PMID- 31936793 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 12 IP - 1 DP - 2020 Jan 10 TI - Contribution of mTOR and PTEN to Radioresistance in Sporadic and NF2-Associated Vestibular Schwannomas: A Microarray and Pathway Analysis. LID - 10.3390/cancers12010177 [doi] LID - 177 AB - The use of radiation treatment has increased for both sporadic and neurofibromatosis type 2 (NF2)-associated vestibular schwannoma (VS). However, there are a subset of radioresistant tumors and systemic treatments that are seldom used in these patients. We investigated molecular alterations after radiation in three NF2-associated and five sporadically operated recurrent VS after primary irradiation. We compared these findings with 49 non-irradiated (36 sporadic and 13 NF2-associated) VS through gene-expression profiling and pathway analysis. Furthermore, we stained the key molecules of the distinct pathway by immunohistochemistry. A total of 195 differentially expressed genes in sporadic and NF2-related comparisons showed significant differences based on the criteria of p value < 0.05 and a two-fold change. These genes were involved in pathways that are known to be altered upon irradiation (e.g., mammalian target of rapamycin (mTOR), phosphatase and tensin homolog (PTEN) and vascular endothelial growth factor (VEGF) signaling). We observed a combined downregulation of PTEN signaling and an upregulation of mTOR signaling in progressive NF2-associated VS after irradiation. Immunostainings with mTOR and PTEN antibodies confirmed the respective molecular alterations. Taken together, mTOR inhibition might be a promising therapeutic strategy in NF2-associated VS progress after irradiation. FAU - Gugel, Isabel AU - Gugel I AD - Center for Neuro-Oncology, Comprehensive Cancer Center Tubingen Stuttgart, 72076 Tubingen, Germany. AD - Department of Neurosurgery, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Centre of Neurofibromatosis and Rare Diseases, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Interdisciplinary Division of Neuro-Oncology, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Hertie Institute for Clinical Brain Research, Eberhard Karls University Tubingen, 72076 Tubingen, Germany. FAU - Ebner, Florian H AU - Ebner FH AD - Department of Neurosurgery, Alfried Krupp Hospital, 45131 Essen, Germany. FAU - Grimm, Florian AU - Grimm F AD - Center for Neuro-Oncology, Comprehensive Cancer Center Tubingen Stuttgart, 72076 Tubingen, Germany. AD - Department of Neurosurgery, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Interdisciplinary Division of Neuro-Oncology, University Hospital Tubingen, 72076 Tubingen, Germany. FAU - Czemmel, Stefan AU - Czemmel S AD - Quantitative Biology Center (QBiC), University of Tubingen, 72076 Tubingen, Germany. FAU - Paulsen, Frank AU - Paulsen F AD - Center for Neuro-Oncology, Comprehensive Cancer Center Tubingen Stuttgart, 72076 Tubingen, Germany. AD - Interdisciplinary Division of Neuro-Oncology, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Department of Radiation Oncology, University Hospital Tubingen, 72076 Tubingen, Germany. FAU - Hagel, Christian AU - Hagel C AD - Institute of Neuropathology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany. FAU - Tatagiba, Marcos AU - Tatagiba M AD - Center for Neuro-Oncology, Comprehensive Cancer Center Tubingen Stuttgart, 72076 Tubingen, Germany. AD - Department of Neurosurgery, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Centre of Neurofibromatosis and Rare Diseases, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Interdisciplinary Division of Neuro-Oncology, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Hertie Institute for Clinical Brain Research, Eberhard Karls University Tubingen, 72076 Tubingen, Germany. FAU - Nahnsen, Sven AU - Nahnsen S AD - Quantitative Biology Center (QBiC), University of Tubingen, 72076 Tubingen, Germany. FAU - Tabatabai, Ghazaleh AU - Tabatabai G AD - Center for Neuro-Oncology, Comprehensive Cancer Center Tubingen Stuttgart, 72076 Tubingen, Germany. AD - Department of Neurosurgery, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Interdisciplinary Division of Neuro-Oncology, University Hospital Tubingen, 72076 Tubingen, Germany. AD - Hertie Institute for Clinical Brain Research, Eberhard Karls University Tubingen, 72076 Tubingen, Germany. LA - eng PT - Journal Article DEP - 20200110 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC7016954 OTO - NOTNLM OT - microarray analysis OT - neurofibromatosis type 2 OT - radioresistance OT - signaling OT - vestibular schwannoma COIS- G.T. served on Advisory Boards of BMS, MSD and AbbVie; received research and/or travel grants from Roche Diagnostics, Novocure and Medac; received speaker's fees from Medac, Novocure. The other authors declare no conflict of interest. EDAT- 2020/01/16 06:00 MHDA- 2020/01/16 06:01 PMCR- 2020/01/10 CRDT- 2020/01/16 06:00 PHST- 2019/12/19 00:00 [received] PHST- 2020/01/07 00:00 [accepted] PHST- 2020/01/16 06:00 [entrez] PHST- 2020/01/16 06:00 [pubmed] PHST- 2020/01/16 06:01 [medline] PHST- 2020/01/10 00:00 [pmc-release] AID - cancers12010177 [pii] AID - cancers-12-00177 [pii] AID - 10.3390/cancers12010177 [doi] PST - epublish SO - Cancers (Basel). 2020 Jan 10;12(1):177. doi: 10.3390/cancers12010177.