Synopsis
Glioma progression involves complex interactions of tumor vasculature
and infiltrating anti-tumor immune cells. As we previously found that mouse
lacking ERK1 formed significantly smaller tumors, it was still not clear
whether ERK1 deletion in the tumor vascular architecture might influence the
outcome of glioma growth. To further study this, we examined the relative
cerebral blood volume (rCBV) in the glioma tumor. R2* changes induced by a blood-pool
contrast agent, ferumoxytol, were quantified. Here, we established a model
system to noninvasively monitor brain tumor angiogenesis, and found evidence
supporting the role of ERK1 in regulating glioma growth via angiogenesis.Introduction
Malignant brain
tumors are highly aggressive and their prognosis remains extremely poor. Among
them, glioblastoma multiforme (GBM) is the most common subtype. Glioma progression
involves complex interactions within the tumor microenvironment including the
tumor vasculature and infiltrating anti-tumor immune cells. It is known that
poor prognosis of GBM patients is associated with robust angiogenesis. We have
previously reported that deletion of one of the important MAP Kinase
family-extracellular signal-regulated kinase 1 (ERK1) triggers immune cell
migration from peripheral into tumor site which significantly reduces GBM progression
[1] [2]. Prior to brain infiltration, immune cells interact with the
brain vasculature. As we found that mouse lacking ERK1 formed significantly
smaller tumors, it was still not clear whether ERK1 deletion in the tumor
vascular architecture might influence the outcome of glioma growth. We
hypothesized that ERK1 is required for tumor angiogenesis as one mechanism of
promoting tumor growth. To further study the impact of ERK1 on the tumor
vasculature in a mouse GBM model, we examined the relative cerebral blood
volume (rCBV) in the tumor region. For this, R
2* changes induced by an i.v.
administered contrast agent, ferumoxytol, were quantified. Ferumoxytol is
clinically applicable and has successfully been used for CBV
estimation in the CNS
[3] [4]. Thus, we established a model system to
noninvasively monitor brain tumor angiogenesis, and found evidence supporting
the role of ERK1 in regulating glioma growth via angiogenesis.
Methods
Wild-type (WT) and
ERK1
-/- C57BL/6 female mice were induced GBM by a stereotactic injection of 2x10
4 WT-GL261 cells into brain. Experiments
were conducted
in-vivo after 2 weeks of tumor inoculation. A 9.4T
animal MR scanner was used (Biospec 94/20). Following baseline T
2* mapping, 10mg of Fe/kg ferumoxytol was
administered using a power injector (0.2ml/min) via a tail vein catheter. T
2* mapping was repeated after 3mins. For the T
2* mapping, images were acquired using a volume birdcage
resonator (Rapid Biomed, Germany) and multi-echo gradient-echo (MGE, TR=620ms,
TE=2.14-12.14ms, FA=40°, thickness=0.5mm, FOV=17.5x15mm
2,
matrix=105x90) sequence. R
2* maps were calculated offline using custom made
Matlab
® scripts. Subtraction of pre-contrast from post-contrast maps yielded ΔR
2* maps (Fig. 1A)
from which the tumor was extracted by manual segmentation. After MRI studies,
mice were perfused with 4% PFA. Fixed brains were cryo-sectioned at 15µm and
stained with anti-CD31 antibody.
Results
The ΔR
2* maps from WT (n=2) and
ERK1
-/- (n=2) GBM bearing mice clearly show that the ΔR
2* of tumor
area from WT group is larger than in ERK1
-/- group (Fig.
1A). Histogram analysis
was carried out by manually segmenting the tumor area (Fig. 1A, where the white
dotted line depicts tumor) for both groups. It showed that ΔR
2* in ERK1
-/- mice brain tumors
is significantly reduced and more homogeneous compared to the WT mice brain tumors
(Fig. 1B). Since ΔR
2* is a surrogate for rCBV, the ΔR
2*
reduction indicates a decrease in rCBV. When
further analyzing the brain microvessels by labeling vessel endothelial layer with
anti-CD31 antibodies, we found that intra-tumor vessel density is higher in
the WT mice. In contrast, although the vessel density is not as high as in the
WT mice, the intra-tumor vessel lumen is larger in the ERK1
-/- mice
brain (Fig. 2).
Discussion and
Conclusions
Estimation of rCBV by means of ΔR
2*
mapping in conjunction with an intravascular contrast agent clearly demonstrated
the influence of ERK1 on glioma vasculature. A reduction in rCBV was found in WT-GBM residing in
ERK1
-/- hosts, which supports our hypothesis that ERK1 plays pivotal
role in the tumor microenvironment. The tumor
vessels in GBMs are different from normal blood vessels morphologically and
functionally. They are usually disorganized, highly permeable and abnormal in
the endothelial walls
[5]. Both our rCBV and fluorescent staining data suggested that in the WT mice,
tumor vessel density increased dramatically while in the absence of ERK1 tumor
vessels increased less and had impaired vascular maturation. These findings
suggest that the angiogenic vasculature in tumors devoid of ERK1 may be
functionally impaired. WT-GBMs in ERK1
-/- hosts form smaller tumors and the tumors were
much less perfused, which was shown by a low degree of CD31
+ tumor
vessels.
In conclusion, brain
tumor-associated neovascularization detected on blood-pool-contrast-enhanced
MRI may provide as a useful biomarker that correlates with GBM progression.
Acknowledgements
No acknowledgement found.References
[1]M.C. Ku, et al., Proc. ISMRM (2014)
[2]M.C. Ku, et al., Proc. ISMRM (2015)
[3]C.
G. Varallyay et al., JCBFM, 33:780 (2013)
[4]A. Pohlmann et al., NMR in
biomedicine, 27:1085 (2014)
[5]R.
K. Jain et al., Nat. Rev. Neurosci., 8:610 (2007)