p53 pathway dysfunction in primary childhood ependymomas

Nathalie Gaspar, Jacques Grill, Birgit Geoerger, Arielle Lellouch-Tubiana, Mariana Bohns Michalowski, Gilles Vassal

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    Abstract

    Background. Childhood ependymoma remains a major therapeutic challenge despite surgery, chemotherapy, and irradiation. We hypothesized that p53 function might be abrogated in ependymomas and implicated in their resistance to anti-cancer therapy. Procedure. Primary ependymomas at diagnosis or relapse from 24 children were analyzed for p53 pathway, using a functional assay in yeast, RT-PCR, Western blot analysis, and/or immunohistochemistry for TP53 mutation, p14ARF deletion and promoter hypermethylation, MDM2 and PAX5 expression, respectively. p53-mediated response to radiation-induced DNA damage was evaluated using Western blot and flow cytometry analysis in two ependymoma xenograft models, IGREP37 and IGREP83, derived from primary anaplastic childhood ependymomas. Results. No TP53, MDM2, p14ARF, PAX5 gene abnormalities were detected in the primary ependymomas tumors and xenografts tested. Interestingly, despite the lack of these abnormalities, p53 induced p21-mediated G1 growth arrest in response to irradiation was altered in the IGREP37 xenograft tumors. Although irradiation induced necrosis and apoptotic cell death, IGREP37 tumors were moderately sensitive to radiation therapy in vivo. In contrast, irradiation yielded significant tumor growth delays and tumor regressions in the p53 functional IGREP83 xenografts. Conclusion. Alterations in p53-mediated growth arrest in ependymomas might be implicated in the radio-resistance of these tumors and demand further evaluation.

    Original languageEnglish
    Pages (from-to)604-613
    Number of pages10
    JournalPediatric Blood and Cancer
    Volume46
    Issue number5
    DOIs
    Publication statusPublished - 1 May 2006

    Keywords

    • Ependymoma
    • MDM2
    • PAX5
    • Xenograft models
    • p14
    • p53 pathway

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