Ijraset Journal For Research in Applied Science and Engineering Technology
Authors: Uma Kumari, Shruti Gupta
DOI Link: https://doi.org/10.22214/ijraset.2023.50885
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Malignant primary brain tumour in adults and in analysis driven by variousgenomic alterations. Next generation sequencing (NGS) provides about the geneticlandscape of tumours and might detect targetable mutations. Genomic DNA wasextracted from blood samples or tumor tissues number of biological pathways incancer involve the products of genes that are not mutated, but epigenetically whenwe found regulated, for example by altered transcription factor availability,repressor activity or gene methylation receptor-type protein tyrosine phosphatases(RPTPs) comprises PTPRZ and PTPRG,primary human glioblastomas suggested aclose association between PTPRZ1 (human PTPRZ) expression and cancerstemness. The functional roles of PTPRZ activity in glioma that sphere-forming cellsin human U251 glioblastoma cell lines showed high expression levels of PTPRZ-B.Potential PTPRZ1-MET fusion, that is caused when PTPRZ1 and the MET oncogene are fused in 8% to 16% of gliomas and is linked to a less favorable outcome nevertheless is also a promising biomarker for kinase inhibitor therapy. In accordance to the studies that are currently available, receptor-type tyrosine-protein phosphatase zeta (PTPRZ1) is found in various tumour tissues and plays a role in migration, cell proliferation, the EMT and adhesions, as well as treatment resistance by binding with a variety of substances.
I. INTRODUCTION
A brain tumour is an uncontrolled mass of cell development in or near the brain.If a brain tumour becomes large enough to press against nearby nerves, blood vessels, or tissues, it may impair brain function. Two to three percent of malignant tumours are brain tumours, which account for 85 to 90 percent of all primary CNS tumours and up to 35 percent of malignant tumours with a five-year survival rate of about 90% for benign tumours (Neugut AI et al., 2019). Adults with brain tumours are diagnosed between the ages of 40 and 70 (Fox BD et el., 2011). According to the International Association of Cancer Registries (IARC), over 28,000 cases of brain tumours are recorded in India every year, and over 24,000 people are estimated to die from brain tumours. There will be 24,810 diagnoses of malignant brain tumours (14,280 in men and 10,530 in women).In this paper we mainly focus onto the glioblastoma which is the grade IV tumor.The most prevalent and aggressive primary malignant tumour of the brain and central nervous system, glioblastoma multiforme (GBM), accounts for 14.5% of all central nervous system tumours and 48.6% of malignant central nervous system tumours (Koshy et. Al, 2012).According to the World Health Organization (WHO) classification, which classifies GBM as a grade-IV cancer, gliomas are identified by their nomenclature and are diagnosed using this system globally.Based on histological criteria that identify four different forms of this tumour (Louis et. Al,2016).
Isocitrate dehydrogenase's affinity for the common substrate, isocitrate, is decreased by the mutation of IDH1 and IDH2, although its affinity for alpha-ketoglutarate is increased. As a result, alpha-ketoglutarate is transformed into the cometabolite 2-hydroxyglutarate, which is thought to prevent cell differentiation by competitively inhibiting the enzymes that metabolise alpha-ketoglutarate. As a result, DNA as well as histone demethylation actions of dioxygenases are blocked (Reiter-Brennan et al., 2018) henceforth causes hypoxia-inducible factor 1 to become active (HIF-1) (Fu et al., 2012). It is now understood that low-grade glioma development is primarily influenced by these epigenetic alterations (Reiter-Brennan et al., 2018). Expansion of the epidermal growth factor receptor (EGFR) and loss of function of both the phosphatase as well as tensin homolog (PTEN)are two additional genetic changes that are required for secondary GBM to develop from low-grade gliomas including an IDH alteration (Lai et al., 2011).
Moreover, the categorization lists the following as criteria for the diagnosis of GBM, IDH-wildtype: TERT promoter mutation, EGFR gene amplification, simultaneous acquisition of the complete chromosome 7 as well as deletion of the entire chromosome 10 (+7/-10). Hence, if an adult IDH-wildtype diffuse & astrocytic glioma exhibits microvascular overgrowth, TERT promoter mutations, necrosis, EGFR gene amplification, or +7/10 chromosome copy number variations, GBM, IDH-wildtype must be suspected. Nonetheless, a variety of pediatric-type gliomas ought to be investigated to diagnose paediatric patients with IDH-wildtype diffuse astrocytomas (Louis, D.N et al.,2021).The proangiogenic and inflammatory milieu that glioblastoma produces causes endothelial cells to express more adhesion molecules and have fewer tight junctions, which results in a highly porous blood-brain barrier (BBB). These modifications enable leukocytes to extravasate through the endothelial wall of the brain and enter the tumour mass after leaving the blood stream.Particularly, GBM exhibits a nuanced interaction between immune control, tumor-induced immunodeficiency, and cancer occurrence. Despite an immune infiltrate, the tumour microenvironment in GBM is extremely immunosuppressive, which promotes recurrence and a poor prognosis (Gieryng et al., 2017). The environment that surrounds cancer cells is known as the tumour microenvironment. This consists of extracellular matrix, stromal, vascular, plus immune cells as well as any substances that are secreted. In the immunological infiltrate, lymphocyte, macrophages, as well as microglia make up the majority of the cells. A significant portion of the tumour mass is made up of macrophages and microglia, whose phenotypes and activities have been profoundly altered by the tumour cells (Hambardzumyan et al., 2016). Because of their pro - angiogenic and immunosuppressive characteristics, tumor-associated macrophages are frequently thought to promote tumour growth.MDSCs in mice can be broadly categorised into monocytic as well as granulocytic subtypes and are cells that exhibit both CD11b & Gr1 surface markers. Granulocytic MDSCs are infrequently detected in GBM tumours (Chen Z et al.,2017). Many immune cell subtypes have been seen in glioblastoma tumours, although immunosuppressive cells predominate. Current research has refined this idea further by identifying different Treg and dendritic cell subsets as well as subpopulations inside the immunoregulatory macrophage sector of malignancies.In orthotopic animal models, GBM-secreted IL-6 produces immunosuppressive peripheral myeloid cells that exhibit elevated amounts of PD L1 (Lamano et al., 2019). This result is consistent with peripheral blood CyTOF (Cytometry by Time of Flight) fingerprinting of patients, which shows a large rise of myeloid-derived suppressor cells (MDSC), but also not Treg, in circulation (Alban et al., 2018).As a result, it's possible that the myeloid cells that invade GBM tumours have already been trained to promote tumour growth. The discovery that the presence of MDSC in mice GBM tumours is linked to a decrease in the number of tumor-infiltrating lymphocytes ((Raychaudhuri et al., 2015) further supports the significance of MDSC, both of the monocytic or granulocytic subtype (Movahedi et al., 2008). The existence of Treg has been extensively discussed in a variety of cancer types, although its usefulness in predicting the course of the disease in glioblastoma is in question. Independent researchers have noted a rise in the quantity of FOXP3+ Treg in glioblastoma and other higher grade brain tumours (Jacobs et al., 2010). These Treg may be drawn to the tumour microenvironment through a number of pathways, such as IDO activity (Wainwright et al., 2012) as well as CCL2 synthesis, that reacts with CCR4 over the membrane of Treg (Chang et al., 2016). It's interesting to note that CCR8 is a different chemokine receptor that has recently been discovered as an indicator that is clearly expressed in at least a sub - set of tumor-infiltrating Treg, and not Treg in the periphery, as aspect of a tumor-infiltrating Treg transcriptional signature which is conserved throughout species and tumour forms (Magnuson et al., 2018). In GBM immune checkpoints, Negative regulatory mechanisms known as immune checkpoints prevent the activation and growth of T cells. On T cells, inhibitory functions are frequently carried out by the cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4), programmed cell death-1 receptor (PD-1), and T-cell inhibitory receptor (TIM-3) via interaction with the respective ligands. PD-1 inhibits T cell proliferation and effector functions by interacting with its ligand PD-L1, which is produced by stromal cells like APCs. This inhibition can be reversed by employing antibodies that are specific for PD-L1. Moreover, the expression of PD-1 here on membrane of these T cells is a sign indicating functional exhaustion (Barber DL et al., 2006). By coercing the microenvironment's cells, such as TAMs, to express large levels of PD-L1, tumours have developed to hijack this mechanism for their own gain. Recent research has shown that GBM has much more PD-1+ tumor-infiltrating lymphocytes and PD-L1 expression. This supports the idea that immune checkpoint inhibition, which prevents the PD-1/PD-L1 axis from working, could be used as a viable treatment for GBM (Preusser M et al.,2015). Recent research has shown that nanoparticles have the ability to transport therapeutic payload to the mouse brain. After a low-dose irradiation to promote brain absorption, solid lipid nanoparticles can deliver short interfering RNAs to the mouse glioblastoma microenvironment (Erel-Akbaba G et al., 2019). As a GBM targeting ligand for systemically delivered nanoparticles, LinTT1 (AKRGARSTA), a new tumour penetrating peptide that binds cell surface p32, has also been reported (Säälik et al., 2019). Moreover, nanoscale immunoconjugates (NICs) with covalently bonded anti-CTLA-4 or anti-PD-1 were created on a natural biopolymer scaffold called poly(-L-malic acid) enabling systemic distribution throughout the BBB enabling stimulation of local brain anti-tumor immune responses (Galstyan et al., 2019).
(Ha Young Woo et.al, 2020), postulates that diffuse gliomas have been discovered to include oncogenic gene fusions, which could be used as therapeutic targets. Therefore, we evaluated the clinical, pathological, as well as genetic characteristics of gene fusion in 356 diffuse gliomas obtained from 2017 to 2019 utilise next generation sequencing analysis (Illumina TruSightTumor 170 panel). The relevant oncogenic gene fusions were discovered in 53 cases of glioblastomas: MET (n = 18), FGFR (n = 12), AKT3 (n = 1), NTRK (n = 5), EGFR (n = 14), RET (n = 2), and PDGFRA fusions (n = 1). Both IDH-wildtype but also IDH-mutant glioblastomas consistently exhibited gene fusions (8.8% and 9.4%, p = 1.000). The only fusion with genetic characteristics similar to secondary glioblastomas (i.e., highest incidence of IDH mutation, ATRX absence, TP53 mutation, as well as loss of EGFR) was PTPRZ1-MET fusion while primary glioblastomas remained similar to certain other gene fusion kinds (i.e., highest amount of IDH-wildtype, PTEN mutation, TERT mutation and EGFR augmentation). Multivariable analysis indicates that perhaps the PTPRZ1-MET fusion significantly linked to a poor progression-free survival among individuals with IDH-wildtype glioblastoma. (Veronica Vellani et al., 2023), illustrated that the purpose of this study was to describe the genetic makeup of glioma patients and to talk about how next-generation sequencing affects glioma detection and treatment. In a bid to better comprehend the existence of a significant relation among non-morphological information on brain MRI acquired with diffusion as well as perfusion methods and molecular data, the research sets out to characterise the molecular profiles of patients with gliomas. It also aimed to establish an entirely novel concept for molecular diagnostics relying on NGS analysis. Molecular evaluation was carried out utilising the Oncomine Focus Assay and an NGS methodology (Thermo Fisher Scientific). The above targeted sequencing test enables the detection of hotspots, copy number variants (CNVs), single nucleotide variations (SNVs), insertions and deletions, and gene fusions in 52 genes having known significance in solid tumours. The assay enables simultaneous evaluation of DNA and RNA together in single procedure. Furthermore, they gathered information on the demographics and clinical characteristics of the patients, as well as information on prior treatments and their effects on overall survival (OS) as well as progression-free survival (PFS), or time to progression out from NGS analysis (TTP). Through automatically uploading required data out from Torrent SuiteTM Software, sequences were matched to a hg19 reference genome as well as variant calling was carried out by utilizing Ion Reporter version 5.4. OncomineTM Focus—520—w2.4—DNA plus Fusions—Single Sample has been the workflow analysis. This approach identifies and annotate gene fusions using targeted RNA libraries or low-frequency somatic variations (SNPs, Insertions and deletions, and CNVs) using targeted DNA libraries for the OncomineTM Focus Test. When we compared the prevalence of SNVs according to the kind of tumour, we discovered that GBM patients had much less of them (31.6%) than other glioma patients (68.4%). In contrast to GBM, other gliomas have a higher prevalence of the IDH1 mutation. Several low-frequency variants, like IDH2, BRAF, as well as PIK3A, were more prevalent in GBM patients although small EGFR variants were found among patients having other gliomas. In comparison to other gliomas (17.1%), the percentage of CNVs considerably greater in GBM (82.9% among all CNVs). In instance, individuals with GBM had more EGFR (22/26) as well as CDK4 (6/8) alterations compared to individuals who had other gliomas, but PDGFRA CNVs have only been found in people with GBM (3/3). Pralsetinib (BLU-667), a strongly RET inhibitor being researched for the treatment of various solid cancers, was administered to one person with RET fusion in a stage 1/2 study (NCT03037385).
II. METHODOLOGY
We have used a variety of databases and technologies in this study to better understand my glioblastoma sample (5H08). We employed NGS TOOLS and technologies on the sample because our paper is focused on NGS (Next Generation Sequencing) and biopython. Both databases and technologies are utilised to identify the sample's phenotypic and genotypic characteristics. Moreover, tools are utilised to visualise the sample's graphical representation in terms of similarity and other factors. For instance, Protein Data Bank (PDB), Molecular Modelling Database (MMDB), Basic Local Search Alignment Tool (BLAST), Constraint Based Multiple Alignment Tool (COBALT), PDBsum and Biopython is utilised to analyse the sample receptor type tyrosine protein phosphatase zeta 1 (PTPRZ1) (5H08).
We obtained the sample via MRI, biopsy or NCBI OR PDB and then further sample analysis began with thecomputation. Secondly, several tools havebeen used to extract features. For instance, graphical representation shows the catalytic or active site, sequence similarity and also shows the amino acid residues of the sample via various tools like MMDB, BLAST etc. Additionally, association of genomics have performed to check the translations and mutations . Furthermore, data analysis have been performed by NGS and biopython.
[1] Alban TJ, Alvarado AG, Sorensen MD, Bayik D, Volovetz J, Serbinowski E, Mulkearns-Hubert EE, Sinyuk M, Hale JS, Onzi GR, McGraw M, Huang P, Grabowski MM, Wathen CA, Ahluwalia MS, Radivoyevitch T, Kornblum HI, Kristensen BW, Vogelbaum MA, Lathia JD. Global immune fingerprinting in glioblastoma patient peripheral blood reveals immune-suppression signatures associated with prognosis. JCI Insight. 2018;3:122264. doi: 10.1172/jci.insight.122264. [2] Barber DL, Wherry EJ, Masopust D, Zhu B, Allison JP, Sharpe AH, et al. Restoring function in exhausted CD8 T cells during chronic viral infection. Nature (2006) 439(7077):682–7. 10.1038/nature04444. [3] Chang AL, Miska J, Wainwright DA, Dey M, Rivetta CV, Yu D, Kanojia D, Pituch KC, Qiao J, Pytel P, Han Y, Wu M, Zhang L, Horbinski CM, Ahmed AU, Lesniak MS. CCL2 produced by the glioma microenvironment is essential for the recruitment of regulatory T cells and Myeloid-Derived suppressor cells. Cancer Research. 2016;76:5671–5682. doi: 10.1158/0008-5472.CAN-16-0144. [4] Chen Z, Feng X, Herting CJ, Garcia VA, Nie K, Pong WW, et al. Cellular and molecular identity of tumor-associated macrophages in glioblastoma. Cancer Res (2017) 77(9):2266–78. 10.1158/0008-5472.CAN-16-2310. [5] Erel-Akbaba G, Carvalho LA, Tian T, Zinter M, Akbaba H, Obeid PJ, Chiocca EA, Weissleder R, Kantarci AG, Tannous BA. Radiation-Induced targeted Nanoparticle-Based gene delivery for brain tumor therapy. ACS Nano. 2019;13:4028–4040. doi: 10.1021/acsnano.8b08177. [6] Fox BD, Cheung VJ, Patel AJ, Suki D, Rao G (2011) Epidemiology of metastatic brain tumors. Neurosurg Clin N Am 22: 1-6. [7] Fu, Y.; Zheng, S.; Zheng, Y.; Huang, R.; An, N.; Liang, A.; Hu, C. Glioma derived isocitrate dehydrogenase-2 mutations induced up-regulation of HIF-1? and ?-catenin signaling: Possible impact on glioma cell metastasis and chemo-resistance. Int. J. Biochem. Cell Biol. 2012, 44, 770–775. [8] Galstyan A, Markman JL, Shatalova ES, Chiechi A, Korman AJ, Patil R, Klymyshyn D, Tourtellotte WG, Israel LL, Braubach O, Ljubimov VA, Mashouf LA, Ramesh A, Grodzinski ZB, Penichet ML, Black KL, Holler E, Sun T, Ding H, Ljubimov AV, Ljubimova JY. Blood-brain barrier permeable nano immunoconjugates induce local immune responses for glioma therapy. Nature Communications. 2019;10:3850. doi: 10.1038/s41467-019-11719-3. [9] Gieryng, A.; Pszczolkowska, D.; Walentynowicz, K.A.; Rajan, W.D.; Kaminska, B. Immune microenvironment of gliomas. Lab. Investig. 2017, 97, 498–518. [10] Hambardzumyan, D.; Gutmann, D.H.; Kettenmann, H. The role of microglia and macrophages in glioma maintenance and progression. Nat. Neurosci. 2016, 19, 20–27. [11] Jacobs JF, Idema AJ, Bol KF, Grotenhuis JA, de Vries IJ, Wesseling P, Adema GJ. Prognostic significance and mechanism of treg infiltration in human brain tumors. Journal of Neuroimmunology. 2010;225:195–199. doi: 10.1016/j.jneuroim.2010.05.020. [12] Koshy, M.; Villano, J.L.; Dolecek, T.A.; Howard, A.; Mahmood, U.; Chmura, S.J.; Weichselbaum, R.R.; McCarthy, B.J. Improved survival time trends for glioblastoma using the SEER 17 population-based registries. J. Neurooncol. 2012, 107, 207–212. [13] Kumari Uma and Choudhary, Ashok Kumar, “Genome Sequence Analysis of SolanumLycopersicum by Applying Sequence Alignment Method to Determine the Statistical Significance of an Alignment”, International Journal of Bio-Technology and Research (IJBTR), 2249-6858;9-12, 2016. [14] Kumari Uma, &Choudhary, A. K, “Genome sequence analysis of solanumlycopersicum showing the phylogenetic relationship based on multiple sequence alignment and conserved domain proteins”, International journal of advanced biotechnology and research, 7(4), 2012-2014, 2016. [15] Vinita Kukreja, Uma Kumari, \"Genome Annotation of Brain Cancer and Structure Analysis by applying Drug Designing Technique\", International Journal of Emerging Technologies and Innovative Research, 9(5);473-k479, May, 2022. [16] Lai, A.; Kharbanda, S.; Pope, W.B.; Tran, A.; Solis, O.E.; Peale, F.; Forrest, W.F.; Pujara, K.; Carrillo, J.A.; Pandita, A.; et al. Evidence for sequenced molecular evolution of IDH1 mutant glioblastoma from a distinct cell of origin. J. Clin. Oncol. 2011, 29, 4482–4490. [17] Lamano JB, Lamano JB, Li YD, DiDomenico JD, Choy W, Veliceasa D, Oyon DE, Fakurnejad S, Ampie L, Kesavabhotla K, Kaur R, Kaur G, Biyashev D, Unruh DJ, Horbinski CM, James CD, Parsa AT, Bloch O. Glioblastoma-Derived IL6 induces immunosuppressive peripheral myeloid cell PD-L1 and promotes tumor growth. Clinical Cancer Research. 2019;25:3643–3657. doi: 10.1158/1078-0432.CCR-18-2402. [18] Louis, D.N.; Perry, A.; Wesseling, P.; Brat, D.J.; Cree, I.A.; Figarella-Branger, D.; Hawkins, C.; Ng, H.K.; Pfister, S.M.; Reifenberger, G.; et al. The 2021 WHO Classification of Tumors of the Central Nervous System: A summary. Neuro-Oncology 2021, 23, 1231–1251. [19] Louis, D.N.; Perry, A.; Reifenberger, G.; von Deimling, A.; Figarella-Branger, D.; Cavenee, W.K.; Ohgaki, H.; Wiestler, O.D.; Kleihues, P.; Ellison, D.W. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: A summary. Acta Neuropathol. 2016, 131, 803–820. [20] Magnuson AM, Kiner E, Ergun A, Park JS, Asinovski N, Ortiz-Lopez A, Kilcoyne A, Paoluzzi-Tomada E, Weissleder R, Mathis D, Benoist C. Identification and validation of a tumor-infiltrating treg transcriptional signature conserved across species and tumor types. PNAS. 2018;115:E10672–E10681. doi: 10.1073/pnas.1810580115. [21] Movahedi K, Guilliams M, Van den Bossche J, Van den Bergh R, Gysemans C, Beschin A, De Baetselier P, Van Ginderachter JA. Identification of discrete tumor-induced myeloid-derived suppressor cell subpopulations with distinct T cell-suppressive activity. Blood. 2008;111:4233–4244. doi: 10.1182/blood-2007-07-099226. [22] Neugut AI, Sackstein P, Hillyer GC, Jacobson JS, Bruce J, et al. (2019) Magnetic Resonance Imaging?Based Screening for Asymptomatic Brain Tumors: A Review. Oncologist 24. [23] NCT03037385. Phase 1/2 Study of the Highly-selective RET Inhibitor, Pralsetinib (BLU-667), in Participants With Thyroid Cancer, Non-Small Cell Lung Cancer, and Other Advanced Solid Tumors (ARROW). [24] Preusser M, Lim M, Hafler DA, Reardon DA, Sampson JH. Prospects of immune checkpoint modulators in the treatment of glioblastoma. Nat Rev Neurol (2015) 11(9):504–14. 10.1038/nrneurol.2015.139 [25] Raychaudhuri B, Rayman P, Huang P, Grabowski M, Hambardzumyan D, Finke JH, Vogelbaum MA. Myeloid derived suppressor cell infiltration of murine and human gliomas is associated with reduction of tumor infiltrating lymphocytes. Journal of Neuro-Oncology. 2015;122:293–301. doi: 10.1007/s11060-015-1720-6. [26] Reiter-Brennan, C.; Semmler, L.; Klein, A. The effects of 2-hydroxyglutarate on the tumorigenesis of gliomas. Contemp. Oncol. 2018, 22, 215–222. [27] Säälik P, Lingasamy P, Toome K, Mastandrea I, Rousso-Noori L, Tobi A, Simón-Gracia L, Hunt H, Paiste P, Kotamraju VR, Bergers G, Asser T, Rätsep T, Ruoslahti E, Bjerkvig R, Friedmann-Morvinski D, Teesalu T. Peptide-guided nanoparticles for glioblastoma targeting. Journal of Controlled Release. 2019;308:109–118. doi: 10.1016/j.jconrel.2019.06.018. [28] Wainwright DA, Balyasnikova IV, Chang AL, Ahmed AU, Moon K-S, Auffinger B, Tobias AL, Han Y, Lesniak MS. IDO expression in brain tumors increases the recruitment of regulatory T cells and negatively impacts survival. Clinical Cancer Research. 2012;18:6110–6121. doi: 10.1158/1078-0432.CCR-12-2130.
Copyright © 2023 Uma Kumari, Shruti Gupta. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Paper Id : IJRASET50885
Publish Date : 2023-04-23
ISSN : 2321-9653
Publisher Name : IJRASET
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