Epigenetic Silencing of Id4 Identifies a Glioblastoma Subgroup With a Better Prognosis as a Consequence of an Inhibition of Angiogenesis

Maurizio Martini, Tonia Cenci, Alessandra Cocomazzi, Ruggero De Maria Marchiano, Roberto Pallini, Luigi Maria Larocca

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

33 Citazioni (Scopus)


BACKGROUND: Inhibitors of DNA binding/differentiation (Id1 to Id4) are a family of helix-loop-helix transcription factors, which are highly expressed during embryogenesis and at lower levels in mature tissues. Id4 plays an important role in neuronal stem cell differ- entiation, and its deregulation has been implicated in glial neoplasia. METHODS: The methylation status of Id4 was analyzed by meth- ylation-specific polymerase chain reaction (PCR) in 62 glioblastoma (GBM) cases and in 20 normal brain tissues. Methylation status of Id4 was confirmed by sequencing after subcloning and messenger RNA (mRNA) and protein expression. We also evaluated the mRNA expression of MGP (matrix GLA protein), TGF-b1 (transforming growth factor beta 1), and VEGF (vascular endothelial growth factor) by real-time PCR analysis. Clinical and histological assessment of tumor angiogenesis was performed by evaluating the rela- tive enhancing tumor ratio on magnetic resonance imaging and microvessel density on von Willebrand factor–stained sections, respectively. RESULTS: The promoter of Id4 was methylated in 23 of 62 (37%) GBMs. In methylated GBMs, Id4 mRNA was significantly reduced, compared with unmethylated GBMs (P 1⁄4 .0002). A significant reduction of protein expression was detected in all hyperme- thylated cases. GBMs with methylated Id4 showed a significant reduction of MGP, TGF-b1, and VEGF mRNA expression and had signif- icantly lower relative enhancing tumor ratio (P 1⁄4 .0108) and microvessel density (P 1⁄4 .0241) values with respect to unmethylated GBMs. Finally, Id4 methylation was significantly associated with a favorable clinical outcome (P 1⁄4 .0006). CONCLUSIONS: These data suggest that methylation of Id4 may be involved in the pathogenesis of GBM and in the resistance of this neoplasm to conventional treatment throughout MGP-mediated neoangiogenesis
Lingua originaleEnglish
pagine (da-a)1004-1012
Numero di pagine9
Stato di pubblicazionePubblicato - 2012


  • glioblastoma, Id4, vascular endothelial growth factor, adjuvant radiotherapy, temozolomide


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