Glioblastomas (GBMs) are the most frequent malignant brain tumors with very limited treatment options and nearly all GBM patients dying within 1 year. Pleiotrophin (PTN, HB-GAM, HBNF, OSF-1) is a secreted growth factor that shows mitogenic, chemotactic and transforming activity. While PTN expression is tightly regulated during embryogenesis and very limited in normal adult tissues, a marked PTN upregulation is seen in tumors including glioblastomas. Targeting of the PTN receptors, ALK and RPTP-zeta, indicates a contribution of PTN-activated signaling pathways in glioblastomas. However, the relevance of PTN expression itself is unknown especially since, besides PTN, at least one more growth factor, midkine (MK), signals through ALK and is expressed in glioblastoma. Here we demonstrate the biologic relevance of PTN in 2 glioblastoma cell lines in vitro and in vivo. We show that stable ribozyme-targeting leads to a robust reduction of PTN mRNA and protein levels. This results in decreased cell proliferation, cell migration and soft agar colony formation in vitro. Comparing clonal ribozyme-transfected cells with different residual PTN levels, we establish a PTN gene-dose effect of glioblastoma cell proliferation. In a subcutaneous tumor xenograft mouse model, in vivo growth is markedly reduced upon PTN depletion, which is paralleled by decreased PTN serum levels. Furthermore, the immunohistochemical analysis of the tumors shows reduced angiogenesis in PTN-depleted tumors. We conclude that PTN is a rate-limiting growth factor in glioblastoma. Since PTN is overexpressed in glioblastomas but rarely found in normal tissue, PTN may represent an attractive therapeutic target. ' 2005 Wiley-Liss, Inc.Key words: pleiotrophin; PTN; glioblastoma; ribozyme-targeting; tumor growth; tumor angiogenesis Gliomas are the most common primary CNS tumors in humans, which are subdivided according to the WHO into low-grade astrocytomas (grade 2), anaplastic astrocytomas (grade 3) and glioblastomas (GBMs; grade 4). Glioblastomas, which can arise de novo or progress from lower-grade gliomas, are the most frequent and most malignant brain tumors, with nearly all GBM patients dying within 1 year despite aggressive treatment.1 Clearly, an insight into the molecular basis of glioblastoma growth may provide new therapeutic strategies.Pleiotrophin (PTN), also referred to as heparin-binding growthassociated molecule (HB-GAM), heparin-binding growth factor 8, heparin-binding neurotrophic factor (HBNF), or osteoblast-specific protein-1 (OSF-1), is a 15.3 kDa secreted protein that was originally purified from human breast cancer cells, 2 bovine uterus, 3 as well as neonatal rat brain. 4,5 Based on its time-and tissuespecific expression pattern during rodent development, PTN represents a developmentally regulated cytokine whose expression gets increasingly restricted with progressing organ differentiation and drops after the perinatal phase. In the CNS, PTN expression is high in neuroepithelial progenitor cells as well as in glial cells and neurons du...