The monitoring of changes in the protein composition of the cerebrospinal fluid (CSF) can be used as a sensitive indicator of central nervous system (CNS) pathology, yet its systematic application to analysis of CNS neoplasia has been limited. There is a pressing need for both a better understanding of gliomagenesis, and the development of reliable biomarkers of the disease. In this report, we used two proteomic techniques, two-dimensional gel electrophoresis (2-DE) and cleavable Isotope-Coded Affinity Tag (cICAT), to compare CSF proteomes in order to identify tumor and grade specific biomarkers in patients bearing brain tumors of differing histologies and grades. Retrospective analyses were performed on 60 samples derived from astrocytomas WHO grade II, III and IV, schwannomas, metastastic brain tumors, inflammatory samples and non-neoplastic controls. We identified 103 potential tumor-specific markers; of which 20 were high-grade astrocytoma-specific. These investigations allowed us to identify a spectrum of signature proteins that could differentiate *Address for Correspondence/Reprints: Erwin G. Van Meir, Ph.D, Winship Cancer Institute, Emory University, 1365C Clifton Rd. N.E, C5078, Atlanta, GA 30322, Phone: 404-778-5563, Fax: 404-778-5550, e-mail: evanmei@emory.edu. Significance: The measurement of alterations in the protein composition of the cerebrospinal fluid (CSF) can be used as a sensitive indicator of central nervous system (CNS) pathology, yet its systematic application to analysis of CNS neoplasia has been limited. There is a pressing need for both a better understanding of gliomagenesis, and the development of reliable biomarkers of the disease. Our investigations allowed us to identify a spectrum of signature proteins that could differentiate between low (AII) and high-grade (AIV) astrocytoma that warrant further validation as potential new markers for diagnosis, prognosis and disease follow-up . These candidate biomarkers may also have functional properties that play a critical role in the development and malignant progression of human astrocytomas, thus possibly representing novel therapeutic targets for this highly lethal disease.Author contributions Project concept and experimental designs were developed by EGVM and FWK. All experiments were perfomed by FWK with the following exceptions; Mass spectrometry and cICAT were done by MSR. BJS performed the statistical analysis, JP provided expertise with proteomic analyses; JJO, MDG, AG, SK and GYG all provided CSF samples. FWK and EGVM interpreted the results and wrote the manuscript. All authors read the manuscript.
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