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[67]
In this context, cancer stem cells isolated from SVZ than HGG cells identified by CD44. [68]
could be used for drug screening to develop new
therapeutic strategies aimed at understanding their At the same time, other questions need to be addressed:
mechanisms of resistance [Figure 2]. Targeting the (1) what is the role of the other well characterized
SVZ will require extensive characterization of the neurogenic region in the adult brain (i.e. the SGZ); could
phenotype(s) of these cells as well as their studies to this be also source of neural precursors responsible for
assess the response to radiation. Interestingly, it has initiate HGG and other brain tumors in patients? (2)
been shown that irradiation of the SVZ in HGG patients what are the evolutionary trajectories in those patients
improves progression-free survival. [62] where the HGG lies in the cortical mantle and does not
show any contact with the SVZ by using FGMS? We
The involvement of the SVZ in HGG also prompt to the have just started to scratch the surface of what seems
need of classifying tumors according to their location in to be a complicated dynamic process of HGG evolution
the brain and integrating these data with molecular and that involves the SVZ, in addition to more recent
[69]
phenotypic analysis and clinical information [Figure 2]. publications by us and others deciphering the
[70]
A previous work showed that HGG involving the SVZ genomic architecture of the T. There is hope that these
give rise to recurrences far from the primary tumor site, findings and more studies on the role of SVZ in brain
contributing to the hypothesis that this is due to migrating tumors might impact on improving patient survival and
[63]
neural precursors. However, another study suggested leading to personalized treatments.
that there is no evidence of a “stem cell signature” in
HGG with involvement of SVZ in comparison to those Acknowledgments
with no involvement of this region. This might be The author is grateful to Mr. M. Locatelli for support and
[64]
reconciled considering that, as suggested by animal encouragement throughout the preparation of this work.
model studies, HGG originated in the SVZ grow along
white matter tracts and macroscopically do not show Financial support and sponsorship
involvement of the SVZ. The combination of studies Nil.
[52]
on the adult human SVZ in HGG patients and animal Conflicts of interest
models might shed new light on the functional role of There are no conflicts of interest.
this region in neuro-oncogenesis.
REFERENCES
CONCLUSION
1. Piccirillo SG, Dietz S, Madhu B, Griffiths J, Price SJ, Collins VP,
With the life expectancy reduced of twenty years, on Watts C. Fluorescence-guided surgical sampling of glioblastoma
average, brain tumors represent the most lethal cancer identifies phenotypically distinct tumour-initiating cell populations in
in adults. Among these, HGG is the most aggressive 2. the tumour mass and margin. Br J Cancer 2012;107:462-8.
[65]
Sottoriva A, Spiteri I, Piccirillo SG, Touloumis A, Collins VP, Marioni
form and among glioma has the poorest prognosis. The JC, Curtis C, Watts C, Tavare S. Intratumor heterogeneity in human
function role of the largest neurogenic niche in the brain glioblastoma reflects cancer evolutionary dynamics. Proc Natl Acad
(i.e. the SVZ) and its presence in the adult human brain, Sci U S A 2013;110:4009-14.
raised the possibility that this area might play a role in 3. Piccirillo SG, Spiteri I, Sottoriva A, Touloumis A, Ber S, Price SJ,
Heywood R, Francis NJ, Howarth KD, Collins VP, Venkitaraman
the oncogenic process leading to HGG. AR, Curtis C, Marioni JC, Tavare S, Watts C. Contributions to drug
resistance in glioblastoma derived from malignant cells in the sub-
Our study revealed that two types of evolutionary 4. ependymal zone. Cancer Res 2015;75:194-202.
Alvarez-Buylla A, Lim DA. For the long run: maintaining germinal
trajectories can be observed in patients: the first sees niches in the adult brain. Neuron 2004;41:683-6.
the SVZ playing a role in the growth of the tumor as 5. Altman J. Autoradiographic investigation of cell proliferation in the
early clone, whereas in the second the SVZ represents brains of rats and cats. Anat Rec 1963;145:573-91.
a late emerging clone that suggests infiltration of 6. Alvarez-Buylla A, Garcia-Verdugo JM. Neurogenesis in adult
subventricular zone. J Neurosci 2002;22:629-34.
this area following tumor growth. These results are 7. Kempermann G. Why new neurons? Possible functions for adult
extremely important as they provide insights about the hippocampal neurogenesis. J Neurosci 2002;22:635-8.
cell of origin of human HGG but also might impact on 8. Doetsch F, Caille I, Lim DA, Garcia-Verdugo JM, Alvarez-Buylla
A. Subventricular zone astrocytes are neural stem cells in the adult
treatment strategies. In this respect, our drug treatment mammalian brain. Cell 1999;97:703-16.
data clearly show distinct patterns of response in the 9. Laywell ED, Rakic P, Kukekov VG, Holland EC, Steindler DA.
same HGG and the existence of chemo-resistant tumor Identification of a multipotent astrocytic stem cell in the immature
and adult mouse brain. Proc Natl Acad Sci U S A 2000;97:13883-8.
cells in the SVZ. However, the response of SVZ tumor 10. Kim M, Morshead CM. Distinct populations of forebrain neural stem
cells to radiation is still to be explored. Interestingly, and progenitor cells can be isolated using side-population analysis. J
previous studies have reported that OPC are sensitive Neurosci 2003;23:10703-9.
[66]
to radiation and more recently it has been shown that 11. Garcia AD, Doan NB, Imura T, Bush TG, Sofroniew MV. GFAP-
expressing progenitors are the principal source of constitutive
OPC-like glioma Olig2+ cells respond better to radiation neurogenesis in adult mouse forebrain. Nat Neurosci 2004;7:1233-
24 Neuroimmunol Neuroinflammation | Volume 3 | Issue 2 | February 15, 2016