Abstract Glioblastomas are the most common and deadly CNS neoplasms. Survival time correlates with pathological grade; most World Health Organization grade III and grade IV cases die within one year of diagnosis, whereas lower grades sometimes live for years. With the goal of optimizing objective prognostic molecular staging methods for gliomas, we examined three independent microarray datasets with a total of 6 normal, 14 grade I- II, 13 grade III and 13 grade IV gliomas, using a cross-platform analysis suite (http://www.webarraydb.org). We noticed that a number of mitotic spindle assembly checkpoint (SAC) genes had transcript levels significantly altered across different pathological grades. SAC genes ensure that accurate chromosome segregation is maintained during mitosis. Previous studies have shown failure of the mitotic spindle assembly checkpoint (SAC) leads to genomic instability and neoplastic transformation. Several studies of malignant tumor suggested that increased mRNA levels of the mitotic checkpoint correlates with tumor progression, including in breast cancer and bladder cancer. Eight major mitotic spindle checkpoint genes that had significant increases in gene expression levels with increasing glioma grade in the microarray data (p < 0.001, ANOVA) were selected for quantitative reverse transcription PCR (qRT-PCR) analysis in 40 additional glioma tumors and 6 normal brain tissues; BUB1, BUB1B, BUB3, CENPE, MAD1L1, MAD2L1, CDC20, and TTK. One of these genes, CDC20, is already known to be differentially expressed across grades and inclusion allowed the relative performance of other genes to be assessed. In our study, the average mRNA transcript levels for all of these checkpoint genes increased with increasing grade. The correlations with grade had a significance level of p<0.05 (ANOVA) for BUB1, BUB1B, CENPE, MAD1L1 and CDC20. Mutations or epigenetic changes in these five genes have not yet been noted to play a significant role in the causation of chromosomal instability in glioblastomas, nor in most other cancers, an exception being BUB1mutations in some cases of colorectal cancer. The consistently high level of these particular transcripts in aggressive gliomas is perhaps due to compensation for other defects in the cell machinery that would otherwise be catastrophic. Kaplan-Meier analysis showed that BUB1B and CDC20 were independent prognostic indicators for overall survival (p<0.05). Further regression analysis indicated that changes in expression of BUB1B and CDC20, and perhaps CENPE, rival glioma grade as excellent prognosticators of survival. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 102nd Annual Meeting of the American Association for Cancer Research; 2011 Apr 2-6; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2011;71(8 Suppl):Abstract nr 4186. doi:10.1158/1538-7445.AM2011-4186
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