Metabolic alterations in meningioma reflect the clinical course

Abstract Background Meningiomas are common brain tumours that are usually defined by benign clinical course. However, some meningiomas undergo a malignant transformation and recur within a short time period regardless of their World Health Organization (WHO) grade. The current study aimed to identif...

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Main Authors: Waseem Masalha, Karam Daka, Jakob Woerner, Nils Pompe, Stefan Weber, Daniel Delev, Marie T. Krüger, Oliver Schnell, Jürgen Beck, Dieter Henrik Heiland, Juergen Grauvogel
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-021-07887-5
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author Waseem Masalha
Karam Daka
Jakob Woerner
Nils Pompe
Stefan Weber
Daniel Delev
Marie T. Krüger
Oliver Schnell
Jürgen Beck
Dieter Henrik Heiland
Juergen Grauvogel
author_facet Waseem Masalha
Karam Daka
Jakob Woerner
Nils Pompe
Stefan Weber
Daniel Delev
Marie T. Krüger
Oliver Schnell
Jürgen Beck
Dieter Henrik Heiland
Juergen Grauvogel
author_sort Waseem Masalha
collection DOAJ
description Abstract Background Meningiomas are common brain tumours that are usually defined by benign clinical course. However, some meningiomas undergo a malignant transformation and recur within a short time period regardless of their World Health Organization (WHO) grade. The current study aimed to identify potential markers that can discriminate between benign and malignant meningioma courses. Methods We profiled the metabolites from 43 patients with low- and high-grade meningiomas. Tumour specimens were analyzed by nuclear magnetic resonance analysis; 270 metabolites were identified and clustered with the AutoPipe algorithm. Results We observed two distinct clusters marked by alterations in glycine/serine and choline/tryptophan metabolism. Glycine/serine cluster showed significantly lower WHO grades and proliferation rates. Also progression-free survival was significantly longer in the glycine/serine cluster. Conclusion Our findings suggest that alterations in glycine/serine metabolism are associated with lower proliferation and more recurrent tumours. Altered choline/tryptophan metabolism was associated with increases proliferation, and recurrence. Our results suggest that tumour malignancy can be reflected by metabolic alterations, which may support histological classifications to predict the clinical outcome of patients with meningiomas.
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spelling doaj.art-a3e0a86df9f54702bfdc85b9982ad8742022-12-21T22:17:21ZengBMCBMC Cancer1471-24072021-03-012111910.1186/s12885-021-07887-5Metabolic alterations in meningioma reflect the clinical courseWaseem Masalha0Karam Daka1Jakob Woerner2Nils Pompe3Stefan Weber4Daniel Delev5Marie T. Krüger6Oliver Schnell7Jürgen Beck8Dieter Henrik Heiland9Juergen Grauvogel10Department of Neurosurgery, University Medical Center FreiburgDepartment of Neurosurgery, University Medical Center FreiburgInstitute of Physical Chemistry, Faculty of Chemistry and Pharmacy, University of FreiburgInstitute of Physical Chemistry, Faculty of Chemistry and Pharmacy, University of FreiburgInstitute of Physical Chemistry, Faculty of Chemistry and Pharmacy, University of FreiburgDepartment of Neurosurgery, RWTH UniversityDepartment of Neurosurgery, Cantonal Hospital St.GallenDepartment of Neurosurgery, University Medical Center FreiburgDepartment of Neurosurgery, University Medical Center FreiburgDepartment of Neurosurgery, University Medical Center FreiburgDepartment of Neurosurgery, University Medical Center FreiburgAbstract Background Meningiomas are common brain tumours that are usually defined by benign clinical course. However, some meningiomas undergo a malignant transformation and recur within a short time period regardless of their World Health Organization (WHO) grade. The current study aimed to identify potential markers that can discriminate between benign and malignant meningioma courses. Methods We profiled the metabolites from 43 patients with low- and high-grade meningiomas. Tumour specimens were analyzed by nuclear magnetic resonance analysis; 270 metabolites were identified and clustered with the AutoPipe algorithm. Results We observed two distinct clusters marked by alterations in glycine/serine and choline/tryptophan metabolism. Glycine/serine cluster showed significantly lower WHO grades and proliferation rates. Also progression-free survival was significantly longer in the glycine/serine cluster. Conclusion Our findings suggest that alterations in glycine/serine metabolism are associated with lower proliferation and more recurrent tumours. Altered choline/tryptophan metabolism was associated with increases proliferation, and recurrence. Our results suggest that tumour malignancy can be reflected by metabolic alterations, which may support histological classifications to predict the clinical outcome of patients with meningiomas.https://doi.org/10.1186/s12885-021-07887-5Tumour metabolismMeningioma
spellingShingle Waseem Masalha
Karam Daka
Jakob Woerner
Nils Pompe
Stefan Weber
Daniel Delev
Marie T. Krüger
Oliver Schnell
Jürgen Beck
Dieter Henrik Heiland
Juergen Grauvogel
Metabolic alterations in meningioma reflect the clinical course
BMC Cancer
Tumour metabolism
Meningioma
title Metabolic alterations in meningioma reflect the clinical course
title_full Metabolic alterations in meningioma reflect the clinical course
title_fullStr Metabolic alterations in meningioma reflect the clinical course
title_full_unstemmed Metabolic alterations in meningioma reflect the clinical course
title_short Metabolic alterations in meningioma reflect the clinical course
title_sort metabolic alterations in meningioma reflect the clinical course
topic Tumour metabolism
Meningioma
url https://doi.org/10.1186/s12885-021-07887-5
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