PMID- 31649887 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 9 DP - 2019 TI - Circulating Tumor Biomarkers in Meningiomas Reveal a Signature of Equilibrium Between Tumor Growth and Immune Modulation. PG - 1031 LID - 10.3389/fonc.2019.01031 [doi] LID - 1031 AB - Meningiomas are primary central nervous system (CNS) tumors that originate from the arachnoid cells of the meninges. Recurrence occurs in higher grade meningiomas and a small subset of Grade I meningiomas with benign histology. Currently, there are no established circulating tumor markers which can be used for diagnostic and prognostic purposes in a non-invasive way for meningiomas. Here, we aimed to identify potential biomarkers of meningioma in patient sera. For this purpose, we collected preoperative (n = 30) serum samples from the meningioma patients classified as Grade I (n = 23), Grade II (n = 4), or Grade III (n = 3). We used a high-throughput, multiplex immunoassay cancer panel comprising of 92 cancer-related protein biomarkers to explore the serum protein profiles of meningioma patients. We detected 14 differentially expressed proteins in the sera of the Grade I meningioma patients in comparison to the age- and gender-matched control subjects (n = 12). Compared to the control group, Grade I meningioma patients showed increased serum levels of amphiregulin (AREG), CCL24, CD69, prolactin, EGF, HB-EGF, caspase-3, and decreased levels of VEGFD, TGF-alpha, E-Selectin, BAFF, IL-12, CCL9, and GH. For validation studies, we utilized an independent set of meningioma tumor tissue samples (Grade I, n = 20; Grade II, n = 10; Grade III, n = 6), and found that the expressions of amphiregulin and Caspase3 are significantly increased in all grades of meningiomas either at the transcriptional or protein level, respectively. In contrast, the gene expression of VEGF-D was significantly lower in Grade I meningioma tissue samples. Taken together, our study identifies a meningioma-specific protein signature in blood circulation of meningioma patients and highlights the importance of equilibrium between tumor-promoting factors and anti-tumor immunity. CI - Copyright (c) 2019 Erkan, Strobel, Dorfer, Sonntagbauer, Weinhausel, Saydam and Saydam. FAU - Erkan, Erdogan Pekcan AU - Erkan EP AD - Research Program in Systems Oncology, Faculty of Medicine, University of Helsinki, Helsinki, Finland. FAU - Strobel, Thomas AU - Strobel T AD - Institute of Neurology, Medical University of Vienna, Vienna, Austria. FAU - Dorfer, Christian AU - Dorfer C AD - Department of Neurosurgery, Medical University of Vienna, Vienna, Austria. FAU - Sonntagbauer, Markus AU - Sonntagbauer M AD - Austrian Institute of Technology, Molecular Diagnostics Center for Health and Bioresources, Vienna, Austria. FAU - Weinhausel, Andreas AU - Weinhausel A AD - Austrian Institute of Technology, Molecular Diagnostics Center for Health and Bioresources, Vienna, Austria. FAU - Saydam, Nurten AU - Saydam N AD - Department of Biochemistry, Molecular Biology, and Biophysics, Medical School, University of Minnesota, Minneapolis, MN, United States. FAU - Saydam, Okay AU - Saydam O AD - Division of Hematology and Oncology, Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, MN, United States. LA - eng PT - Journal Article DEP - 20191010 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC6795693 OTO - NOTNLM OT - CNS tumors OT - biomarker OT - high-throughput immunoassay cancer panel OT - meningioma OT - proximity extension assay OT - serum biomarker EDAT- 2019/10/28 06:00 MHDA- 2019/10/28 06:01 PMCR- 2019/01/01 CRDT- 2019/10/26 06:00 PHST- 2019/04/26 00:00 [received] PHST- 2019/09/24 00:00 [accepted] PHST- 2019/10/26 06:00 [entrez] PHST- 2019/10/28 06:00 [pubmed] PHST- 2019/10/28 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2019.01031 [doi] PST - epublish SO - Front Oncol. 2019 Oct 10;9:1031. doi: 10.3389/fonc.2019.01031. eCollection 2019.