. J Neurosurg 80(2): 195–201, 1994
Marks SM, Whitwell HL, Lye RH: Recurrence of meningiomas after operation. Surg Neurol 25(5): 436–444, 1986
Schrell UM, Rittig MG, Anders M, Koch UH, Marschalek R, Kiesewetter F, Fahlbusch R: Hydroxyurea for treatment of unresectable and recurrent meningiomas. II. Decrease in the size of meningiomas in patients treated with hydroxyurea. J Neurosurg 86(5): 840–844, 1997
MacManus MP, Clarke J, McCormick D, Abram WP: Use of recombinant granulocyte-colony stimulating factor to treat neutropenia occurring during craniospinal irradiation. Int J Radiat Oncol Biol Phys 26(5): 845–850, 1993
Marks LB, Halperin EC: The use of G-CSF during craniospinal irradiation. Int J Radiat Oncol Biol Phys 26(5): 905–906, 1993
Papadopoulos KP, Balmaceda C, Fetell M, Kaufman E, Vahdat LT, Bruce J, Sisti M, Isaacson S, De LaPaz R, Savage DG, Troxel A, Antman KH, Hesdorffer CS: A phase I study of high-dose BCNU, etoposide and escalating-dose thiotepa (BTE) with hematopoietic progenitor cell support in adults with recurrent and high-risk brain tumors. J Neuro-Oncol 44(2): 155–162, 1999
American Society of Clinical Oncology: American Society of Clinical Oncology recommendations for the use of hematopoietic colony stimulating factors: evidence based clinical practice guidelines. J Clin Oncol 12: 2471–2508, 1994
Mayordomo JI, Rivera F, Diaz-Puente MT, Lianes P, Colomer R, Lopez-Brea M, Lopez E, Paz-Ares L, Hitt R, Garcia-Ribas I: Improving treatment of chemotherapy-induced neutropenic fever by administration of colony stimulating factors. J Natl Cancer Inst 87: 803–808, 1995
Rampling R, Steward W, Paul J, Macham MA, Harvey E, Eckley D: rhGM-CSF ameliorates neutropenia in patients with malignant glioma treated with BCNU. Br J Cancer 69(3): 541–545, 1994
Williams ME, Quesenberry PJ: Hematopoietic growth factors. Hematol Pathol 6: 105–124, 1992
Demetri GD, Griffin JD: Granulocyte colony-stimulating factor and its receptor. Blood 78: 2791–2808, 1991
Shimoda K, Okamura S, Harada N, Kondo S, Okamura T, Niho Y: Identification of a functional receptor for granulocyte colony-stimulating factor on platelets. J Clin Invest 91: 1310–1313, 1993
Tkatch LS, Tweardy DJ: Human granulocyte colony-stimulating factor (G-CSF), the premier granulopoietin: biology, clinical utility, and receptor structure and function, Lymphok Cytok Res 6: 477–488, 1993
Kastelstein RA, Shanafelt AB: GM-CSF receptor: Interactions and activation. Oncogene 8: 231–236, 1993
Nicola NA, Wycherley K, Boyd AW, Layton JE, Gary D, Metcalf D: Neutralizing and nonneutralizing monoclonal antibodies to the human granulocyte-macrophage colony-stimulating factor receptor α-chain. Blood 82: 1724–1731, 1993
Bussolino F, Ziche M, Wang J, Alessi D, Mobidelli L, Cremona O, Bosai A, Marchisio P, Mantovani A: In vitro and in vivo activation of endothelial cells by colony-stimulating factors. J Clin Inves 87: 986–995, 1991
Hamilton JA, Piccoli DS, Cebon J, Layton JE, Rathanaswani P, McCoIl SR, Leizer T: Cytokine regulation of colony-stimulating factor (CSF) production in cultured human synovial fibroblasts II. Similarities and differences in the control of interleukin-1 induction of granulocytemacrophage CSF and granulocyte-CSF production. Blood 79: 1413–1419, 1992
Stoof TJ, Boorsma DM, Nickoloff BJ: Keratinocytes and immunological cytokines. In: Leigh I and Watt F (eds) The Keratinocyte Handbook. Cambridge University Press, pp 363-399, 1994
Dedhar S, Gaboury L, Galloway P, Eaves C: Human granulocyte-macrophage colony stimulating factor is a growth factor active on a variety of cell types of non-hematopoietic origin. Proc Natl Acad Sci USA 85: 9253–9257, 1988
Olaniran AK, Baker BS, Garioch JJ, Powles AV, Fry L: A comparison of the stimulatory effects of cytokines on normal and psoriatic keratinocytes in vitro. Arch Dermatol Res 2877: 231–236, 1995
Szabowski A, Maas-Szabowski N, Andrecht S, Kolbus A, Schorpp-Kistner M, Fusenig NE, Angel P: C-Jun and JunB antagonistically regulate expression of cytokines controlling mesenchymal-epidermal crosstalk. Cell 103: 745–755, 2000
Mueller MM, Herold-Mende CC, Riede D, Lange M, Steiner H-H, Fusenig NE: Autocrine growth regulation by G-CSF and GM-CSF in human gliomas with tumor progression. Am J Pathol 155: 1557–1567, 1999
Foulke RS, Marshall MH, Trotta PP, Von Hoff DD: In vitro assessment of the effects of granulocyte-macrophage colony stimulating factor on primary human tumors and derived cell lines. Cancer Res 50(19): 6264–6267, 1990
Guillaume T, Sekhavat M, Rubinstein DB, Hamdan O, Symann ML: Transcription of genes encoding granulocytemacrophage colony-stimulating factor, interleukin-3, and interleukin-6 receptors and lack of proliferative response to exogenous cytokines in nonhematopoietic human malignant cell lines. Cancer Res 53: 3139–3144, 1993
MacManus MP, McCormick D, Trimble A, Abram WP: Value of granulocyte colony stimulating factor in radiotherapy induced neutropenia: clinical and laboratory studies. Eur J Cancer 31A: 302–307, 1995
Mueller MM, Fusenig NE: Constitutive expression of G-CSF and GM-CSF in human skin carcinoma cells with functional consequence for tumor progression. Int J Cancer 83: 780–789, 1999
Pei X-H, Nakanishi Y, Takayama K, Yatsunami J, Bai F, Kawasaki M, Wakamatsu K, Tsuruta N, Mizuno K, Hara N: Granulocyte-colony stimulating factor promotes invasion by human lung cancer cell lines in vitro. Clin Exp Metastasis 14(4): 351–357, 1996
Tsuzuki H, Fujieda S, Sunaga H, Noda I, Saito H: Expression of granulocyte colony stimulating factor receptor correlates with prognosis in oral and mesopharyngeal carcinoma. Cancer Res 58(4): 794–800, 1998
Sandberg-Nordquist AC, Peyrard M, Petterson H, Mathiesen T, Collins VP, Dumanski JP, Schalling M: A high ratio of insulin-like growth factor/insulin like growth factor binding protein 2 messenger RNA as a marker for anaplasia in meningiomas. Cancer Res 57: 2611–2614, 1997
Lehmann EL: Nonparametrics: Statistical Methods Based on Ranks. Holden-Day, Inc., San Francisco, 1975
Louis DN, Budka H, von Deimling A: Meningeal tumors. In: Kleihues P, Burger PC, Scheithauer BW (eds) Histological Typing of Tumors of the Central Nervous System, Vol. 2 Springer, Heidelberg, 1993
Baba M, Hasegawa H, Nakayabu M, Shimizu N, Suszuki S, Kamada N, Tani K: Establishment and characteristics of a gastric cancer cell line (HuGC-OOHIRA) producing high levels of G-CSF, GM-CSF, and IL-6: The presence of autocrine growth control by G-CSF. Am J Hematol 49: 207–215, 1995
Horii A, Shimamura K, Honjo Y, Mitani K, Miki T, Takashima S, Yoshida J: Granulocyte colony stimulating factor-producing tongue carcinoma. Head and Neck 19(4): 351–356, 1997
Mattei S, Colombo MP, Melani C, Silvani A, Parmiani G, Herlyn M: Expression of cytokine/growth factors and their receptors in human melanoma and melanocytes. Int J Cancer 56: 853–8574, 1994
Tachibana M, Miyakawa A, Tazaki H, Nakamura K, Kubo A, Hata J: Autocrine growth of transitional cell carcinoma of the bladder induced by granulocyte-colony stimulating factor. Cancer Res 55: 3438–3443, 1995
Noda I, Fujieda S, Ohtsubo T, Tsuzuki H, Tanaka N, Sunaga H, Saito H: Granulocyte-colony-stimulating factor enhances invasive potential of human head-and-neck-carcinoma cell lines. Int J Cancer 80(1): 78–84, 1999
Safarians S, Rivera SP, Sternlicht MD, Naeim F, Barsky SH: Ectopic G-CSF expression in human melanoma lines marks a trans-dominant pathway of tumor progression. Am J Pathol 150(3): 949–962, 1997
Tachibana M, Murai M: G-CSF production in human bladder cancer and its ability to promote autocrine growth: a review. Cytokines Cell Mol Ther 4(2): 113–120, 1998
Kolles H, Niedermayer I, Schmitt C, Henn W, Feld R, Steudel WI, Zang KD, Feiden W: Triple approach for diagnosis and grading of meningiomas: histology, morphometry of Ki-67/Feulgen stainings, and cytogenetics. Acta Neurochir (Wien) 137(3–4): 174–181, 1995
Simoca I, Olarescu AA, Jipescu I, Lisievici M: Postoperative outcome of intracranial meningiomas; long-term prognosis. Rom. J Neurol Psychiatry 32(4): 237–251, 1994
Kyo S, Kanaya T, Takakura M, Inoue M: A case of cervical cancer with aggressive tumor growth: possible autocrine growth stimulation by G-CSF and Il-6. Gynecol Oncol 78 (3 Pt 1): 383–387, 2000
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Braun, B., Lange, M., Oeckler, R. et al. Expression of G-CSF and GM-CSF in Human Meningiomas Correlates with Increased Tumor Proliferation and Vascularization. J Neurooncol 68, 131–140 (2004). https://doi.org/10.1023/B:NEON.0000027751.87894.f0
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DOI: https://doi.org/10.1023/B:NEON.0000027751.87894.f0