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Tumor Discovery                                               Understanding glioblastoma invasion and therapy



            with the perivascular space, occurs but is less common.    migration and invasion, whereas Cdc42 depletion reduced
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            GBM does not invade across sulcal margins. 72      invasion.  Rac1 inhibition suppressed GBM cell invasion. 97
                                                                      96
              Both white-matter tracts and blood vessel scaffolds are   RhoA’s role in the GBM invasion is less well-defined.
            invaded by GBM cells.  Signaling pathways underlying   RhoA expression decreases with increasing grade of glial
                               72
                                                                        98
            white-matter tract invasion remain largely unknown,    malignancy.  RhoA and Rac1 are known to be functionally
                                                         73
            while molecular drivers of perivascular GBM invasion are   antagonistic, with Rac1 activation predominating in
            well-characterized.  Endothelial basement membranes   mesenchymal migration and RhoA mediating the
                           74
            are enriched with collagen and fibronectin,  providing   contractility  required for so-called amoeboid  motility.
                                                                                                            99
                                                75
            valuable substrates for integrin engagement that facilitate   Some  RhoA  activity is  required for  early  adhesion  and
                               76
            coordinated movement.  Blood vessels offer a large supply   trailing edge contraction in mesenchymal motility, and
            of oxygen/nutrients that support malignant proliferation   RhoA regulates the expression of transmembrane matrix
            and  attract  invasive  cells.  In  contrast,  the  parenchymal   metalloproteases  (MMPs)  that remodel  the  ECM for
                                                                                  100
            extracellular matrix (ECM) lacks stiffening molecules such   mesenchymal invasion.   In vivo, RhoA activation is
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            as collagen and fibronectin and is instead composed of   predominantly associated with perivascular invasion.
            hygroscopic molecules such as proteoglycans, hyaluronans,   Importantly, directed invasion in GBM can be triggered
            tenascins,  and  link  proteins.   These  molecules  retain   in response to ECM composition (stiffness, porosity, and
                                    77
                                                                         101
            water, creating a gelatinous ECM that densely fills the   topography),  autocrine or paracrine signaling factors
                                                                                                            2+
            extracellular compartment and leaves a limited amount of   (pleiotrophin, CXCL12, glutamate), 102-104  or ion flux (Ca ,
                                                                 -
                                                                   + 105-107
            unoccupied extracellular space available to accommodate   Cl , K ).
            invasive movement.  Intraparenchymal invasion requires   7.2.2. Roles for GTPases effector proteins in GBM
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            GBM cells to erode their way through the existing tissue   invasion: The formins
            architecture.  Still, GBM extensively invades cerebral
                      79
            gray  matter,  using  proteolytic-guided  mesenchymal  and   The formin family of proteins is an evolutionarily conserved
            collective invasion strategies. 80-82              group of Rho GTPase effector proteins that make essential
                                                               contributions to the organization and maintenance of the
            7.2. Molecular drivers of GBM invasion: Rho proteins   actin and microtubule cytoskeletal systems.  Human cells
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            and their effectors                                express  at  least  15 different formin  family proteins. The
            Dynamic remodeling of both the actin and microtubule   diaphanous-related formin subfamily, also referred to as
            cytoskeletal systems is required for microstructural   mammalian diaphanous-related formins (mDias), is the
            and macrostructural patterns of GBM invasion.  Actin   most extensively characterized subgroup of formins and
                                                    83
            polymerization drives leading-edge protrusions, and   includes mDia1, mDia2, and mDia3 (Figure 4).
            genetic or pharmaceutical targeting of actin nucleator   The mDia formins are well known for their roles in
            proteins, such as formins or Arp2/3, have been shown to   facilitating actin polymerization. The exposed formin
            reduce GBM invasion. 84-89  Microtubules are also required   homology (FH2) domains of active mDia formins
            to support elongating cell protrusions and to transport   homodimerize to form a ring structure that stabilizes
            ECM-degrading enzymes to leading-edge structures. 90,91    G-actin trimers and catalyzes energetically unfavorable
            Microtubule targeting agents also reduce GBM invasion. 91,92  nucleation of actin filaments. mDia formins are among
                                                               the few Rho GTPase effector proteins that directly
            7.2.1. Rho guanosine triphosphatases (GTPases) in   influence both actin and microtubule dynamics.  In
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            GBM invasion                                       addition to their roles as mediators of actin nucleation,
            In GBM, differential activation of molecular switches   polymerization, and bundling, mDias directly bind to and
            called Rho GTPases coordinates cytoskeletal remodeling   stabilize microtubules. 111,112
            required for invasive motility  and dictates specific   Temporal regulation of mDias is controlled by Rho
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            invasion programs.  Rho GTPases cell division control   GTPase activity, which is, in turn, controlled by external
                            94
            protein 42 homolog (Cdc42) and Ras-related C3 botulinum   signaling cues. Thus, Rho GTPases link mDia activation
            toxin substrate 1 (Rac1) are upregulated in gliomas relative   with the environmentally directed cellular demand for
            to normal brain tissue.  Cdc42 and Rac1 activation is   cytoskeletal modification. Several different Rho GTPases
                               95
            associated with pseudopodial extension into the brain   activate  mDia1,  mDia2,  and  mDia3,  with  each  isoform
            parenchyma and guidance of other tumor cells with lower   exhibiting different GTPase specificities that facilitate a
            Cdc42 and Rac1 activation toward the invasive front.  In   widely diverse set of cellular processes and macrostructural
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            U87 GBM spheroid invasion, activated Cdc42 increased   modifications.


            Volume 4 Issue 2 (2025)                         27                                doi: 10.36922/td.8578
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