Circulating growth factor levels are associated with tumorigenesis in neurofibromatosis type 1
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Circulating growth factor levels are associated with tumorigenesis in neurofibromatosis type 1. / Mashour, George A; Driever, Pablo Hernáiz; Hartmann, Melanie; Drissel, Stephanie N; Zhang, Tingguo; Scharf, Bianca; Felderhoff-Müser, Ursula; Sakuma, Sadatoshi; Friedrich, Reinhard E; Martuza, Robert L; Mautner, Victor Felix; Kurtz, Andreas.
in: CLIN CANCER RES, Jahrgang 10, Nr. 17, 01.09.2004, S. 5677-83.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Circulating growth factor levels are associated with tumorigenesis in neurofibromatosis type 1
AU - Mashour, George A
AU - Driever, Pablo Hernáiz
AU - Hartmann, Melanie
AU - Drissel, Stephanie N
AU - Zhang, Tingguo
AU - Scharf, Bianca
AU - Felderhoff-Müser, Ursula
AU - Sakuma, Sadatoshi
AU - Friedrich, Reinhard E
AU - Martuza, Robert L
AU - Mautner, Victor Felix
AU - Kurtz, Andreas
PY - 2004/9/1
Y1 - 2004/9/1
N2 - PURPOSE: Neurofibromatosis type 1 (NF1) is characterized by systemic development of neurofibromas. Early clinical diagnosis can be ambiguous, and genetic diagnosis can be prohibitively difficult. Dysregulation of a number of growth factors has been suggested to be a mechanism of pathogenesis. This study was performed to assess the contribution of circulating growth factors for diffuse tumorigenesis and the diagnostic value of circulating growth factor identification in serum.EXPERIMENTAL DESIGN: The growth stimulation of neurofibroma-derived cells by serum from NF1 patients was tested, and serum growth factor levels in a cohort of NF1 patients (n = 39) between the ages of 7 and 70 years were analyzed.RESULTS: Concentrations of midkine (MK) and stem cell factor, but not epidermal growth factor, were substantially increased in serum of NF1 patients when compared with healthy controls. Within the NF1 group, MK levels increased dramatically at puberty from an average of 0.79 ng/mL in patients <18 years to 1.18 ng/mL in patients >18 years old. Stem cell factor and MK concentrations above a defined threshold in serum of NF1 patients are of diagnostic benefit for 96% of patients in the cohort tested. Furthermore, serum from NF1 patients enhanced proliferation of human neurofibroma-derived primary Schwann cells and endothelial cells substantially better than normal serum.CONCLUSIONS: Enhanced circulating growth factor levels contribute to diffuse tumorigenesis in NF1 and may provide the basis for molecular diagnosis.
AB - PURPOSE: Neurofibromatosis type 1 (NF1) is characterized by systemic development of neurofibromas. Early clinical diagnosis can be ambiguous, and genetic diagnosis can be prohibitively difficult. Dysregulation of a number of growth factors has been suggested to be a mechanism of pathogenesis. This study was performed to assess the contribution of circulating growth factors for diffuse tumorigenesis and the diagnostic value of circulating growth factor identification in serum.EXPERIMENTAL DESIGN: The growth stimulation of neurofibroma-derived cells by serum from NF1 patients was tested, and serum growth factor levels in a cohort of NF1 patients (n = 39) between the ages of 7 and 70 years were analyzed.RESULTS: Concentrations of midkine (MK) and stem cell factor, but not epidermal growth factor, were substantially increased in serum of NF1 patients when compared with healthy controls. Within the NF1 group, MK levels increased dramatically at puberty from an average of 0.79 ng/mL in patients <18 years to 1.18 ng/mL in patients >18 years old. Stem cell factor and MK concentrations above a defined threshold in serum of NF1 patients are of diagnostic benefit for 96% of patients in the cohort tested. Furthermore, serum from NF1 patients enhanced proliferation of human neurofibroma-derived primary Schwann cells and endothelial cells substantially better than normal serum.CONCLUSIONS: Enhanced circulating growth factor levels contribute to diffuse tumorigenesis in NF1 and may provide the basis for molecular diagnosis.
KW - Adolescent
KW - Adult
KW - Aged
KW - Case-Control Studies
KW - Cell Proliferation
KW - Cell Transformation, Neoplastic
KW - Child
KW - Child, Preschool
KW - Cohort Studies
KW - Cytokines
KW - Endothelial Cells
KW - Epidermal Growth Factor
KW - Female
KW - Gene Expression Regulation, Developmental
KW - Gene Expression Regulation, Neoplastic
KW - Humans
KW - Male
KW - Middle Aged
KW - Neurofibromatosis 1
KW - Schwann Cells
KW - Stem Cell Factor
U2 - 10.1158/1078-0432.CCR-03-0769
DO - 10.1158/1078-0432.CCR-03-0769
M3 - SCORING: Journal article
C2 - 15355893
VL - 10
SP - 5677
EP - 5683
JO - CLIN CANCER RES
JF - CLIN CANCER RES
SN - 1078-0432
IS - 17
ER -