iTRAQ-based Proteomics Profiling Reveals Increased Metabolic Activity and Cellular Cross-talk in Angiogenic Compared with Invasive Glioblastoma Phenotype

Malignant gliomas (glioblastoma multiforme) have a poor prognosis with an average patient survival under current treatment regimens ranging between 12 and 14 months. The tumors are characterized by rapid cell growth, extensive neovascularization, and diffuse cellular infiltration of normal brain structures. We have developed a human glioblastoma xenograft model in nude rats that is characterized by a highly infiltrative non-angiogenic phenotype. Upon serial transplantation this phenotype will develop into a highly angiogenic tumor. Thus, we have developed an animal model where we are able to establish two characteristic tumor phenotypes that define human glioblastoma (i.e. diffuse infiltration and high neovascularization). Here we aimed at identifying potential biomarkers expressed by the non-angiogenic and the angiogenic phenotypes and elucidating the molecular pathways involved in the switch from invasive to angiogenic growth. Focusing on membrane-associated proteins, we profiled protein expression during the progression from an invasive to an angiogenic phenotype by analyzing serially transplanted glioma xenografts in rats. Applying isobaric peptide tagging chemistry (iTRAQ) combined with two-dimensional LC and MALDI-TOF/TOF mass spectrometry, we were able to identify several thousand proteins in membrane-enriched fractions of which 1460 were extracted as quantifiable proteins (isoform- and species-specific and present in more than one sample). Known and novel candidate proteins were identified that characterize the switch from a non-angiogenic to a highly angiogenic phenotype. The robustness of the data was corroborated by extensive bioinformatics analysis and by validation of selected proteins on tissue microarrays from xenograft and clinical gliomas. The data point to enhanced intercellular cross-talk and metabolic activity adopted by tumor cells in the angiogenic compared with the non-angiogenic phenotype. In conclusion, we describe molecular profiles that reflect the change from an invasive to an angiogenic brain tumor phenotype. The identified proteins could be further exploited as biomarkers or therapeutic targets for malignant gliomas.Glioblastoma multiforme (GBM)¹ is the prevalent and most fatal brain tumor in adults with an average patient survival time between 12 and 14 months under current treatment regimens. Invasion and angiogenesis are two defining hallmarks of GBM that are largely responsible for the aggressive nature of the disease (1). Invasion is likely triggered by signals that prompt tumor cells to egress from the tumor mass, including those that are activated by an acidic and hypoxic environment (e.g. hypoxia-inducible factor) (2). These highly infiltrative glioma cells escape neurosurgical resection and are the seeds for tumor recurrence. Oxygen limitation in the tumor microenvironment is also responsible for the active recruitment of new blood vessels from preexisting vessels, a process termed angiogenesis. Absence of angiogenesis is considered a rate-limiting factor in solid tumors. Although high grade gliomas show extensive infiltration of the normal brain they are also among the neoplasms with the highest degree of vascularization (3–5). Antiangiogenic treatment is considered a promising therapeutic strategy against malignant brain tumors and is currently being evaluated in clinical trials (6).In solid tumors the angiogenic switch is thought to occur when the balance between proangiogenic and antiangiogenic molecules is shifted in favor of angiogenesis, permitting rapid tumor growth and subsequent development of invasive and metastatic properties (7). Thus, aggressive tumor growth depends on a successful adaptation of the tumor cells to the host microenvironment. In brain tumors no biomarkers are currently available that define different cell populations within human GBMs (for instance tumor cells that show infiltrative growth and those that trigger angiogenesis) or that predict the propensity of low grade (non-angiogenic) gliomas to develop into malignant angiogenic gliomas. We have recently generated a xenograft model for human GBM that displays a highly invasive phenotype and stem cell characteristics (8). By serial transplantation in nude rats new cell clones eventually develop that generate a more rapidly growing aggressive, angiogenesis-dependent phenotype. The transition to an angiogenic phenotype is accompanied by a reduced infiltrative growth (8). Thus, we are able to initiate two distinct phenotypes from human GBMs that classify their growth and progression. Our model is extremely useful for identifying mechanisms causing the switch from angiogenesis-independent to angiogenesis-dependent tumor growth.This work was aimed at identifying cell membrane markers and molecular pathways that characterize the two phenotypes and may underlie the angiogenic switch. Such markers may represent potential therapeutic targets toward specific cellular subsets within GBMs. Here we applied iTRAQ peptide labeling on membrane-enriched tumor fractions followed by MALDI-TOF/TOF protein identification and bioinformatics analysis to quantify large scale species-specific protein expression over four consecutive generations of the glioma xenograft model.In a search for disease biomarkers, there has been a rapid development of quantitative protein expression technologies including isobaric peptide tagging (iTRAQ) combined with multidimensional LC and MS/MS analysis (9). This approach allows for sample multiplexing (currently 4- or 8-plex at the time). iTRAQ is particularly powerful when applied on a subfraction of the proteome, thereby increasing the possibility of identifying less abundant proteins (10). Because more than a third of all known biomarkers as well as more than two-thirds of known and potential antitumor protein targets are membrane-related proteins (11–14), we focused on membrane-enriched fractions of the tumor xenografts. In four different iTRAQ experiments we were able to identify over 7000 (redundant) proteins of which 1460 proteins were extracted based on quantifiable and species-specific expression. Correspondence analysis and unsupervised cluster analysis confirmed consistent protein expression profiles in the different xenograft phenotypes generated from different patient samples. The expression of a selection of identified candidates was confirmed by immunohistochemical methods on tissue microarrays (TMAs) from a large number of xenograft tumors and patient gliomas. The differentially expressed proteins identified in the two phenotypes represent unique candidate biomarkers that may represent novel therapeutic targets in GBMs. The information generated also provides novel insight into the molecular networks governing the infiltrative and the angiogenic tumor properties and reveals new mechanisms involved in the angiogenic switch in GBMs.     

Effect of porcine brain growth factor on primary cell cultures and BHK-21 [C-13] cell line

Growth factors from neural tissues have been described as potent mitogens for a wide variety of mesoderm- and ectoderm-derived cells in vitro. We used porcine brain extract for in vitro testing of proliferation properties on primary ovarian cells, uterine cells, and cardiomyocytes in culture as well as for BHK-21 [C-13] cell line. The addition of this extract accelerates proliferation in all examined cultures. It also lowers serum requirement and shortens the cultivation period for BHK-21 [C-13] cells. Fibroblast growth factors from brain of different species, but not porcine, are already characterized and their proliferative effect proved. Therefore, we purified, determined, and confirmed the presence of basic fibroblast growth factor in porcine brain extract by Western blot analysis and showed its biological activity on BHK-21 [C-13] cells.     

Eighteen years of heart transplantation--a single center experience

The best option for the treatment of a failing heart is heart transplantation. The transplantation program at the University Hospital Center Rebro Zagreb started in 1988. To the best of our knowledge this is the first retrospective study on cardiac transplantation in Croatia looking into survival following heart transplantation. Between 1988 and 2006, we performed 81 heart transplantations at the University Hospital Center Rebro Zagreb. Our study focused on the last ten years after establishment of the Department of cardiac surgery as a separate institution. There were thirteen different hospitals throughout Croatia, which contributed to the donor network. Average age of the heart recipient was 48+/-11.8 years (range 14-72), and average age of the heart donor was 34+/-10.7 years (range 14-56). There were more women among the heart donors (34%) then among the heart recipients (18%). During the first ten years, from 1988-1998, the average number of cardiac transplantations was 3 per year In the period from 1998-2006, average number of cardiac transplantations increased to 6 per year. The average thirty-day mortality for the last nine years was 27%. It declined from 30% and 40% in 1998 and 1999, respectively down to 0% in the last two years. Average age of the patients who died was 50+/-6.5years (range 44-62) and did not significantly differ from those who survived. The donor network has grown up to fourteen different hospitals throughout Croatia. The limiting factor in cardiac transplant surgery is the number of available donors. Therefore in attempt to form a good transplant program it is crucial to form an efficient donor network. The number of performed cardiac transplantations is expected to rise until it reaches the number of available donors. With advances in operative technique and postoperative management--immunosuppressive therapy we have observed a remarkable drop in the early operative mortality in the studied period.     

Oral health related to demographic features in Bosnian children aged six

The main aim of this paper is to present epidemiological indicators of oral health among six-year olds in Bosnia and Herzegovina (BH) and to analyze values of dmft index and dental treatment needs in order to identify differences in parts of the country. Another aim is to identify the needs from the public oral health care system in Bosnia and Herzegovina related to early permanent dentition by analyzing the condition of first permanent molars (FPM) as an indicator of oral health of permanent dentition. Survey was carried out in 2004 in 8 cantons of the Federation of BH (FBH) and in the Republic of Srpska (RS). Final sample included 560 participants aged six (mean 6.2, SD +/- 0.87). One dental team clinically examined all participants according to WHO methodology and criteria. The parameters used were: dmft index, DMFT index of first permanent molars (FPM), presence of sealants and treatment needs. A questionnaire about oral health habits had been administered. Dmft was 6.71 in that the d-component constituted the major part of the index. DMFT index of FPM was 0.61 (SD +/- 1.08). Percentage of caries free participants aged 6 was 6.8%. Average number of FPM with fissure sealants in BH was 0.25 (SD +/- 0.78). Significant demographic differences in dmft index, DMFT FPM and treatment needs were identified. Most participants (48.5%) had their first dental visit between the ages of five and seven. National oral health goal for Bosnia and Herzegovina should be to develop and implement disease prevention programs based on education of both parents and dental practitioners. It is necessary to improve access to dental care and shift focus from curative to preventive procedures. It is also necessary to set real goals for improvement of oral health which can be achieved within a desired time frame, as well as to precisely define measures to be taken.     

Emergency contraception: can we benefit from lessons learned?

The aim of the paper was to evaluate current emergency contraception (EC) methods and policies in order to implement lessons learned and maximize potential population impact while introducing dedicated EC pills in Croatia. Literature search for potential reasons for EC failing to show positive population impact and detecting actionable points to be implemented in national guidelines. Six potential reasons for ECs failure to show population impact were evaluated and four actionable points were detected: low use of EC compared to the numbers of risk events, low awareness on EC in general population, differences in efficacy of EC methods and EC vailability. In order to ensure EC's population impact in Croatia it is of a critical relevance to establish continuous education programs for population of women at risk. When recommending an EC method, superior efficacy must be a key decision-making criteria therefore cooper IUD and ulipristal acetate should be our primary options. Counseling is a critical step to ensure maximal efficacy of the EC method, but also to encourage future use of regular contraceptives. Finally, national ECP dispension protocol is needed to close the loop from effective women screening, prompt yet appropriate ECP administration/dispensing towards structured follow up after EC pills intake.     

Novel chemobiosynthetic approach for exclusive production of FK506

FK506, a widely used immunosuppressant, is produced by industrial fermentation processes using various Streptomyces species. Independently of the strain, structurally related compound FK520 is co-produced, resulting in complex and costly isolation procedures. In this paper, we report a chemobiosynthetic approach for exclusive biosynthesis of FK506. This approach is based on the Streptomyces tsukubaensis strain with inactivated allR gene, a homologue of crotonyl-CoA carboxylase/reductase, encoded in the FK506 biosynthetic cluster. This strain produces neither FK506 nor FK520; however, if allylmalonyl-S-N-acetylcysteamine precursor is added to cultivation broth, the production of FK506 is reestablished without FK506-related by-products. Using a combination of metabolic engineering and chemobiosynthetic approach, we achieved exclusive production of FK506, representing a significant step towards development of an advanced industrial bioprocess.     

Molecular mimicry between neurons and an intracerebral pathogen induces a CD8 T cell-mediated autoimmune disease

To identify basic mechanisms of how infections may induce a neuron-specific autoimmune response, we generated mice expressing OVA as neuronal autoantigen under control of the neuron-specific enolase promoter (NSE-OVA mice). Intracerebral, but not systemic, infection with attenuated Listeria monocytogenes-secreting OVA induced an atactic-paretic neurological syndrome in NSE-OVA mice after bacterial clearance from the brain, whereas wild-type mice remained healthy. Immunization with attenuated Listeria monocytogenes-secreting OVA before intracerebral infection strongly increased the number of intracerebral OVA-specific CD8 T cells aggravating neurological disease. T cell depletion and adoptive transfer experiments identified CD8 T cells as decisive mediators of the autoimmune disease. Importantly, NSE-OVA mice having received OVA-specific TCR transgenic CD8 T cells developed an accelerated, more severe, and extended neurological disease. Adoptively transferred pathogenic CD8 T cells specifically homed to OVA-expressing MHC class I(+) neurons and, corresponding to the clinical symptoms, approximately 30% of neurons in the anterior horn of the spinal cord became apoptotic. Thus, molecular mimicry between a pathogen and neurons can induce a CD8 T cell-mediated neurological disease, with its severity being influenced by the frequency of specific CD8 T cells, and its induction, but not its symptomatic phase, requiring the intracerebral presence of the pathogen.     

Bottlenose dolphin (Tursiops truncatus) depredation resulting in larynx strangulation with gill-net parts

Cetacean interactions with fishing gear are reported regularly and most frequently involve incidental capture. However, limited records exist related to depredation resulting in fishing gear ingestion. Here, we present cases of depredation resulting from ingestion of gill-net parts and larynx strangulation documented for the first time in a cetacean species. The bottlenose dolphin ( Tursiops truncatus ) is the only resident species in the Adriatic Sea, where small-scale commercial and private fisheries use gill nets throughout the year. A total of 120 dead-stranded bottlenose dolphins found along the Croatian coast of the Adriatic Sea were examined from 1990 to March 2008; 12 of them (10%) were affected by larynx strangulation with gill-net parts. The larynx of all affected animals showed at least one of the following pathological changes: edema, mucosal injury, and hypergranulation. In the majority of cases, it was a chronic condition. Larynx strangulations were found only in adult animals and appeared more often in animals with reduced ability to catch free-swimming prey.     

Tethering of ferredoxin:NADP+ oxidoreductase to thylakoid membranes is mediated by novel chloroplast protein TROL

Working in tandem, two photosystems in the chloroplast thylakoid membranes produce a linear electron flow from H₂O to NADP⁺. Final electron transfer from ferredoxin to NADP⁺ is accomplished by a flavoenzyme ferredoxin:NADP⁺ oxidoreductase (FNR). Here we describe TROL (t hylakoid r ho danese‐l ike protein), a nuclear‐encoded component of thylakoid membranes that is required for tethering of FNR and sustaining efficient linear electron flow (LEF) in vascular plants. TROL consists of two distinct modules; a centrally positioned rhodanese‐like domain and a C‐terminal hydrophobic FNR binding region. Analysis of Arabidopsis mutant lines indicates that, in the absence of TROL, relative electron transport rates at high‐light intensities are severely lowered accompanied with significant increase in non‐photochemical quenching (NPQ). Thus, TROL might represent a missing thylakoid membrane docking site for a complex between FNR, ferredoxin and NADP⁺. Such association might be necessary for maintaining photosynthetic redox poise and enhancement of the NPQ.     

Identification of mega‐environments in Europe and effect of allelic variation at maturity E loci on adaptation of European soybean

Soybean cultivation holds great potential for a sustainable agriculture in Europe, but adaptation remains a central issue. In this large mega‐environment (MEV) study, 75 European cultivars from five early maturity groups (MGs 000–II) were evaluated for maturity‐related traits at 22 locations in 10 countries across Europe. Clustering of the locations based on phenotypic similarity revealed six MEVs in latitudinal direction and suggested several more. Analysis of maturity identified several groups of cultivars with phenotypic similarity that are optimally adapted to the different growing regions in Europe. We identified several haplotypes for the allelic variants at the E1, E2, E3 and E4 genes, with each E haplotype comprising cultivars from different MGs. Cultivars with the same E haplotype can exhibit different flowering and maturity characteristics, suggesting that the genetic control of these traits is more complex and that adaptation involves additional genetic pathways, for example temperature requirement. Taken together, our study allowed the first unified assessment of soybean‐growing regions in Europe and illustrates the strong effect of photoperiod on soybean adaptation and MEV classification, as well as the effects of the E maturity loci for soybean adaptation in Europe.