Molecular Markers of Glioma Initiation and Progression

描述：（申请人提供） 神经胶质瘤是发病率和死亡率的重要原因，因此一直被认为是神经胶质瘤。 常见的基础生物学、基础遗传学和临床 调查事务所 许多遗传和生物学改变与 已经描述了神经胶质瘤。 然而，许多参与的特定基因 神经胶质瘤还有待鉴定。 还有很多东西需要学习 关于已知基因参与发病的机制 神经胶质瘤 此外，虽然已经了解了很多关于生物学和 神经胶质瘤的遗传学，这些信息很少被翻译成 临床实践 形态学上仍然存在问题， 神经胶质瘤的分类-特别是少突胶质细胞瘤和混合型 寡星形细胞瘤 很难预测哪些患者患有间变性， 星形细胞瘤会早期复发。 虽然有些神经胶质瘤 特定的遗传改变似乎对化疗有反应（例如，凯恩克罗斯 例如，JNCI 90：1473，1998），这些观察结果需要得到证实， 确定了扩展的和额外的治疗性遗传靶点，和/或 开发 通过四个项目和两个核心，这个计划，它建立在 神经胶质瘤标志物网络（GMN）联盟过去的经验，将研究 一些特定的生化和遗传改变的基础生物学 与神经胶质瘤有关。 它还将继续评估预测性、 这些改变的预后和病理相关性。 项目1将 研究神经胶质瘤中7 q增益的生物学和临床相关性， 这种改变预示预后较差的机制。 项目2将评估突变和扩增的EGFR在胶质瘤中的功能 并将测试几种针对这些突变体的潜在治疗方法， 受体。 项目3将鉴定和研究19 q基因的功能 与神经胶质瘤有关，与一些 胶质瘤化疗。 项目4将研究生物和临床 胶质瘤中糖脂和糖基转移酶改变的相关性。 因此，在本发明中， 通过这些项目，这个高度互动和经验丰富的计划将 在了解神经胶质瘤的发病机制方面取得了重大进展， 并将这些知识转化为新的诊断和治疗工具。

DESCRIPTION: (provided by Applicant) Gliomas are a significant cause of morbidity and mortality, and thus have been the focus of frequent basic biologic, basic genetic, and clinical investigations. Numerous genetic and biologic alterations associated with gliomas have been described. However, many of the specific genes involved in gliomas have yet to be identified. A great deal still needs to be learned about the mechanisms by which the known genes are involved in the pathogenesis of gliomas. Furthermore, while much has been learned about the biology and genetics of gliomas, little of this information has been translated into clinical practice. There are still problems with the morphologic classification of gliomas - especially oligodendrogliomas and mixed oligoastrocytomas. It is difficult to predict which patients with anaplastic astrocytomas will suffer early recurrence. And while some gliomas with specific genetic alterations seem to respond to chemotherapy (e.g., Cairncross et al., JNCI 90:1473,1998), these observations need to be confirmed and extended and additional therapeutic genetic targets identified and/or developed. Through four projects and two cores this program, which builds on the past experience of the Glioma Marker Network (GMN) consortium, will study the basic biology of several specific biochemical and genetic alterations associated with gliomas. It will also continue to evaluate the predictive, prognostic, and pathologic relevance of these alterations. Project 1 will study the biologic and clinical relevance of 7q gain in gliomas, with emphasis on the mechanism by which this alteration predicts a poorer prognosis. Project 2 will evaluate the function of mutated and amplified EGFR in gliomas and will test several potential therapeutic approaches targeting these mutant receptors. Project 3 will identify and study the function of the 19q gene associated with gliomas and associated with a prolonged response of some gliomas to chemotherapy. Project 4 will study the biologic and clinical relevance of glycolipid and glycosyltransferase alterations in gliomas. Thus, through these projects, this highly-interactive and experienced program will make significant progress toward understanding the pathogenesis of gliomas, and translating this knowledge into new diagnostic and therapeutic tools.