Medulloblastoma uses GABA transaminase to survive in the cerebrospinal fluid microenvironment and promote leptomeningeal dissemination Journal Article


Authors: Martirosian, V.; Deshpande, K.; Zhou, H.; Shen, K.; Smith, K.; Northcott, P.; Lin, M.; Stepanosyan, V.; Das, D.; Remsik, J.; Isakov, D.; Boire, A.; De Feyter, H.; Hurth, K.; Li, S.; Wiemels, J.; Nakamura, B.; Shao, L.; Danilov, C.; Chen, T.; Neman, J.
Article Title: Medulloblastoma uses GABA transaminase to survive in the cerebrospinal fluid microenvironment and promote leptomeningeal dissemination
Abstract: Medulloblastoma (MB) is a malignant pediatric brain tumor arising in the cerebellum. Although abnormal GABAergic receptor activation has been described in MB, studies have not yet elucidated the contribution of receptor-independent GABA metabolism to MB pathogenesis. We find primary MB tumors globally display decreased expression of GABA transaminase (ABAT), the protein responsible for GABA metabolism, compared with normal cerebellum. However, less aggressive WNT and SHH subtypes express higher ABAT levels compared with metastatic G3 and G4 tumors. We show that elevated ABAT expression results in increased GABA catabolism, decreased tumor cell proliferation, and induction of metabolic and histone characteristics mirroring GABAergic neurons. Our studies suggest ABAT expression fluctuates depending on metabolite changes in the tumor microenvironment, with nutrient-poor conditions upregulating ABAT expression. We find metastatic MB cells require ABAT to maintain viability in the metabolite-scarce cerebrospinal fluid by using GABA as an energy source substitute, thereby facilitating leptomeningeal metastasis formation. © 2021 The Authors
Keywords: controlled study; protein expression; human cell; nonhuman; mouse; animal tissue; cell viability; cerebellum; gene; metastasis; gene expression; protein degradation; protein metabolism; sonic hedgehog protein; animal experiment; animal model; cerebrospinal fluid; histone; gabaergic system; medulloblastoma; upregulation; tumor growth; meningeal cyst; wnt protein; oxidative phosphorylation; tumor microenvironment; leptomeningeal disease; tumor dormancy; energy resource; 4 aminobutyrate aminotransferase; human; female; article; medulloblastoma cell line; abat; gaba shunt; abat gene
Journal Title: Cell Reports
Volume: 35
Issue: 13
ISSN: 2211-1247
Publisher: Cell Press  
Date Published: 2021-06-29
Start Page: 109302
Language: English
DOI: 10.1016/j.celrep.2021.109302
PUBMED: 34192534
PROVIDER: scopus
PMCID: PMC8848833
DOI/URL:
Notes: Article -- Export Date: 2 August 2021 -- Source: Scopus
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  1. Adrienne Boire
    106 Boire
  2. Jan Remsik
    25 Remsik
  3. Danielle Isakov
    6 Isakov