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Tantillo E, Scalera M, De Santis E, Meneghetti N, Cerri C, Menicagli M, Mazzoni A, Costa M, Mazzanti CM, Vannini E, Caleo M. Molecular changes underlying decay of sensory responses and enhanced seizure propensity in peritumoral neurons. Neuro Oncol 2023:7048460. [PMID: 36805257 PMCID: PMC10398807 DOI: 10.1093/neuonc/noad035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Indexed: 02/22/2023] Open
Abstract
BACKGROUND Glioblastoma growth impacts on the structure and physiology of peritumoral neuronal networks, altering the activity of pyramidal neurons which drives further tumor progression. It is therefore of paramount importance to identify glioma-induced changes in pyramidal neurons, since they represent a key therapeutic target. METHODS We longitudinal monitored visual evoked potentials after the orthotopic implant of murine glioma cells into the mouse occipital cortex. With laser microdissection we analysed layer II-III pyramidal neurons molecular profile and with Local Field Potentials (LFP) recordings we evaluated the propensity to seizures in glioma-bearing animals with respect to control mice. RESULTS We determine the time course of neuronal dysfunction of glioma-bearing mice and we identify a symptomatic stage, based on the decay of visual response. At that time point, we microdissect layer II-III pyramidal neurons and evaluate the expression of a panel of genes involved in synaptic transmission and neuronal excitability. Compared to the control group, peritumoral neurons show a decrease in the expression of the SNARE complex gene SNAP-25 and the alpha1 subunit of the GABA-A receptor. No significant changes are detected in glutamatergic (i.e., AMPA or NMDA receptor subunit) markers. Further reduction of GABA-A signalling by delivery of a benzodiazepine inverse agonist, DMCM (methyl-6,7-dimethoxy-4-ethyl-beta-carboline-3-carboxylate) precipitates seizures in two mouse models of tumor-bearing mice. CONCLUSIONS These studies reveal novel molecular changes that occur in the principal cells of the tumor-adjacent zone. These modifications may be therapeutically targeted to ameliorate patients' quality of life.
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Affiliation(s)
- Elena Tantillo
- CNR Neuroscience Institute, via G Moruzzi 1, 56124 Pisa.,Fondazione Pisana per la Scienza Onlus (FPS) via F. Giovannini 13, San Giuliano Terme, 56017 Pisa, Italy
| | - Marta Scalera
- CNR Neuroscience Institute, via G Moruzzi 1, 56124 Pisa
| | | | - Nicolò Meneghetti
- Department of Excellence for Robotics and AI, Scuola Superiore Sant'Anna, 56025 Pisa, Italy.,The Biorobotics Institute, Scuola Superiore Sant'Anna, 56025 Pisa, Italy
| | - Chiara Cerri
- Fondazione Umberto Veronesi, 20122 Milan, Italy.,Department of Pharmacy, University of Pisa, Pisa 56126, Italy
| | - Michele Menicagli
- Fondazione Pisana per la Scienza Onlus (FPS) via F. Giovannini 13, San Giuliano Terme, 56017 Pisa, Italy
| | - Alberto Mazzoni
- Department of Excellence for Robotics and AI, Scuola Superiore Sant'Anna, 56025 Pisa, Italy.,The Biorobotics Institute, Scuola Superiore Sant'Anna, 56025 Pisa, Italy
| | - Mario Costa
- CNR Neuroscience Institute, via G Moruzzi 1, 56124 Pisa.,Centro Pisano ricerca e implementazione clinica Flash Radiotherapy "CPFR@CISUP", "S. Chiara" Hospital, Pisa, Italy.,Laboratory of Biology BIO@SNS, Scuola Normale Superiore, Piazza di Cavalieri 7, Pisa, 56124, Italy
| | - Chiara Maria Mazzanti
- Fondazione Pisana per la Scienza Onlus (FPS) via F. Giovannini 13, San Giuliano Terme, 56017 Pisa, Italy
| | - Eleonora Vannini
- CNR Neuroscience Institute, via G Moruzzi 1, 56124 Pisa.,Fondazione Umberto Veronesi, 20122 Milan, Italy.,Centro Pisano ricerca e implementazione clinica Flash Radiotherapy "CPFR@CISUP", "S. Chiara" Hospital, Pisa, Italy
| | - Matteo Caleo
- CNR Neuroscience Institute, via G Moruzzi 1, 56124 Pisa.,Department of Biomedical Sciences, University of Padua, via G. Colombo 3, 35121 Padua
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Parmigiani E, Scalera M, Mori E, Tantillo E, Vannini E. Old Stars and New Players in the Brain Tumor Microenvironment. Front Cell Neurosci 2021; 15:709917. [PMID: 34690699 PMCID: PMC8527006 DOI: 10.3389/fncel.2021.709917] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Accepted: 08/04/2021] [Indexed: 12/12/2022] Open
Abstract
In recent years, the direct interaction between cancer cells and tumor microenvironment (TME) has emerged as a crucial regulator of tumor growth and a promising therapeutic target. The TME, including the surrounding peritumoral regions, is dynamically modified during tumor progression and in response to therapies. However, the mechanisms regulating the crosstalk between malignant and non-malignant cells are still poorly understood, especially in the case of glioma, an aggressive form of brain tumor. The presence of unique brain-resident cell types, namely neurons and glial cells, and an exceptionally immunosuppressive microenvironment pose additional important challenges to the development of effective treatments targeting the TME. In this review, we provide an overview on the direct and indirect interplay between glioma and neuronal and glial cells, introducing new players and mechanisms that still deserve further investigation. We will focus on the effects of neural activity and glial response in controlling glioma cell behavior and discuss the potential of exploiting these cellular interactions to develop new therapeutic approaches with the aim to preserve proper brain functionality.
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Affiliation(s)
- Elena Parmigiani
- Embryology and Stem Cell Biology, Department of Biomedicine, University of Basel, Basel, Switzerland
| | - Marta Scalera
- Neuroscience Institute, Consiglio Nazionale delle Ricerche (CNR), Pisa, Italy
| | | | - Elena Tantillo
- Neuroscience Institute, Consiglio Nazionale delle Ricerche (CNR), Pisa, Italy
| | - Eleonora Vannini
- Neuroscience Institute, Consiglio Nazionale delle Ricerche (CNR), Pisa, Italy
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Dahlem CH, Scalera M, Chen B, McCabe SE, Boyd CJ. Impact of the take ACTION Train-the-Trainer model of opioid overdose education with naloxone distribution- who benefits? Subst Abus 2019; 41:485-492. [PMID: 31638875 DOI: 10.1080/08897077.2019.1671946] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND Overdose education with naloxone distribution (OEND) is a key national strategy to reduce morbidity and mortality related to opioid overdoses. Train-the-trainer model has been one method to increase the pool of trainers to facilitate greater dissemination of OEND. This exploratory study seeks to (1) evaluate participant's change in knowledge and confidence, (2) examine if pre- and post-training test outcomes differed by occupation and level of experience, and (3) determine if train-the-trainer participants trained others 6 months later. Methods: Fifteen train-the-trainer sessions were delivered to staff from community organizations who served high-risk clients in four counties whose overdose death rates ranged from 11.2 to 32.8 per 100,000. Participants were administered pre- and post-training tests from September 2017 to December 2018. A follow-up survey was conducted 6 months post-training to evaluate outcomes. Final paired pre-and post-training surveys of 109 participants were used for analysis. Paired sample t-tests were used to evaluate changes in the knowledge and confidence in teaching others. One-way ANOVA compared the change scores across groups with different demographic or experiential characteristics. Kruskal-Wallis Test was used for Likert scales. Results: The one and one-half hour train-the-trainer curriculum increased participants' knowledge and confidence to teach others (p < .001). This was particularly true for participants who had no prior experience compared to those who had some experience with naloxone (p = .0003). Changes in confidence to teach others significantly improved among demographic subgroups of participants. At 6 months after completing the train-the-trainer curriculum, 14 participants had trained 243 new trainees. Conclusions: Implementing a train-the-trainer model for OEND increases knowledge and participants' confidence to teach others. This demonstrates the important potential of the train-the-trainer model to respond to the growing opioid overdose epidemic.
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Affiliation(s)
- C H Dahlem
- Center for the Study of Drugs, Alcohol, Smoking and Health, University of Michigan, School of Nursing, Ann Arbor, Michigan, USA
| | - M Scalera
- Community Mental Health Partnership of Southeast Michigan, Ann Arbor, Michigan, USA
| | - B Chen
- Center for the Study of Drugs, Alcohol, Smoking and Health, University of Michigan, School of Nursing, Ann Arbor, Michigan, USA
| | - S E McCabe
- Center for the Study of Drugs, Alcohol, Smoking and Health, University of Michigan, School of Nursing, Ann Arbor, Michigan, USA.,Institute for Research on Women and Gender, University of Michigan, Ann Arbor, Michigan, USA.,Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA
| | - C J Boyd
- Center for the Study of Drugs, Alcohol, Smoking and Health, University of Michigan, School of Nursing, Ann Arbor, Michigan, USA
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