Abstract
Primary brain tumors are a heterogeneous group of tumors that arise from cells intrinsic to the central nervous system (CNS). Aquaporin-4 (AQP4) has been implicated in the pathogenesis of brain tumors. Previous reports have documented a relationship between AQP4 and several molecular pathways associated with the etiology of brain tumors, such as apoptosis, invasion and cell migration. AQP4 affects apoptosis via cytochrome C, Bad and Bcl-2, as well as invasion and migration via IDO1/TDO–Kyn–AhR axis, lncRNA LINC00461, miR-216a, miRNA-320a and MMPs. In addition, inhibition of AQP4 mitigates the progression of brain tumors. This review summarizes current knowledge and evidence regarding the relationship between AQP4 and brain tumors, and the mechanisms involved.
Similar content being viewed by others
Data availability
Not applicable.
Code availability
Not applicable.
References
Lah TT, Novak M, Breznik B (2020) Brain malignancies: glioblastoma and brain metastases. Semin Cancer Biol, pp 262–273
Lapointe S, Perry A, Butowski NA (2018) Primary brain tumours in adults. The Lancet 392:432–446
Ostrom QT, Patil N, Cioffi G, Waite K, Kruchko C, Barnholtz-Sloan JS (2020) CBTRUS statistical report: primary brain and other central nervous system tumors diagnosed in the United States in 2013–2017. Neurooncology 22:iv1–iv96
Komori T (2017) The 2016 WHO classification of tumours of the central nervous system: the major points of revision. Neurol Med Chir 57:301–311
Louis DN, Perry A, Reifenberger G, Von Deimling A, Figarella-Branger D, Cavenee WK, Ohgaki H, Wiestler OD, Kleihues P, Ellison DW (2016) The 2016 World Health Organization classification of tumors of the central nervous system: a summary. Acta Neuropathol 131:803–820
Haumann R, Videira JC, Kaspers GJ, van Vuurden DG, Hulleman E (2020) Overview of current drug delivery methods across the blood–Brain barrier for the treatment of primary brain tumors.CNS drugs:1–11
Elhend SB, Belfquih H, Hammoune N, Mouhsine A (2019) Lipoma with agenesis of corpus callosum: 2 case reports and literature review. World Neurosurg 125:123–125
Kirby S, Purdy RA (2014) Headaches and brain tumors. Neurol Clin 32:423–432
Giulioni M, Marucci G, Martinoni M, Marliani AF, Toni F, Bartiromo F, Volpi L, Riguzzi P, Bisulli F, Naldi I (2014) Epilepsy associated tumors. World J Clin Cases 2:623
Boire A, Brastianos PK, Garzia L, Valiente M (2020) Brain metastasis. Nat Rev Cancer 20:4–11
Idbaih A, Duran-Peña A, Bonnet C, Ducray F (2015) Input of molecular analysis in medical management of primary brain tumor patients. Rev Neurol 171:457–465
Shah K, Tang Y, Breakefield X, Weissleder R (2003) Real-time imaging of TRAIL-induced apoptosis of glioma tumors in vivo. Oncogene 22:6865
Sen E (2011) Targeting inflammation-induced transcription factor activation: an open frontier for glioma therapy. Drug Discov Today 16:1044–1051
Zhang H, Kong X, Kang J, Su J, Li Y, Zhong J, Sun L (2009) Oxidative stress induces parallel autophagy and mitochondria dysfunction in human glioma U251 cells. Toxicol Sci 110:376–388
Demuth T, Berens ME (2004) Molecular mechanisms of glioma cell migration and invasion. J Neuro-oncol 70:217–228
Sheng Z, Li L, Zhu LJ, Smith TW, Demers A, Ross AH, Moser RP, Green MR (2010) A genome-wide RNA interference screen reveals an essential CREB3L2-ATF5-MCL1 survival pathway in malignant glioma with therapeutic implications. Nat Med 16:671
Tamtaji OR, Mirzaei H, Shamshirian A, Shamshirian D, Behnam M, Asemi Z (2020) New trends in glioma cancer therapy: Targeting Na+/H + exchangers. J Cell Physiol 235:658–665
Maugeri R, Schiera G, Di Liegro CM, Fricano A, Iacopino DG, Di Liegro I (2016) Aquaporins and brain tumors. Int J Mol Sci 17:1029
Day RE, Kitchen P, Owen DS, Bland C, Marshall L, Conner AC, Bill RM, Conner MT (2014) Human aquaporins: regulators of transcellular water flow. Biochim Biophys Acta Gen Subj 1840:1492–1506
Halsey AM, Conner AC, Bill RM, Logan A, Ahmed Z (2018) Aquaporins and their regulation after spinal cord injury. Cells 7:174
Papadopoulos MC, Saadoun S (2015) Key roles of aquaporins in tumor biology. Biochim Biophys Acta Biomembr 1848:2576–2583
Vincent T, Saikali P, Cayrol R, Roth AD, Bar-Or A, Prat A, Antel JP (2008) Functional consequences of neuromyelitis optica-IgG astrocyte interactions on blood-brain barrier permeability and granulocyte recruitment. J Immunol 181:5730–5737
Hubbard JA, Szu JI, Binder DK (2018) The role of aquaporin-4 in synaptic plasticity, memory and disease. Brain Res Bull 136:118–129
Verkman A, Binder DK, Bloch O, Auguste K, Papadopoulos MC (2006) Three distinct roles of aquaporin-4 in brain function revealed by knockout mice. Biochim Biophys Acta Biomembr 1758:1085–1093
Tamtaji OR, Behnam M, Pourattar MA, Jafarpour H, Asemi Z (2019) Aquaporin 4: A key player in Parkinson’s disease. J Cell Physiol 234:21471–21478
Silva I, Silva J, Ferreira R, Trigo D (2021) Glymphatic system, AQP4, and their implications in Alzheimer’s disease. Neurol Res Pract 3:1–9
Dadgostar E, Tajiknia V, Shamsaki N, Naderi-Taheri M, Aschner M, Mirzaei H, Tamtaji OR (2021) Aquaporin 4 and brain-related disorders: Insights into its apoptosis roles: Aquaporin 4 and Apoptosis. EXCLI J 20:983–994
Ding T, Zhou Y, Sun K, Jiang W, Li W, Liu X, Tian C, Li Z, Ying G, Fu L (2013) Knockdown a water channel protein, aquaporin-4, induced glioblastoma cell apoptosis. PLoS ONE 8:e66751
Xiong W, Ran J, Jiang R, Guo P, Shi X, Li H, Lv X, Li J, Chen D (2018) miRNA-320a inhibits glioma cell invasion and migration by directly targeting aquaporin 4. Oncol Rep 39:1939–1947
Molina EJS, Ardon H, Schroeteler J, Klingenhöfer M, Holling M, Wölfer J, Fischer B, Stummer W, Ewelt C (2013) Aquaporin-4 in glioma and metastatic tissues harboring 5-aminolevulinic acid-induced porphyrin fluorescence. Clin Neurol Neurosurg 115:2075–2081
Tan Y, Zhang H, Zhao R-F, Wang X-C, Qin J-B, Wu X-F (2016) Comparison of the values of MRI diffusion kurtosis imaging and diffusion tensor imaging in cerebral astrocytoma grading and their association with aquaporin-4. Neurol India 64:265
Ding T, Ma Y, Li W, Liu X, Ying G, Fu L, Gu F (2011) Role of aquaporin-4 in the regulation of migration and invasion of human glioma cells. Int J Oncol 38:1521–1531
Ng WH, Hy JW, Tan WL, Liew D, Lim T, Ang BT, Ng I (2009) Aquaporin-4 expression is increased in edematous meningiomas. J Clin Neurosci 16:441–443
Isoardo G, Morra I, Chiarle G, Audrito V, Deaglio S, Melcarne A, Junemann C, Naddeo M, Cogoni M, Valentini MC (2012) Different aquaporin-4 expression in glioblastoma multiforme patients with and without seizures. Mol Med 18:1147–1151
Fallier-Becker P, Nieser M, Wenzel U, Ritz R, Noell S (2016) Is upregulation of aquaporin 4-M1 isoform responsible for the loss of typical orthogonal arrays of particles in astrocytomas? Int J Mol Sci 17:1230
Tan Y, Zhang H, Wang X-c, Qin J-b, Wang L (2018) The value of multi ultra high-b-value DWI in grading cerebral astrocytomas and its association with aquaporin-4. The Br J Radiol 91:20170696
Schob S, Surov A, Wienke A, Meyer HJ, Spielmann RP, Fiedler E (2017) Correlation between aquaporin 4 expression and different DWI parameters in grade I meningioma. Mol Imaging Biol 19:138–142
Tan W, Wong J, Liew D, Ng I (2004) Aquaporin-4 is correlated with peri-tumoural oedema in meningiomas. Ann Acad Med Singap 33:S87–S89
Liu Y, Bai R (2022) Shutter speed-DCE MRI characterizing the AQP4 regulated water exchange in glioma.Brain Tumor Research and Treatment10
Valente O, Messina R, Ingravallo G, Bellitti E, Zimatore DS, de Gennaro L, Abbrescia P, Pati R, Palazzo C, Nicchia GP (2022) Alteration of the translational readthrough isoform AQP4ex induces redistribution and downregulation of AQP4 in human glioblastoma. Cell Mol Life Sci 79:1–15
Mamivand A, Bayat S, Maghrouni A, Shabani S, Khoshnevisan A, Saffar H, Tabrizi M (2022) Data mining of bulk and single-cell RNA sequencing introduces OBI1-AS1 as an astrocyte marker with possible role in glioma recurrence and progression. Clin Epigenetics 14:1–14
Ide M, Jimbo M, Kubo O, Yamamoto M, Takeyama E, Imanaga H (1994) Peritumoral brain edema and cortical damage by meningioma. Brain Edema IX, pp 369–372
Wang X-F, Lin G-S, Lin Z-X, Chen Y-P, Chen Y, Zhang J-D, Tan W-L (2014) Association of pSTAT3-VEGF signaling pathway with peritumoral edema in newly diagnosed glioblastoma: an immunohistochemical study. Int J Clin Eexp Pathol 7:6133
Markovic M, Antunovic V, Milenkovic S, Zivkovic N (2013) Prognostic value of peritumoral edema and angiogenesis in intracranial meningioma surgery. J BUON 18:430–436
Hoque MO, Soria J-C, Woo J, Lee T, Lee J, Jang SJ, Upadhyay S, Trink B, Monitto C, Desmaze C (2006) Aquaporin 1 is overexpressed in lung cancer and stimulates NIH-3T3 cell proliferation and anchorage-independent growth. Am J Pathol 168:1345–1353
Badaut J, Lasbennes F, Magistretti PJ, Regli L (2002) Aquaporins in brain: distribution, physiology, and pathophysiology. Journ J Cereb Blood Flow Metab 22:367–378
Saadoun S, Papadopoulos M, Davies D, Krishna S, Bell B (2002) Aquaporin-4 expression is increased in oedematous human brain tumours. J Neurol Neurosurg Psychiatry 72:262–265
Gawlitza M, Fiedler E, Schob S, Hoffmann K-T, Surov A (2017) Peritumoral brain edema in meningiomas depends on aquaporin-4 expression and not on tumor grade, tumor volume, cell count, or Ki-67 labeling index. Mol Imaging Biol 19:298–304
Faropoulos K, Polia A, Tsakona C, Pitaraki E, Moutafidi A, Gatzounis G, Assimakopoulou M (2021) Evaluation of AQP4/TRPV4 Channel Co-expression, Microvessel Density, and its Association with Peritumoral Brain Edema in Intracranial Meningiomas.J Mol Neurosci:1–10
Li G, Liu X, Liu Z, Su Z (2015) Interactions of connexin 43 and aquaporin-4 in the formation of glioma-induced brain edema. Mol Med Rep 11:1188–1194
Yang L, Wang X, Zhen S, Zhang S, Kang D, Lin Z (2012) Aquaporin-4 upregulated expression in glioma tissue is a reaction to glioma-associated edema induced by vascular endothelial growth factor. Oncol Rep 28:1633–1638
Wang P, Ni R, Chen M, Mou K, Mao Q, Liu Y (2011) Expression of aquaporin-4 in human supratentorial meningiomas with peritumoral brain edema and correlation of VEGF with edema formation. Genet Mol Res 10:2165–2171
Levy M, Barletta S, Huang H, Grossman SA, Rodriguez FJ, Ellsworth SG, Dzaye O, Holdhoff M (2019) Aquaporin-4 Expression Patterns in Glioblastoma Pre-Chemoradiation and at Time of Suspected Progression. Cancer Invest 37:67–72
Bolteus AJ, Berens ME, Pilkington GJ (2001) Migration and invasion in brain neoplasms. Curr Neurol Neurosci Rep 1:225–232
Trylcova J, Busek P, Smetana K, Balaziova E, Dvorankova B, Mifkova A, Sedo A (2015) Effect of cancer-associated fibroblasts on the migration of glioma cells in vitro. T Tumor Biol 36:5873–5879
Wang Y, Gan G, Wang B, Wu J, Cao Y, Zhu D, Xu Y, Wang X, Han H, Li X (2017) Cancer-associated fibroblasts promote irradiated cancer cell recovery through autophagy. EBioMedicine 17:45–56
Chen L-b, Zhu S-p, Liu T-p, Zhao H, Chen P-f, Duan Y-j, Hu R (2021) Cancer Associated Fibroblasts Promote Renal Cancer Progression Through a TDO/Kyn/AhR Dependent Signaling Pathway. Front Oncol 11:905
Opitz CA, Litzenburger UM, Sahm F, Ott M, Tritschler I, Trump S, Schumacher T, Jestaedt L, Schrenk D, Weller M (2011) An endogenous tumour-promoting ligand of the human aryl hydrocarbon receptor. Nature 478:197–203
Du L, Xing Z, Tao B, Li T, Yang D, Li W, Zheng Y, Kuang C, Yang Q (2020) Both IDO1 and TDO contribute to the malignancy of gliomas via the Kyn–AhR–AQP4 signaling pathway. Signal Transduct Target Ther 5:1–13
Nie J-H, Li T-X, Zhang X-Q, Liu J (2019) Roles of non-coding RNAs in normal human brain development, brain tumor, and neuropsychiatric disorders. Non-coding RNA 5:36
Guo T, Feng Y, Liu Q, Yang X, Jiang T, Chen Y, Zhang Q (2014) MicroRNA-320a suppresses in GBM patients and modulates glioma cell functions by targeting IGF-1R. Tumor Biol 35:11269–11275
Yang Y, Ren M, Song C, Li D, Soomro SH, Xiong Y, Zhang H, Fu H (2017) LINC00461, a long non-coding RNA, is important for the proliferation and migration of glioma cells. Oncotarget 8:84123
Peng Y, Wu W, Shang Z, Li W, Chen S (2020) Inhibition of lncRNA LINC00461/miR-216a/aquaporin 4 pathway suppresses cell proliferation, migration, invasion, and chemoresistance in glioma. Open Life Sci 15:532–543
Sawaya RE, Yamamoto M, Gokaslan ZL, Wang SW, Mohanam S, Fuller GN, McCutcheon IE, Stetler-Stevenson WG, Nicolson GL, Rao JS (1996) Expression and localization of 72 kDa type IV collagenase (MMP-2) in human malignant gliomas in vivo. Clin Exp Metastasis 14:35–42
Dai B, Kang S-H, Gong W, Liu M, Aldape KD, Sawaya R, Huang S (2007) Aberrant FoxM1B expression increases matrix metalloproteinase-2 transcription and enhances the invasion of glioma cells. Oncogene 26:6212–6219
Kachra Z, Beaulieu E, Delbecchi L, Mousseau N, Berthelet F, Moumdjian R, Del Maestro R, Béliveau R (1999) Expression of matrix metalloproteinases and their inhibitors in human brain tumors. Clin Exp Metastasis 17:555–566
Reszec J, Hermanowicz A, Rutkowski R, Turek G, Mariak Z, Chyczewski L (2015) Expression of MMP-9 and VEGF in meningiomas and their correlation with peritumoral brain edema. BioMed Res Int 2015
Zhao W-J, Zhang W, Li G-L, Cui Y, Shi Z-F, Yuan F (2012) Differential expression of MMP-9 and AQP4 in human glioma samples. Folia Neuropathol 50:176–186
Montana V, Sontheimer H (2011) Bradykinin promotes the chemotactic invasion of primary brain tumors. J Neurosci 31:4858–4867
Nicoletti NF, Sénécal J, da Silva VD, Roxo MR, Ferreira NP, de Morais RLT, Pesquero JB, Campos MM, Couture R, Morrone FB (2017) Primary role for kinin B 1 and B 2 receptors in glioma proliferation. Mol Neurobiol 54:7869–7882
Sun D-P, Lee Y-W, Chen J-T, Lin Y-W, Chen R-M (2020) The bradykinin-BDKRB1 axis regulates aquaporin 4 gene expression and consequential migration and invasion of malignant glioblastoma cells via a Ca2+-MEK1-ERK1/2-NF-κB Mechanism. Cancers 12:667
Simone L, Pisani F, Mola MG, De Bellis M, Merla G, Micale L, Frigeri A, Vescovi AL, Svelto M, Nicchia GP (2019) AQP4 aggregation state is a determinant for glioma cell fate. Cancer Res 79:2182–2194
Rajaraman P, Wang SS, Rothman N, Brown MM, Black PM, Fine HA, Loeffler JS, Selker RG, Shapiro WR, Chanock SJ (2007) Polymorphisms in apoptosis and cell cycle control genes and risk of brain tumors in adults. Cancer Epidemiol Prev Biomark 16:1655–1661
Zander T, Kraus JA, Grommes C, Schlegel U, Feinstein D, Klockgether T, Landreth G, Koenigsknecht J, Heneka MT (2002) Induction of apoptosis in human and rat glioma by agonists of the nuclear receptor PPARγ. J Neurochem 81:1052–1060
Puduvalli VK, Li JT, Chen L, McCutcheon IE (2005) Induction of apoptosis in primary meningioma cultures by fenretinide. Cancer Res 65:1547–1553
Amiry-Moghaddam M (2019) AQP4 and the Fate of Gliomas. Cancer Res 79:2810–2811
Yang I, Tihan T, Han SJ, Wrensch MR, Wiencke J, Sughrue ME, Parsa AT (2010) CD8 + T-cell infiltrate in newly diagnosed glioblastoma is associated with long-term survival. J Clin Neurosci 17:1381–1385
Mauldin IS, Jo J, Wages NA, Yogendran LV, Mahmutovic A, Young SJ, Lopes MB, Slingluff CL, Erickson LD, Fadul CE (2021) Proliferating CD8 + T Cell Infiltrates Are Associated with Improved Survival in Glioblastoma. Cells 10:3378
Zou S, Lan Y-L, Ren T, Li X, Zhang L, Wang H, Wang X (2021) A Bioinformatics Analysis of the Potential Roles of Aquaporin 4 in Human Brain Tumors: An Immune-Related Process. Front Pharmacol 12:1271
Bunevicius A, Laws ER, Deltuva V, Tamasauskas A (2017) Association of thyroid hormone concentrations with quality of life of primary brain tumor patients: a pilot study. J Neuro-Oncol 131:385–391
Costa LE, Clementino-Neto J, Mendes CB, Franzon NH, Costa EdO, Moura-Neto V, Ximenes-da-Silva A (2019) Evidence of aquaporin 4 regulation by thyroid hormone during mouse brain development and in cultured human glioblastoma multiforme cells. Front Neurosci 13:317
Yuan B, Shimada R, Xu K, Han L, Si N, Zhao H, Bian B, Hayashi H, Okazaki M, Takagi N (2019) Multiple cytotoxic effects of gamabufotalin against human glioblastoma cell line U-87. Chem Biol Interact 314:108849
Lan YL, Chen C, Wang X, Lou JC, Xing JS, Zou S, Hu JL, Lyu W, Zhang B (2020) Gamabufotalin induces a negative feedback loop connecting ATP1A3 expression and the AQP4 pathway to promote temozolomide sensitivity in glioblastoma cells by targeting the amino acid Thr794. Cell Prolif 53:e12732
Acknowledgements
Not applicable.
Funding
No specific source of funding is associated with this work.
Author information
Authors and Affiliations
Contributions
MB, AM, MA, ED, FZ-RN, MP, MR, HM, MA and O-RT contributed in the conception or design of the work and drafting of the manuscript. All authors confirmed the final version for submission.
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare no conflict of interest.
Ethics approval
Not applicable.
Consent to participate
Not applicable.
Consent for publication
Not applicable.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Behnam, M., Motamedzadeh, A., Aalinezhad, M. et al. The role of aquaporin 4 in brain tumors: implications for pathophysiology, diagnosis and therapy. Mol Biol Rep 49, 10609–10615 (2022). https://doi.org/10.1007/s11033-022-07656-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11033-022-07656-y