PMID- 18172271 OWN - NLM STAT- MEDLINE DCOM- 20080327 LR - 20231213 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 14 IP - 1 DP - 2008 Jan 1 TI - Interleukin-13 receptor alpha 2, EphA2, and Fos-related antigen 1 as molecular denominators of high-grade astrocytomas and specific targets for combinatorial therapy. PG - 199-208 LID - 10.1158/1078-0432.CCR-07-1990 [doi] AB - PURPOSE: We investigated the expression of interleukin-13 receptor alpha2 (IL-13R alpha 2), EphA2, and Fos-related antigen 1 (Fra-1) in astrocytomas and normal brain. We sought to document whether the expression of the three factors changed with progression to higher grade malignancy and whether two or three targets in combination might be sufficient to target all patients with high-grade astrocytomas. EXPERIMENTAL DESIGN: Immunohistochemistry was done for IL-13R alpha 2, EphA2, and Fra-1 using human brain tumor tissue microarrays containing 30 specimens of WHO grades II and III astrocytomas, 46 glioblastoma multiformes (GBM), and 9 normal brain samples. Sections were scored based on frequency and intensity of expression. Western blotting was done for all three markers using GBM tumor specimens and xenograft cell lines. Two cytotoxins, IL-13.E13K.PE38QQR and ephrinA1-PE38QQR, which target IL-13R alpha 2 or EphA2, respectively, were tested for cytotoxicity against human GBM primary explant cells and established cells. RESULTS: Expression of all three proteins was significantly higher in GBM compared with normal brain, low-grade, and anaplastic astrocytomas. Greater than 95% of GBM overexpressed at least two of the three markers. Importantly, every GBM overexpressed at least one marker. Human GBM primary explant cells and cell lines were potently killed by IL-13.E13K.PE38QQR and ephrinA1-PE38QQR, in accordance with their level of expression of IL-13R alpha 2 and EphA2, respectively. CONCLUSIONS: IL-13R alpha 2, EphA2, and Fra-1 are attractive therapeutic targets representing molecular denominators of high-grade astrocytomas. One hundred percent of GBM tumors overexpress at least one of these proteins, providing the basis for rational combinatorial targeted therapies/diagnostics suitable for all patients with this disease. FAU - Wykosky, Jill AU - Wykosky J AD - Brain Tumor Center of Excellence, Comprehensive Cancer Center, Department of Neurosurgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. FAU - Gibo, Denise M AU - Gibo DM FAU - Stanton, Constance AU - Stanton C FAU - Debinski, Waldemar AU - Debinski W LA - eng GR - 1F31 NS055533-01/NS/NINDS NIH HHS/United States GR - R01 CA74145/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antineoplastic Agents) RN - 0 (Bacterial Toxins) RN - 0 (Biomarkers, Tumor) RN - 0 (Exotoxins) RN - 0 (Interleukin-13 Receptor alpha2 Subunit) RN - 0 (Proto-Oncogene Proteins c-fos) RN - 0 (Virulence Factors) RN - 0 (fos-related antigen 1) RN - EC 2.4.2.- (ADP Ribose Transferases) RN - EC 2.7.10.1 (Receptor, EphA2) SB - IM MH - ADP Ribose Transferases/pharmacology MH - Animals MH - Antineoplastic Agents/pharmacology MH - Astrocytoma/*metabolism/pathology MH - Bacterial Toxins/pharmacology MH - Biomarkers, Tumor/*analysis MH - Blotting, Western MH - Brain Neoplasms/*metabolism/pathology MH - Cells, Cultured MH - Exotoxins/pharmacology MH - Humans MH - Immunohistochemistry MH - Interleukin-13 Receptor alpha2 Subunit/*biosynthesis MH - Mice MH - Proto-Oncogene Proteins c-fos/*biosynthesis MH - Receptor, EphA2/*biosynthesis MH - Tissue Array Analysis MH - Virulence Factors/pharmacology MH - Pseudomonas aeruginosa Exotoxin A EDAT- 2008/01/04 09:00 MHDA- 2008/03/28 09:00 CRDT- 2008/01/04 09:00 PHST- 2008/01/04 09:00 [pubmed] PHST- 2008/03/28 09:00 [medline] PHST- 2008/01/04 09:00 [entrez] AID - 14/1/199 [pii] AID - 10.1158/1078-0432.CCR-07-1990 [doi] PST - ppublish SO - Clin Cancer Res. 2008 Jan 1;14(1):199-208. doi: 10.1158/1078-0432.CCR-07-1990.