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Angiogenic potential of the cerebrospinal fluid (CSF) of patients with high-grade gliomas measured with the chick embryo chorioallantoic membrane assay (CAM).

Abstract
High-grade gliomas are highly vascularized tumors. Neo-angiogenesis plays a key role in tumor growth and resistance to therapy. A cerebrospinal fluid (CSF) sample could be a useful way to obtain pro-angiogenic predictive or prognostic markers at different stages of the disease. As a first step we looked for pro-angiogenic activity in the CSF of patients with high-grade gliomas. We performed the chicken embryo chorio-allantoic membrane (CAM) assay to study the angiogenic potential of the cerebrospinal fluid (CSF), obtained either by lumbar puncture (LP) or craniotomy from six patients with high-grade brain tumors (three glioblastoma (WHO grade IV), one anaplastic oligodendroglioma (WHO grade III), two anaplastic ganglioglioma (WHO grade III)), and four healthy controls. Significantly increased neo-angiogenesis was observed on the surface of the growing CAM in the 6 patients with high-grade gliomas compared to controls (3.69 ± 1.23 versus 2.16 ± 0.97 capillaries per area (mean ± SD), p<0.005). There was no statistical difference related to the hystological grade of the tumor (WHO grade III or IV), previous treatment (radio-chemotherapy plus temozolomide, temozolomide alone or no treatment), or the site of CSF sample (surgery or lumbar puncture). Our results suggest a pro-angiogenic potential in the CSF of patients with high-grade gliomas.
AuthorsMariana Sinning, René Letelier, Carlos Rosas, Marcela Fuenzalida, David Lemus
JournalBiological research (Biol Res) Vol. 45 Issue 2 Pg. 135-8 ( 2012) ISSN: 0717-6287 [Electronic] England
PMID23096357 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Adult
  • Animals
  • Brain Neoplasms (blood supply, cerebrospinal fluid)
  • Case-Control Studies
  • Cerebrospinal Fluid (physiology)
  • Chick Embryo
  • Chorioallantoic Membrane (blood supply)
  • Craniotomy
  • Glioma (blood supply, cerebrospinal fluid)
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Neovascularization, Pathologic (etiology)
  • Predictive Value of Tests
  • Prognosis

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