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A Hematogenous Route for Medulloblastoma Leptomeningeal Metastases.


ABSTRACT: While the preponderance of morbidity and mortality in medulloblastoma patients are due to metastatic disease, most research focuses on the primary tumor due to a dearth of metastatic tissue samples and model systems. Medulloblastoma metastases are found almost exclusively on the leptomeningeal surface of the brain and spinal cord; dissemination is therefore thought to occur through shedding of primary tumor cells into the cerebrospinal fluid followed by distal re-implantation on the leptomeninges. We present evidence for medulloblastoma circulating tumor cells (CTCs) in therapy-naive patients and demonstrate in vivo, through flank xenografting and parabiosis, that medulloblastoma CTCs can spread through the blood to the leptomeningeal space to form leptomeningeal metastases. Medulloblastoma leptomeningeal metastases express high levels of the chemokine CCL2, and expression of CCL2 in medulloblastoma in vivo is sufficient to drive leptomeningeal dissemination. Hematogenous dissemination of medulloblastoma offers a new opportunity to diagnose and treat lethal disseminated medulloblastoma.

SUBMITTER: Garzia L 

PROVIDER: S-EPMC6346737 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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A Hematogenous Route for Medulloblastoma Leptomeningeal Metastases.

Garzia Livia L   Kijima Noriyuki N   Morrissy A Sorana AS   De Antonellis Pasqualino P   Guerreiro-Stucklin Ana A   Holgado Borja L BL   Wu Xiaochong X   Wang Xin X   Parsons Michael M   Zayne Kory K   Manno Alex A   Kuzan-Fischer Claudia C   Nor Carolina C   Donovan Laura K LK   Liu Jessica J   Qin Lei L   Garancher Alexandra A   Liu Kun-Wei KW   Mansouri Sheila S   Luu Betty B   Thompson Yuan Yao YY   Ramaswamy Vijay V   Peacock John J   Farooq Hamza H   Skowron Patryk P   Shih David J H DJH   Li Angela A   Ensan Sherine S   Robbins Clinton S CS   Cybulsky Myron M   Mitra Siddhartha S   Ma Yussanne Y   Moore Richard R   Mungall Andy A   Cho Yoon-Jae YJ   Weiss William A WA   Chan Jennifer A JA   Hawkins Cynthia E CE   Massimino Maura M   Jabado Nada N   Zapotocky Michal M   Sumerauer David D   Bouffet Eric E   Dirks Peter P   Tabori Uri U   Sorensen Poul H B PHB   Brastianos Priscilla K PK   Aldape Kenneth K   Jones Steven J M SJM   Marra Marco A MA   Woodgett James R JR   Wechsler-Reya Robert J RJ   Fults Daniel W DW   Taylor Michael D MD  

Cell 20180201 5


While the preponderance of morbidity and mortality in medulloblastoma patients are due to metastatic disease, most research focuses on the primary tumor due to a dearth of metastatic tissue samples and model systems. Medulloblastoma metastases are found almost exclusively on the leptomeningeal surface of the brain and spinal cord; dissemination is therefore thought to occur through shedding of primary tumor cells into the cerebrospinal fluid followed by distal re-implantation on the leptomeninge  ...[more]

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