P10.05.A INDUCED SENESCENCE AND CALCIFICATION TO ANAPLASTIC MENINGIOMA

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Abstract BACKGROUND Although the majority of meningiomas are slow-growing and benign, atypical and anaplastic meningiomas behave aggressively with a penchant for recurrence. The 5-year risk of progression for incompletely resected meningiomas is over 80 percents. Specifically, the 5-year survival rates are 78-91% and 41-65% for atypical and anaplastic meningiomas, respectively. On the other hand, it has been reported that benign meningiomas with psammoma bodies or those with bone hyperplasia at the attachment site and subtype of high calcification have a low growth rate. Here we show that BMP signals essential for bone formation, especially GREM2 upstream inhibitor of BMP signals, are involved in meningioma growth, senescence and calcification. MATERIAL AND METHODS 1) A long-term primary cultured meningioma and commercially available anaplastic meningioma (IOMM-lee and HKB-MM) are used. For immunohistochemistry and expression analysis, 87 surgical samples operated in our hospital were used.2) We observed changes in phenotype, proliferation rate and cell cycle by inhibiting BMP signal. Overexpression of GREM2, an upstream inhibitor of BMP signals, was performed in anaplastic meningiomas and analyzed comprehensively. Downloaded RNA-seq data from GREIN, a public database, and performed a comprehensive analysis of the extent of GREM2 expression and gene expression related to cellular senescence. RESULTS 1) Inhibition of BMP signaling reduced proliferation. Moreover, long term inhibition of BMP signals induced calcification. 2) Expression of GREM2 related to proliferation in surgical samples. GREM2 mainly localized surrounding of psammoma bodies. 3)Overexpression of GREM2 increased sub-G1 population and inhibits cell proliferation. 4)Expression of GREM2 shifts tryptophan catabolism from Kynurenine/NAD/NADH to serotonin production. 5) Comprehensive analysis using RNA-seq data from GREIN showed that high expression of GREM2 decreases oxidative phosphorylation. 6)Senescence assay showed that inhibition of BMP signaling induced senescence. CONCLUSION Inhibition of BMP signaling reduced proliferation and induced calcification. The underlying mechanism is shifting tryptophan catabolism from Kynurenine/NADH/NAD to serotonin production.

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