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1.
Neuroimmunomodulation ; 16(6): 385-91, 2009.
Article in English | MEDLINE | ID: mdl-19609087

ABSTRACT

OBJECTIVES: Treatment with interferon(IFN) beta, glatiramer acetate (GLAT) and intravenous immunoglobulins (IVIG) alters the cytokine production in multiple sclerosis (MS) patients. To date, it is not clear whether the effect on cytokines varies among these drugs. Therefore, we analyzed the effects of these drugs on the cytokine profiles of MS patients as well as healthy controls. METHODS: The in vitro effects of IFNbeta, GLAT and IVIG on leukocyte subsets producing the p40 subunit of interleukin 12 (IL12p40), IFNgamma, tumor necrosis factor (TNF) and interleukin (IL) 10 were assessed in 21 MS patients and 11 healthy volunteers using flow cytometry. RESULTS: In peripheral vein blood of healthy volunteers, IVIG reduced IL12p40-producing monocytes (p = 0.003) and IFNgamma in CD4+ lymphocytes (p = 0.003). IFNbeta treatment increased the proportion of IFNgamma-producing CD4+ lymphocytes (p = 0.003) whereas GLAT reduced TNF production (p = 0.012). In MS patients, IVIG induced a suppression of leukocytes producing IL12p40 (p < 0.001) and IFNgamma (p = 0.001). IFNbeta decreased monocytes producing IL12p40 (p < 0.001) and increased IL10 (p = 0.005). GLAT reduced IL12p40 (p < 0.001), IFNgamma (p = 0.001 in CD4+ and CD8+ lymphocytes) and TNF production of leukocytes (p < 0.001). In addition, the baseline cytokine patterns were inherently different between individual MS patients. CONCLUSIONS: IFNbeta, GLAT and IVIG had different effects on cytokine patterns, which might point towards different mechanisms of action. Since the baseline cytokine patterns differed among MS patients, the evaluation of the cytokine pattern might serve as a surrogate marker before starting immunomodulatory treatments and might be helpful to tailor MS therapy effectively to the needs of each individual patient.


Subject(s)
Cytokines/metabolism , Immunologic Factors/pharmacology , Leukocytes/drug effects , Leukocytes/metabolism , Multiple Sclerosis/drug therapy , Multiple Sclerosis/immunology , Adult , Biomarkers/analysis , Blood Donors , CD4-Positive T-Lymphocytes/drug effects , CD4-Positive T-Lymphocytes/metabolism , Cells, Cultured , Female , Flow Cytometry , Glatiramer Acetate , Humans , Immunoglobulins, Intravenous/pharmacology , Interferon-beta/pharmacology , Interferon-gamma/metabolism , Interleukin-10/metabolism , Interleukin-12 Subunit p40/metabolism , Male , Monocytes/drug effects , Monocytes/metabolism , Multiple Sclerosis/physiopathology , Peptides/pharmacology , Predictive Value of Tests , Sensitivity and Specificity , Treatment Outcome , Tumor Necrosis Factor-alpha/metabolism
2.
Mol Cell Neurosci ; 41(2): 166-74, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19281847

ABSTRACT

Alzheimer's disease is characterized by accumulation of toxic beta-amyloid (Abeta) in the brain and neuronal death. Several mutations in presenilin (PS1) and beta-amyloid precursor protein (APP) associate with an increased Abeta(42/40) ratio. Abeta(42), a highly fibrillogenic species, is believed to drive Abeta aggregation. Factors shifting gamma-secretase cleavage of APP to produce Abeta(42) are unclear. We investigate the molecular mechanism underlying altered Abeta(42/40) ratios associated with APP mutations at codon 716 and 717. Using FRET-based fluorescence lifetime imaging to monitor APP-PS1 interactions, we show that I716F and V717I APP mutations increase the proportion of interacting molecules earlier in the secretory pathway, resulting in an increase in Abeta generation. A PS1 conformation assay reveals that, in the presence of mutant APP, PS1 adopts a conformation reminiscent of FAD-associated PS1 mutations, thus influencing APP binding to PS1/gamma-secretase. Mutant APP affects both intracellular location and efficiency of APP-PS1 interactions, thereby changing the Abeta(42/40) ratio.


Subject(s)
Amyloid Precursor Protein Secretases/metabolism , Amyloid beta-Protein Precursor , Mutation , Presenilins/metabolism , Alzheimer Disease/genetics , Alzheimer Disease/metabolism , Alzheimer Disease/pathology , Amyloid Precursor Protein Secretases/genetics , Amyloid beta-Protein Precursor/genetics , Amyloid beta-Protein Precursor/metabolism , Animals , CHO Cells , Cricetinae , Cricetulus , Fluorescence Resonance Energy Transfer , Humans , Presenilins/chemistry , Presenilins/genetics , Protein Conformation , Protein Transport/physiology
3.
Handb Exp Pharmacol ; (185 Pt 2): 341-59, 2008.
Article in English | MEDLINE | ID: mdl-18626610

ABSTRACT

Gene therapy of patients with glioblastoma using viral and non-viral vectors, which are applied by direct injection or convection-enhanced delivery (CED), appear to be satisfactorily safe. Up to date, only single patients show a significant therapeutic benefit as deduced from single long-term survivors. Non-invasive imaging by PET for the identification of viable target tissue and for assessment of transduction efficiency shall help to identify patients which might benefit from gene therapy, while non-invasive follow-up on treatment responses allows early and dynamic adaptations of treatment options. Therefore, molecular imaging has a critical impact on the development of standardised gene therapy protocols and on efficient and safe vector applications in humans.


Subject(s)
Brain Neoplasms/therapy , Diagnostic Imaging , Genetic Therapy , Glioma/therapy , Animals , Brain Neoplasms/genetics , Brain Neoplasms/pathology , Diagnostic Imaging/methods , Gene Expression Regulation, Neoplastic , Gene Targeting , Gene Transfer Techniques , Genetic Vectors , Glioma/genetics , Glioma/pathology , Humans , Image Interpretation, Computer-Assisted , Magnetic Resonance Imaging , Positron-Emission Tomography , Treatment Outcome
4.
Methods ; 44(4): 299-303, 2008 Apr.
Article in English | MEDLINE | ID: mdl-18374273

ABSTRACT

To understand normal function of memory studying models of pathological memory decline is essential. The most common form of dementia leading to memory decline is Alzheimer's disease (AD), which is characterized by the presence of neurofibrillary tangles and amyloid plaques in the affected brain regions. Altered production of amyloid beta (Abeta) through sequential cleavage of amyloid precursor protein (APP) by beta- and gamma-secretases seems to be a central event in the molecular pathogenesis of the disease. Thus, the study of the complex interplay of proteins that are involved in or modify Abeta production is very important to gain insight into the pathogenesis of AD. Here, we describe the use of Fluorescence lifetime imaging microscopy (FLIM), a Fluorescence resonance energy transfer (FRET)-based method, to visualize protein-protein-interaction in intact cells, which has proven to be a valuable method in AD research.


Subject(s)
Alzheimer Disease/diagnosis , Amyloid beta-Protein Precursor/analysis , Fluorescence Resonance Energy Transfer/methods , Low Density Lipoprotein Receptor-Related Protein-1/analysis , Amyloid beta-Protein Precursor/genetics , Amyloid beta-Protein Precursor/metabolism , Animals , Cell Line, Tumor , Humans , Low Density Lipoprotein Receptor-Related Protein-1/genetics , Low Density Lipoprotein Receptor-Related Protein-1/metabolism , Mice , Microscopy, Fluorescence/methods , Phosphorylation , Protein Binding , Protein Conformation
5.
Mol Neurodegener ; 1: 16, 2006 Nov 14.
Article in English | MEDLINE | ID: mdl-17105660

ABSTRACT

BACKGROUND: Signal peptide peptidase (SPP) is an intramembrane cleaving protease identified by its cleavage of several type II membrane signal peptides. Conservation of intramembrane active site residues demonstrates that SPP, SPP family members, and presenilins (PSs) make up a family of intramembrane cleaving proteases. Because SPP appears to function without additional protein cofactors, the study of SPP may provide structural insights into the mechanism of intramembrane proteolysis by this biomedically important family of proteins. Previous studies have shown that SPP isolated from cells appears to be a homodimer, but some evidence exists that in vitro SPP may be active as a monomer. We have conducted additional experiments to determine if SPP exists as a monomer or dimer in vivo. RESULTS: Fluorescence lifetime imaging microscopy (FLIM) can be is used to determine intra- or intermolecular interactions by fluorescently labeling epitopes on one or two different molecules. If the donor and acceptor fluorophores are less than 10 nm apart, the donor fluorophore lifetime shortens proportionally to the distance between the fluorophores. In this study, we used two types of fluorescence energy transfer (FRET) pairs; cyan fluorescent protein (CFP) with yellow fluorescent protein (YFP) or Alexa 488 with Cy3 to differentially label the NH2- or COOH-termini of SPP molecules. A cell based SPP activity assay was used to show that all tagged SPP proteins are proteolytically active. Using FLIM we were able to show that the donor fluorophore lifetime of the CFP tagged SPP construct in living cells significantly decreases when either a NH2- or COOH-terminally YFP tagged SPP construct is co-transfected, indicating close proximity between two different SPP molecules. These data were then confirmed in cell lines stably co-expressing V5- and FLAG-tagged SPP constructs. CONCLUSION: Our FLIM data strongly suggest dimer formation between two separate SPP proteins. Although the tagged SPP constructs are expressed throughout the cell, SPP dimer detection by FLIM is seen predominantly at or near the plasma membrane.

6.
J Biol Chem ; 281(43): 32240-53, 2006 Oct 27.
Article in English | MEDLINE | ID: mdl-16945923

ABSTRACT

Ubiquilin 1 (UBQLN1) is a ubiquitin-like protein, which has been shown to play a central role in regulating the proteasomal degradation of various proteins, including the presenilins. We recently reported that DNA variants in UBQLN1 increase the risk for Alzheimer disease, by influencing expression of this gene in brain. Here we present the first assessment of the effects of UBQLN1 on the metabolism of the amyloid precursor protein (APP). For this purpose, we employed RNA interference to down-regulate UBQLN1 in a variety of neuronal and non-neuronal cell lines. We demonstrate that down-regulation of UBQLN1 accelerates the maturation and intracellular trafficking of APP, while not interfering with alpha-, beta-, or gamma-secretase levels or activity. UBQLN1 knockdown increased the ratio of APP mature/immature, increased levels of full-length APP on the cell surface, and enhanced the secretion of sAPP (alpha- and beta-forms). Moreover, UBQLN1 knockdown increased levels of secreted Abeta40 and Abeta42. Finally, employing a fluorescence resonance energy transfer-based assay, we show that UBQLN1 and APP come into close proximity in intact cells, independently of the presence of the presenilins. Collectively, our findings suggest that UBQLN1 may normally serve as a cytoplasmic "gatekeeper" that may control APP trafficking from intracellular compartments to the cell surface. These findings suggest that changes in UBQLN1 steady-state levels affect APP trafficking and processing, thereby influencing the generation of Abeta.


Subject(s)
Amyloid beta-Peptides/metabolism , Amyloid beta-Protein Precursor/metabolism , Carrier Proteins/genetics , Carrier Proteins/metabolism , Cell Cycle Proteins/genetics , Cell Cycle Proteins/metabolism , Down-Regulation , Adaptor Proteins, Signal Transducing , Animals , Autophagy-Related Proteins , Biotinylation , Carrier Proteins/chemistry , Cell Cycle Proteins/chemistry , Cell Line, Tumor , Cells, Cultured , Exons , Fibroblasts/cytology , Fibroblasts/metabolism , Fluorescence Resonance Energy Transfer , Glioma/metabolism , Glioma/pathology , Humans , Immunohistochemistry , Mice , Neurons/cytology , Neurons/metabolism , Protein Structure, Tertiary , Protein Transport , RNA Interference , RNA, Small Interfering/metabolism , Transfection
7.
Biochem Biophys Res Commun ; 349(1): 24-30, 2006 Oct 13.
Article in English | MEDLINE | ID: mdl-16930548

ABSTRACT

The low-density lipoprotein receptor-related protein (LRP) is a large, endocytic receptor involved in intracellular signalling. LRP acts as a co-receptor with the PDGF-receptor (PDGF-r) for platelet-derived growth factor (PDGF). PDGF-r and Src-kinases induce tyrosine-phosphorylation of LRP. We used fluorescence lifetime imaging microscopy (FLIM) to specifically detect LRP phosphorylation, measure its extent and localization in intact cells, and assess its effects upon LRP-APP interaction. Robust phosphorylation of LRP throughout the cell was observed after overexpression of Src-kinase. This depended on LRP's distal NPXY domain. By contrast, activation of the PDGF-r resulted in phosphorylation of the subpopulation of LRP at or near the cell surface. PDGF activation triggered phosphorylation of endogenous LRP in primary neurons. LRP is also a trafficking receptor for the Alzheimer-related molecule amyloid-precursor-protein (APP). PDGF stimulation did not affect LRP-APP interactions. This approach allows exquisite subcellular resolution of specific LRP post-translational changes and protein-protein interactions of endogenous proteins in intact cells.


Subject(s)
Low Density Lipoprotein Receptor-Related Protein-1/metabolism , Microscopy, Fluorescence/methods , Neurons/metabolism , Amyloid/chemistry , Animals , Cell Line, Tumor , Cell Membrane/metabolism , Fluorescence Resonance Energy Transfer , Low Density Lipoprotein Receptor-Related Protein-1/chemistry , Mice , Phosphorylation , Platelet-Derived Growth Factor/metabolism , Protein Processing, Post-Translational , Signal Transduction
8.
J Biol Chem ; 281(36): 26400-7, 2006 Sep 08.
Article in English | MEDLINE | ID: mdl-16815845

ABSTRACT

Presenilin 1 (PS1) in its active heterodimeric form is the catalytic center of the gamma-secretase complex, an enzymatic activity that cleaves amyloid precursor protein (APP) to produce amyloid beta (Abeta). Ubiquilin 1 is a recently described PS1 interacting protein, the overexpression of which increases PS1 holoprotein levels and leads to reduced levels of functionally active PS1 heterodimer. In addition, it has been suggested that splice variants of the UBQLN1 gene are associated with an increased risk of developing Alzheimer disease (AD). However, it is still unclear whether PS1 and ubiquilin 1 interact when expressed at endogenous levels under normal physiological conditions. Here, we employ three novel fluorescence resonance energy transfer-based techniques to investigate the interaction between PS1 and ubiquilin 1 in intact cells. We consistently find that the ubiquilin 1 N terminus is in close proximity to several epitopes on PS1. We show that ubiquilin 1 interacts both with PS1 holoprotein and heterodimer and that the interaction between PS1 and ubiquilin 1 takes place near the cell surface. Furthermore, we show that the PS1-ubiquilin 1 interaction can be detected between endogenous proteins in primary neurons in vitro as well as in brain tissue of healthy controls and Alzheimer disease patients, providing evidence of its physiological relevance.


Subject(s)
Carrier Proteins/metabolism , Cell Cycle Proteins/metabolism , Microscopy, Fluorescence , Presenilin-1/metabolism , Protein Conformation , Adaptor Proteins, Signal Transducing , Aged , Aged, 80 and over , Alzheimer Disease/metabolism , Animals , Autophagy-Related Proteins , Brain/cytology , Brain/pathology , CHO Cells , Carrier Proteins/chemistry , Carrier Proteins/genetics , Cell Cycle Proteins/chemistry , Cell Cycle Proteins/genetics , Cells, Cultured , Cricetinae , Dimerization , Epitopes , Female , Fluorescence Resonance Energy Transfer , Humans , Male , Microscopy, Fluorescence/instrumentation , Microscopy, Fluorescence/methods , Middle Aged , Neurons/cytology , Neurons/metabolism , Presenilin-1/chemistry , Presenilin-1/genetics
9.
Immunogenetics ; 58(5-6): 383-9, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16738935

ABSTRACT

Allelic polymorphisms at the mouse Mx1 locus affect the probability of survival after experimental influenzal disease, raising the possibility that marker-assisted selection using the homologous locus could improve the innate resistance of pigs to natural influenza infections. Several issues need to be resolved before efficient large scale screening of the allelic polymorphism at the porcine (Sus scrofa) Mx1 locus can be implemented. First, the Mx1 genomic structure has to be established and sufficient flanking intronic sequences have to be gathered to enable simple PCR amplification of the coding portions of the gene. Then, a basic knowledge of the promoter region needs to be obtained as an allelic variation there can significantly alter absolute levels and/or tissue-specificity of MX protein expression. The results gathered here show that the porcine Mx1 gene and promoter share the major structural and functional characteristics displayed by their homologs described in cattle, mouse, chicken, and man. The crucial function of the proximal interferon-sensitive response elements motif for gene expression is also demonstrated. The sequence data compiled here will allow an extensive analysis of the polymorphisms present among the widest spectrum possible of porcine breeds with the aim to identify an Mx1 allele providing antiviral resistance.


Subject(s)
GTP-Binding Proteins/genetics , Orthomyxoviridae Infections/genetics , Orthomyxoviridae Infections/veterinary , Promoter Regions, Genetic/genetics , Sus scrofa/immunology , Amino Acid Sequence , Animals , Cattle , Gene Expression , Genome , Humans , Mice , Molecular Sequence Data , Myxovirus Resistance Proteins , Polymorphism, Genetic , Sus scrofa/genetics
10.
J Neurosci ; 26(2): 418-28, 2006 Jan 11.
Article in English | MEDLINE | ID: mdl-16407538

ABSTRACT

sorLA is a recently identified neuronal receptor for amyloid precursor protein (APP) that is known to interact with APP and affect its intracellular transport and processing. Decreased levels of sorLA in the brain of Alzheimer's disease (AD) patients and elevated levels of amyloid-beta peptide (Abeta) in sorLA-deficient mice point to the importance of the receptor in this neurodegenerative disorder. We analyzed APP cleavage in an APP-shedding assay and found that both sorLA and, surprisingly, a sorLA tail construct inhibited APP cleavage in a beta-site APP-cleaving enzyme (BACE)-dependent manner. In line with this finding, sorLA and the sorLA tail significantly reduced secreted Abeta levels when BACE was overexpressed, suggesting that sorLA influences beta-cleavage. To understand the effect of sorLA on APP cleavage by BACE, we analyzed whether sorLA interacts with APP and/or BACE. Because both full-length sorLA and sorLA C-terminal tail constructs were functionally relevant for APP processing, we analyzed sorLA-APP for a potential cytoplasmatic interaction domain. sorLA and C99 coimmunoprecipitated, pointing toward the existence of a new cytoplasmatic interaction site between sorLA and APP. Moreover, sorLA and BACE also coimmunoprecipitate. Thus, sorLA interacts both with BACE and APP and might therefore directly affect BACE-APP complex formation. To test whether sorLA impacts BACE-APP interactions, we used a fluorescence resonance energy transfer assay to evaluate BACE-APP interactions in cells. We discovered that sorLA significantly reduced BACE-APP interactions in Golgi. We postulate that sorLA acts as a trafficking receptor that prevents BACE-APP interactions and hence BACE cleavage of APP.


Subject(s)
Amyloid beta-Protein Precursor/metabolism , Endopeptidases/metabolism , Membrane Transport Proteins/metabolism , Protein Interaction Mapping , Receptors, LDL/metabolism , Amyloid Precursor Protein Secretases , Amyloid beta-Protein Precursor/chemistry , Animals , Aspartic Acid Endopeptidases , Biotinylation , CHO Cells , Cell Line , Cricetinae , Cricetulus , Cytosol , Endocytosis , Endopeptidases/chemistry , Golgi Apparatus/metabolism , Humans , Kidney , LDL-Receptor Related Proteins , Membrane Transport Proteins/chemistry , Multiprotein Complexes , Mutagenesis, Site-Directed , Protein Structure, Tertiary , Protein Transport , Receptors, LDL/chemistry , Recombinant Fusion Proteins/chemistry , Recombinant Fusion Proteins/metabolism , Transfection
11.
Biochem Biophys Res Commun ; 340(2): 668-74, 2006 Feb 10.
Article in English | MEDLINE | ID: mdl-16376853

ABSTRACT

Presenilin-1 (PS1) is a multipass transmembrane domain protein, which is believed to be the catalytic component of the gamma-secretase complex. The complex is comprised of four major components: PS1, nicastrin, Aph-1, and Pen-2. The exact stoichiometric relationship between the four components remains unclear. It has been shown that gamma-secretase exists as high molecular weight complexes, suggesting the possibility of dimer/multimer formation. We combined a biochemical approach with a novel morphological microscopy assay to analyze PS1 dimer formation and subcellular distribution in situ, in intact mammalian cells. Both coimmunoprecipitation and fluorescent lifetime imaging microscopy approaches showed that wildtype PS1 molecules form dimers. Moreover, PS1 holoproteins containing the D257A mutation also come into close enough proximity to form a dimer, suggesting that cleavage within the loop is not necessary for dimer formation. Taken together these data suggest that PS1 dimerization occurs during normal PS1 function.


Subject(s)
Membrane Proteins/metabolism , Microscopy, Fluorescence/methods , Animals , CHO Cells , Cricetinae , Cricetulus , Dimerization , Fluorescence Resonance Energy Transfer , Membrane Proteins/physiology , Presenilin-1
12.
Mol Immunol ; 43(6): 653-9, 2006 Feb.
Article in English | MEDLINE | ID: mdl-15869793

ABSTRACT

Toll-like receptor 4 (TLR4) is essential for initiating the innate response to lipopolysaccharide (LPS) from Gram-negative bacteria by acting as a signal-transducing receptor. As the pig industry faces a unique array of related pathogens, it is anticipated that the genotype of swine TLR4 could be of crucial importance in future strategies aimed at improving genetic resistance to infectious diseases. In order to help in investigating TLR4 as a candidate disease-resistance gene in pigs, we established its genomic structure and produced sufficient flanking intronic sequences to enable simple PCR amplification of the coding portions of the gene. Expression in different porcine tissues was studied and showed splicing variations in mRNA sequences. The cDNA sequence for poTLR4 contains an open reading frame of 2526bp that codes for 841 aa, 98 and 568bp in the 5'- and 3'-UTRs, respectively. Overall, the general organization of porcine, human, murine, and avian TLR4 genes is quite similar: three exons with the third one very long. A high level of conservation of the size and the sequence, especially for the two last exons and particularly in the sequence corresponding to the LRRs and TIR domain, is observed between species. The important antimicrobial properties of these proteins may account for a conservative selection pressure on these TLR4 coding sequences. Several putative binding sites described in the human and murine promoter of TLR4 genes have been identified in the 5'-flanking region of poTLR4. Conversely, this region lacks a TATA box, consensus initiator sequences, or GC-rich regions. The basic sequence data gathered will allow the establishment of an inventory of naturally occurring variation in porcine TLR4, so that alleles can be tested for disease association studies.


Subject(s)
Gene Components , Promoter Regions, Genetic , Sus scrofa/immunology , Toll-Like Receptor 4/genetics , Animals , Base Sequence , Consensus Sequence , Gene Expression Regulation , Immunity, Innate/genetics , Introns , Regulatory Sequences, Ribonucleic Acid , Sequence Alignment , Tissue Distribution , Veterinary Medicine
13.
BMC Vet Res ; 1: 5, 2005 Oct 10.
Article in English | MEDLINE | ID: mdl-16216120

ABSTRACT

BACKGROUND: Lymphocyte function-associated antigen-1 (LFA-1, CD11a/CD18, alphaLbeta2), the most abundant and widely expressed beta2-integrin, is required for many cellular adhesive interactions during the immune response. Many studies have shown that LFA-1 is centrally involved in the pathogenesis of several diseases caused by Repeats-in-toxin (RTX)-producing bacteria. RESULTS: The porcine-LFA-1 CD11a (alpha) subunit coding sequence was cloned, sequenced and compared with the available mammalian homologues in this study. Despite some focal differences, it shares all the main characteristics of these latter. Interestingly, as in sheep and humans, an allelic variant with a triplet insertion resulting in an additional Gln-744 was consistently identified, which suggests an allelic polymorphism that might be biologically relevant. CONCLUSION: Together with the pig CD18-encoding cDNA, which has been available for a long time, the sequence data provided here will allow the successful expression of porcine CD11a, thus giving the first opportunity to express the Sus scrofa beta2-integrin LFA-1 in vitro as a tool to examine the specificities of inflammation in the porcine species.

14.
NeuroRx ; 2(2): 333-47, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15897954

ABSTRACT

Imaging in patients with brain tumors aims toward the determination of the localization, extend, type, and malignancy of the tumor. Imaging is being used for primary diagnosis, planning of treatment including placement of stereotaxic biopsy, resection, radiation, guided application of experimental therapeutics, and delineation of tumor from functionally important neuronal tissue. After treatment, imaging is being used to quantify the treatment response and the extent of residual tumor. At follow-up, imaging helps to determine tumor progression and to differentiate recurrent tumor growth from treatment-induced tissue changes, such as radiation necrosis. A variety of complementary imaging methods are currently being used to obtain all the information necessary to achieve the above mentioned goals. Computed tomography and magnetic resonance imaging (MRI) reveal mostly anatomical information on the tumor, whereas magnetic resonance spectroscopy and positron emission tomography (PET) give important information on the metabolic state and molecular events within the tumor. Functional MRI and functional PET, in combination with electrophysiological methods like transcranial magnetic stimulation, are being used to delineate functionally important neuronal tissue, which has to be preserved from treatment-induced damage, as well as to gather information on tumor-induced brain plasticity. In addition, optical imaging devices have been implemented in the past few years for the development of new therapeutics, especially in experimental glioma models. In summary, imaging in patients with brain tumors plays a central role in the management of the disease and in the development of improved imaging-guided therapies.


Subject(s)
Brain Neoplasms/diagnosis , Animals , Brain Chemistry , Brain Neoplasms/metabolism , Brain Neoplasms/radiotherapy , Brain Neoplasms/surgery , Diagnostic Imaging , Humans , Neoplasms, Experimental/diagnosis , Neoplasms, Experimental/metabolism , Neoplasms, Experimental/radiotherapy , Neoplasms, Experimental/surgery , Neurosurgical Procedures , Stereotaxic Techniques
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