Abstract. Glioma is an aggressive form of brain cancer that occurs following the abnormal proliferation of glial cells. Although glioma cannot spread to other organs, the morbidity and mortality rates of the disease are high, even following surgery, radiotherapy and chemotherapy. The function of Egl-9 family hypoxia-inducible factor 3 (Egln3) in cancer is controversial, and it is debated as to whether Egln3 positively or negatively regulates tumors. In the present study, a mouse model of low-grade glioma was successfully established. Through the use of immunohistochemical and western blot analyses, it was demonstrated that Egln3 expression in glioma tissue performed an important role in regulation by amplifying the signals for apoptosis, as determined by an increase in DNA fragments. Furthermore, Egln3 expression was inhibited by the administration of dimethyloxalylglycine, and the downregulated expression of Egln3 had marked effects on the regulation of glioma through apoptosis. The present study therefore provides evidence of an association between Egln3 expression and apoptosis in low-grade glioma.
IntroductionThe central nervous system is comprised of the brain and the spinal cord, which regulate the majority of bodily functions. Glioma arises as a result of abnormal glial cell proliferation resulting in the formation of an aggressive mass; this occurs most frequently in the brain and less commonly in the spinal cord. Patients with aggressive forms of glioma have an average survival time of 15 months (1,2). Treatment for the disease consists of surgery, in addition to radiation or chemotherapy, and usually only prolongs patient survival for a few more months (3). Early-stage glioma rapidly develops into the advanced stages of disease, due to an invasive nature and fast growth that is associated with a vigorous pattern of intra-tumor blood vessel formation (4). Other complications of glioma are associated with the stage and treatment of the tumor, with efficacy often depending on the location of the tumor within the brain (5,6). Surgical dissection of the malignancy is not recommended if it has developed within an important structure of the brain. Despite large improvements in microsurgical procedures and the increased availability of advanced chemotherapy, the improvement to patient survival has been controversial. Therefore, detailed investigation is required to establish the underlying mechanisms of glioma pathogenesis and identify novel therapeutic approaches to treat glioma (7).The Egl-9 family hypoxia-inducible factor (Egln) hydroxylases, including Egln1, Egln2 and Egln3, are proteins that are associated with the oxygen-sensing pathway, and are also involved in the proline hydroxylation of specific targets (8-11). As the hydroxylation reaction requires molecular oxygen (12), any changes in oxygen requirement are monitored through an oxygen sensing pathway. When this pathway is disturbed, it becomes associated with different forms of cancer (13-15). Egln3 was identified to be an α-subunit hydroxylase for...