4.0 Article

ERG is a novel and reliable marker for endothelial cells in central nervous system tumors

期刊

CLINICAL NEUROPATHOLOGY
卷 34, 期 3, 页码 117-127

出版社

DUSTRI-VERLAG DR KARL FEISTLE
DOI: 10.5414/NP300817

关键词

ERG; immunostain; endothelial cell; CNS tumor; neovascularization

资金

  1. National Institutes of Health [R01CA100426-01A1, 1R21NS074055-01]
  2. Musella Foundation

向作者/读者索取更多资源

ETS-related gene (ERG) is a transcription factor that has been linked to angiogenesis. Very little research has been done to assess ERG expression in central nervous system (CNS) tumors. We evaluated 57 CNS tumors, including glioblastomas (GBMs) and hemangioblastomas (HBs), as well as two arteriovenous malformations and four samples of normal brain tissue with immunohistochemistry using a specific ERG rabbit monoclonal antibody. In addition, immunostains for CD31, CD34, and alpha-smooth muscle actin (alpha-SMA) were performed on all samples. CD31 demonstrated variable and sometimes weak immunoreactivity for endothelial cells. Furthermore, in 1 case of a GBM, CD34 stained not only endothelial cells, but also tumor cells. In contrast, we observed that ERG was only expressed in the nuclei of endothelial cells, for example, in the hyperplastic vascular complexes that comprise the glomeruloid microvascular proliferation seen in GBMs. Conversely, alpha-SMA immunoreactivity was identified in the abluminal cells of these hyperplastic vessels. Quantitative evaluation with automated methodology and custom Matlab 2008b software was used to calculate percent staining of ERG in each case. We observed significantly higher quantitative expression of ERG in HBs than in other CNS tumors. Our results show that ERG is a novel, reliable, and specific marker for endothelial cells within CNS tumors that can be used to better study the process of neovascularization.

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