Non-invasive assessment of telomere maintenance mechanisms in brain tumors

Nat Commun. 2021 Jan 4;12(1):92. doi: 10.1038/s41467-020-20312-y.

Abstract

Telomere maintenance is a universal hallmark of cancer. Most tumors including low-grade oligodendrogliomas use telomerase reverse transcriptase (TERT) expression for telomere maintenance while astrocytomas use the alternative lengthening of telomeres (ALT) pathway. Although TERT and ALT are hallmarks of tumor proliferation and attractive therapeutic targets, translational methods of imaging TERT and ALT are lacking. Here we show that TERT and ALT are associated with unique 1H-magnetic resonance spectroscopy (MRS)-detectable metabolic signatures in genetically-engineered and patient-derived glioma models and patient biopsies. Importantly, we have leveraged this information to mechanistically validate hyperpolarized [1-13C]-alanine flux to pyruvate as an imaging biomarker of ALT status and hyperpolarized [1-13C]-alanine flux to lactate as an imaging biomarker of TERT status in low-grade gliomas. Collectively, we have identified metabolic biomarkers of TERT and ALT status that provide a way of integrating critical oncogenic information into non-invasive imaging modalities that can improve tumor diagnosis and treatment response monitoring.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Alanine / metabolism
  • Animals
  • Biomarkers, Tumor / metabolism
  • Brain Neoplasms / genetics*
  • Brain Neoplasms / metabolism
  • Brain Neoplasms / pathology
  • Carbon Isotopes / metabolism
  • Cell Line, Tumor
  • Genetic Engineering
  • Glioma / genetics
  • Glioma / metabolism
  • Glioma / pathology
  • Lactic Acid / metabolism
  • Male
  • Metabolome
  • Models, Biological
  • Neoplasm Grading
  • Neoplasm Proteins / metabolism
  • Proton Magnetic Resonance Spectroscopy
  • Pyruvic Acid / metabolism
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Rats
  • Rats, Nude
  • Telomerase / genetics
  • Telomerase / metabolism
  • Telomere / metabolism*
  • Telomere Homeostasis*
  • Xenograft Model Antitumor Assays

Substances

  • Biomarkers, Tumor
  • Carbon Isotopes
  • Neoplasm Proteins
  • RNA, Messenger
  • Lactic Acid
  • Pyruvic Acid
  • Telomerase
  • Carbon-13
  • Alanine