Abstract

Glioblastoma is the most malignant brain tumor among adults. Despite multimodality treatment, it remains incurable, mainly because of its extensive heterogeneity and infiltration in the brain parenchyma. Recent evidence indicates dysregulation of the expression of the Promyelocytic Leukemia Protein (PML) in primary Glioblastoma samples. PML is implicated in various ways in cancer biology. In the brain, PML participates in the physiological migration of the neural progenitor cells, which have been hypothesized to serve as the cell of origin of Glioblastoma. The role of PML in Glioblastoma progression has recently gained attention due to its controversial effects in overall Glioblastoma evolution. In this work, we studied the role of PML in Glioblastoma pathophysiology using the U87MG cell line. We genetically modified the cells to conditionally overexpress the PML isoform IV and we focused on its dual role in tumor growth and invasive capacity. Furthermore, we targeted a PML action mediator, the Enhancer of Zeste Homolog 2 (EZH2), via the inhibitory drug DZNeP. We present a combined in vitro–in silico approach, that utilizes both 2D and 3D cultures and cancer-predictive computational algorithms, in order to differentiate and interpret the observed biological results. Our overall findings indicate that PML regulates growth and invasion through distinct cellular mechanisms. In particular, PML overexpression suppresses cell proliferation, while it maintains the invasive capacity of the U87MG Glioblastoma cells and, upon inhibition of the PML-EZH2 pathway, the invasion is drastically eliminated. Our in silico simulations suggest that the underlying mechanism of PML-driven Glioblastoma physiology regulates invasion by differential modulation of the cell-to-cell adhesive and diffusive capacity of the cells. Elucidating further the role of PML in Glioblastoma biology could set PML as a potential molecular biomarker of the tumor progression and its mediated pathway as a therapeutic target, aiming at inhibiting cell growth and potentially clonal evolution regarding their proliferative and/or invasive phenotype within the heterogeneous tumor mass.

Highlights

  • Glioblastoma (GB) is the most malignant and aggressive primary brain tumor, classified as grade IV according to the World Health Organization (WHO; [1])

  • The cell growth was monitored both in 2D and 3D, while the invasive properties were studied in 3D, where cell migration was extracellular matrix (ECM)dependent

  • The non-induced and the doxycycline induced PML-IV overexpressing (PML OE) U87MG cells were treated with Deazaneplanocin A (DZNeP) both in 2D and 3D conditions at a drug dose range of 0.05–40 μM

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Summary

Introduction

Glioblastoma (GB) is the most malignant and aggressive primary brain tumor, classified as grade IV according to the World Health Organization (WHO; [1]). It is associated with a median survival of 12–15 months [2] and it can appear without a previous tumor diagnosis (primary) or through progression from lower grade tumors (secondary) [3]. Despite multimodality treatment, GB remains incurable, due to its complex biology, its extensive inter- and intra-tumor heterogeneity, as well as its intra-axial infiltration. In the latter case, GB cells infiltrating brain parenchyma often escape surgical resection and cause recurrence of the disease. Identifying biomarkers implicated in the physiology of GB are crucial for better understanding its biology and for discovering new therapeutic targets that along with the existing ones may enhance treatment efficacy

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