Glioblastoma (GB) is the most lethal brain tumor due to its high proliferation, aggressiveness, infiltration capacity and resilience to current treatments. Activation of the Wingless-related-integration-site (WNT) pathway is associated with a bad prognosis. Using Drosophila and primary xenograft models of human GB, we describe a mechanism that leads to the activation of WNT signaling [Wingless (Wg) in Drosophila] in tumor cells.
GB cells display a network of tumor microtubes (TMs) which enwraps neurons, accumulates Wg receptor Frizzled1 (Fz1), and, thereby, actively depletes Wg from the neurons. In this context TMs emerge as a central cellular feature of GB, here we also describe a molecular mechanism behind TMs production, infiltration and maintenance. Glial cells are initially transformed into malignant GB upon epidermal growth factor receptor (EGFR) and Phosphoinositide 3-kinase (PI3K) pathways constitutive activation, then GB cells establish a positive feedback loop including Wg signaling, c-Jun N-terminal kinase (JNK) and matrix metalloproteases (MMP). In order, Fz1 mediates Wg signaling upregulation which activates JNK in GB cells. Therefore, JNK signaling triggers MMPs upregulation and facilitates TMs infiltration in the brain, hence TMs network expands and promote further wingless depletion to close the loop.
Consequently, GB cells proliferate due to β-catenin activation, and neurons degenerate due to Wg signaling extinction. This novel view explains both neuron-dependent tumor progression and the neural decay associated with GB.