Gliomas are the most frequent type of primary brain tumors in adults; among them glioblastoma multiforme (GBM) is the most malignant, being associated with the worst prognosis. Glutamate (Glu) is an aminoacid, responsible for essential functions in the Central Nervous System (CNS), acting both as metabolite and neurotransmitter. It is essential for regulating cellular metabolism and developmental synaptogenesis, cellular migration, differentiation and death. Recent scientific evidences have demonstrated alteration in Glu synthesis and signaling being directly involved in GBM growth and invasion
Glu and its scavenger's levels are measurable both in serum and in the cerebral-spinal fluid (CSF), thus making them ideal markers for tumor aggressiveness and disease activity as well as a potential target for new therapeutic approaches. Serum and CSF levels of glutamic oxaloacetic transaminase (GOT1), Glutamate Pyruvate Transaminase (GPT) and glutamate and aspartate levels of a total of 40 patients will be collected. Molecular biology analyses will be conducted and oncological and imaging data will be collected during follow-up in patients enrolled in the present studies. MRI imaging as well as blood sampling will be performed at definite timepoints (baseline and 3, 6 and 9 months follow-up).
Study Type
OBSERVATIONAL
Enrollment
50
Blood, CSF and brain tissue sampling of Glu and Glu regulatory proteins.
IRCCS San Raffaele Scientific Institute
Milan, Milan, Italy
RECRUITINGBaseline characterization of Glutamate scavengers (Glu-sca) levels in serum
Serum GOT1 (UI/ml), GPT (UI/ml)
Time frame: Baseline (before surgery)
Baseline characterization of Glutamate (Glu) levels in serum
Serum Glutamate (μM/L)
Time frame: Baseline (before surgery)
Time changes in Glutamate scavengers (Glu-sca) levels in serum
Serum GOT1 (UI/ml), GPT (UI/ml)
Time frame: At 3, 6, 9 months following surgery
Time changes in Glutamate (Glu) levels in serum
Serum Glutamate (μM/L)
Time frame: At 3, 6, 9 months following surgery
Characterization of Glutamate scavengers (Glu-sca) levels in cerebrospinal fluid (CSF)
CSF levels GOT1 (UI/ml), GPT (UI/ml)
Time frame: Baseline (before surgery)
Characterization of Glutamate (Glu) levels in cerebrospinal fluid (CSF)
CSF levels Glutamate (μM/L)
Time frame: Baseline (before surgery)
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