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Glucose oxidation rate as a potential marker for GBM staging: correlation with histopathology and cell proliferation in a mouse model
Rui V Simoes1, Rafael N Henriques1, Beatriz M Cardoso1, Tania Carvalho1, and Noam Shemesh1
1Champalimaud Research, Champalimaud Foundation, Lisbon, Portugal
While aerobic glycolysis (Warburg effect) is  a hallmark of cancer, our results indicate glucose oxidation rate as a potential marker of cell proliferation and vascular stability in a syngeneic mouse model of GBM, suggesting a new approach for non-invasive phenotyping of this disease.
Figure 5 – Glucose oxidation rate as a potential marker for GBM staging according to cell proliferation and stromal vascular fraction phenotype. H&E microphotographs showing how the expansile tumor growth progressively compresses and impairs vascular blood flow: I, small vessels, complete endothelial cell lining and sparse hemorrhages (GL6); II, blood flow obstructed, vasodilation and marked multifocal hemorrhages (GL7); III, necrosis with incomplete endothelial cell lining, vascular leakage, edematous stroma (GL5); IV, vascular depletion, edematous stroma (GL50).
Figure 1 – Experimental approach. A. in vitro, Seahorse XFp Mito-Stress Test with GL261 cells, measuring OCR and ECAR during sequential inhibition of the respiratory chain: oligomycin (ATP synthase), FCCP (H+ uncoupler), and antimycin A/rotenone (complexes I/III). B. in vivo, DGE 2H-MRS, showing the volume selection (pink), spectral fitting for each metabolite and the kinetic fitting; and DCE-T1 MRI, showing the tumor ROI (red), kinetic fitting and Ktrans maps. C. post-mortem, Tumor histology for H&E and Ki67 – enlarged region showing Ki67 positive (red) and negative (blue) cells.