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Detection of lower levels of SNAP25 using multiple microarray systems and its functional significance in medulloblastoma

Medulloblastoma (MB) is the most common pediatric malignant brain tumor and patients with high-risk or recurrent MB respond poorly to current therapies, and have a higher related mortality. For this reason, potential molecules related to MB need be identified in order to develop targets for the development of novel therapeutics. In the present study, we compared MB microarray data obtained using different microarray systems and significant targets were selected by gene annotation and enrichment analysis. Genes for soluble N-ethylmaleimide-sensitive factor attachment protein receptors (SNAREs) annotated with the function 'vesicle' were identified and one of these proteins, synaptosomal-associated protein 25 (SNAP25), was found to have significantly lower expression levels in MB. In addition, SNAP25 was detected in a very low number of MB cells as shown by western blot analysis and immunohistochemical analyses of archived and formalin-fixed/paraffin-embedded human MB specimens. We found that SNAP25 altered the morphology and the chemotherapeutic effects of arabinofuranosyl cytidine (Ara-C) on SNAP25-expressing MB cells. On the whole, our data indicate that the expression of SNAP25 is crucial for dendrite formation and is associated with the effects of targeted chemotherapy. The detection of SNAP25 expression in MB cells may thus be essential for the chemotherapeutic application of Ara-C.


Introduction
Medulloblastoma (MB) is the most common pediatric malignant brain tumor. Historically, MB has been classified into many variants based on its histopathology and cytogenetic biomarkers (1). Different pathways have been implicated in the development of MB and the regulation of the malignant phenotype of MB cells (2)(3)(4)(5). Patients with high-risk or recurrent MB respond poorly to current therapies and they exhibit a higher related mortality (6). Thus, promising clinical targets are required for MB to facilitate the development of novel therapeutics (7).
At present, several targeted molecular therapies are under clinical investigation in patients with MB (6,8). To further understand this malignant disease, high-throughput and genome-wide microarrays have been applied for molecular classification (9), thereby providing novel insight into the underlying biological mechanisms of MB (10). Various cell lines are available for use as experimental models of this neoplastic brain disease (11). Genetic data related to MB are available in an international functional genomics data repository, i.e., the Gene Expression Omnibus (GEO), which were derived from the MB cell line, Daoy (12,13). Thus, the study of a combination of genomic scale analyses of the data available in GEO and other whole-genome microarrays may facilitate the identification of underlying biomarkers, which may provide insight into the pathogenesis of brain tumors (14)(15)(16).
In the present study, various MB microarray data were extracted and compared. Significant genes that had similar expression patterns in MB according to different microarray systems were selected following gene annotation. Enrichment analysis of the gene set was also performed to elucidate the biological pathways and processes that are affected in patients with MB. Archived and formalin-fixed/paraffin-embedded human MB specimens were also used to validate the significant candidates. A crucial molecular pathway related to MB was identified by this whole-genome survey.

Materials and methods
Patients and MB cell lines. The archived specimens were derived from previously formalin-fixed/paraffin-embedded biopsies, which were confirmed as MB by the Department of Pathology at Cathay General Hospital, Taipei, Taiwan, and their characteristics are described in Table I. The Institutional Review Board of Cathay General Hospital approved this study. Written form of consent was obtained from the participants or their guardians. MB cell lines, i.e., Daoy (HTB-186™), D341 Med (HTB-187™) and VGH-Med (60375), were purchased from the American Type Culture Collection (Manassas, VA, USA) and the Bioresource Collection and Research Center (Hsinchu, Taiwan). All the cultured cells were maintained in the indicated medium with 10% (for Daoy) or 20% (for D341 Med and VGH-Med) fetal bovine serum (Biological Industries, Kibbutz Beit Haemek, Israel) according to routine protocols. Briefly, the adherent Daoy and the suspended D341 Med cells were cultivated in Eagle's minimum essential medium (Cat. no. 41500-034), whereas the adherent VGH-Med cells were cultured in Dulbecco's modified Eagle's medium (12100-046) (both from Life Technologies, Grand Island, NY, USA).
Significantly and differentially expressed genes in MB according to microarray hybridizations. Different microarray systems were used in the analyses, as shown in Fig. 1. Briefly, 15 (GSE7578) and 3 (GSE22139) expression datasets for Daoy cells (from accession series GSE7578 and GSE22139) and human normal brains (from accession series accession series GSE30563), which were obtained using Affymetrix microarrays (Human Genome U133 Plus 2.0 array, HG-U133 Plus 2; Affymetrix, Santa Clara, CA, USA), were extracted from the GEO website (http://www.ncbi. nlm.nih.gov/geo). The differentially expressed genes in MB were also determined based on comparisons with MB cell lines (Daoy and VGH-Med) and various normal brain tissues (two males aged 47 and 55 years, Cat. no. 636530; Clontech, Mountain View, CA, USA; 13 males and 10 females aged 23-86 years, Cat. no. AM7000; Ambion, Austin, TX, USA) using an Agilent Human Whole Genome Oligo 4x44K microarray system (Agilent Technologies, Santa Clara, CA, USA) according to the manufacturer's standard procedures. We deposited the Agilent microarray data onto a public domain (GSE74947). Common genes with potentially significant changes (>1.50-or <0.67-fold) and clear expression trends in MB were compared and extracted from the above-mentioned Affymetrix and Agilent microarray systems, as previously described (17,18). The minimized difference in expression (GSE7578 vs. GSE30563; GSE22139 vs. GSE30563; Daoy/ VGH-Med vs. normal brains from Clontech/Ambion) between separate microarrays (standard deviation <0.75) was used to filter genes with significant differences (p<0.05, Student's t-test) in MB (19), and the top genes obtained were annotated based on their gene ontology (GO) (http://david.abcc.ncifcrf.gov) (20). Finally, enrichment analysis (http://compbio.charite.de) was performed to select the significant GO terms (21,22).
Relative gene expression levels of synaptosomal-associated protein 25 (SNAP25) in MB cells. Total RNA from the normal brain tissue purchased from Clontech (Cat. no. 636530) was also used for gene quantification. Cellular RNA was extracted from each MB cell line using TRIzol reagent according to the manufacturer's instructions (Invitrogen, Carlsbad, CA, USA). The expression levels of total SNAP25 or its two variants (variant 1: NM_003081, and variant 2: NM_130811) in each MB cell line relative to those in the normal brain were determined by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) in the presence of specific TaqMan probes and TaqMan Master Mix (Roche Diagnostics, Mannheim, Germany), according to the manufacturer's instructions. Briefly, amplification primer pairs for the total and variant SNAP25s (the locations are mapped in Fig. 2B) and glyceraldehyde-3-phosphate dehydrogenase (GAPDH: NM_002046), which was employed as an internal control, were designed using the Roche website (http://www.roche-applied-science. com) (Table II). LightCycler (version 4.05; Roche Diagnostics) was used to analyze the PCR kinetics. Each run also included an appropriate and predetermined diluted human reference cDNA (Clontech) as a positive control.
Protein levels of SNAP25 in MB cells. The protein levels of SNAP25 in MB cells were immunodetected by standard western blot analysis. In addition, 6 protein extracts of normal medulla oblongata (female aged 82 years, Cat. no. P1234057 from BioChain, San Leandro, CA, USA; Cat. no. ab29859 from Abcam, Cambridge, UK), normal cerebellum (male aged 66 years, cat. no. P1234040; and female aged 70 years, Cat. no. P1234041; both from BioChain), and normal brain (Cat. no. ab29466 from Abcam; female aged 38 years, Cat. no. 1303 from ProSci, Poway, CA, USA) were used in western blot analysis. Briefly, 10 µg of each protein extract was diluted with reducing NuPAGE sodium dodecyl sulfate (SDS) sample buffer (Invitrogen) and heated for 10 min at 95˚C. The heat-denatured extracts were then electrophoresed by 12% SDS-polyacrylamide gel electrophoresis and transferred electrophoretically onto a polyvinylidene fluoride membrane (Millipore, Billerica, MA, USA) using an electroblot system (Hofer TE70 Semi-Dry Transfer Unit; GE Healthcare, Fairfield, CT, USA) with a constant current of 0.8 mA/cm 2 . The membrane was then blocked with 5% (w/v) skim milk in TBS-T (50 mmol/l Tris-HCl, pH 7.5; 150 mmol/l NaCl; 0.1% Tween-20) and probed with anti-SNAP25 IgG (1:1,000 in blocking solution; Cat. no. HPA001830; Sigma, St. Louis, MO, USA), according to a standard procedure. This antibody cannot distinguish between different variants as its antigenic peptide is located within a conserved region. The blot was then incubated with horseradish peroxidase (HRP)-conjugated anti-rabbit IgG (1:5,000 in TBS-T; Cat. no. ab6721; Abcam) and developed using the enhanced chemiluminescence method (ECL system; GE Healthcare). The GAPDH protein level in each sample was also immunodetected as an internal control using anti-GAPDH IgG (1:5,000 in TBS-T; Cat. no. AM4300; Ambion) and HRP-conjugated anti-mouse IgG (1:5,000 in TBS-T; Cat. no. ab6789; Abcam). Images of the blots were acquired using the FluorChem FC2 system (Alpha Innotech, San Leandro, CA, USA).
Immunohistochemical analysis of tissue arrays and clinical tissues. A routine immunohistochemical procedure was applied after hybridizing individual tissue sections. Immunohistochemical staining was performed using the biotin-streptavidin-peroxidase method with a VECTASTAIN ® Elite ABC kit (Vector Laboratories, Burlingame, CA, USA). During epitope retrieval, the slides with tissue sections were immersed in Tris-EDTA buffer (10 mM Tris base, 1 mM EDTA solution, 0.05% Tween-20, pH 9.0) and incubated for 20 min on a hot plate (95-99˚C), or boiled, before cooling to room temperature for 20 min. The tissues on the slides were blocked with blocking solution (VECTASTAIN ® Elite ABC kit) for 2 h at room temperature and probed with anti-SNAP25 (1:1,000 in blocking solution; Cat. no. HPA001830; Sigma) antibody overnight at 4˚C. The hybridized tissue sections were then washed 3 times with phosphate-buffered saline and endogenous peroxidase production was blocked with 0.3% hydrogen peroxide in distilled water for 15 min. The specific signals in the tissue arrays were acquired by incubation with the biotin-labeled secondary antibody (VECTASTAIN ® Elite ABC kit) for 1 h and developed using a peroxidase substrate solution until the development of the desired stain intensity.  All primers and probes were designed using the Roche website (http://www.roche-applied-science.com). F, forward; R, reverse; SNAP25, synaptosomal-associated protein 25; GAPDH, glyceraldehyde-3-phosphate dehydrogenase.
Before dehydration and mounting, hematoxylin was used as an appropriate counterstain. In addition, the tumor regions of individual tissue sections were identified by routine hematoxylin and eosin (H&E) staining, which was performed at the Department of Pathology, Sijhih Cathay General Hospital, New Taipei, Taiwan. Finally, independent pathologists diagnosed the imaging results.
Generation of stable SNAP25-overexpressing MB cells and morphological changes of cells with SNAP25 expression by immunofluorescence. A human cDNA that coded for a protein related to SNAP25 was amplified by qualitative PCR from a Human Reference cDNA (Clontech) using an appropriate primer pair (forward, CTCGAGATGGCCGAAGACGCAGACAT; reverse, GGATCCACCACTTCCCAGCATCTTTG). PCR bands with the predicted size were isolated routinely and sequenced (ABI 3100) using an ABI Prism Big Dye Terminator Cycle Sequencing Ready reaction kit (both from Applied Biosystems, Framingham, MA, USA) to confirm the gene identities. The green fluorescent protein (GFP)-containing vector, pEGFP C3, was used as the expression vector (Invitrogen). Both pEGFP C3 and pEGFP C3-SNAP25 (the SNAP25-containing pEGFP C3) were isolated with a Genopure Plasmid Midi Maxi kit (Roche Diagnostics). In total, 7x10 4 MB cells (Daoy) were seeded into each well of a 6-well plate. On the second day, cells at 80-90% confluence were transfected with the purified plasmid using FuGENE ® HD (Roche Diagnostics) according to the following procedures: 2 µg of plasmid DNA (in 10 µl ddH 2 O) was mixed with 100 µl of serum-free medium; the transfection reagent, 7 µl FuGENE ® HD, was then added to the 100 µl serum-free medium and incubated for 20 min at room temperature. The resulting complex mixture was subsequently added to the cells. The transfected cells were placed into selection medium containing 500 µg/ml G418 (also known as Geneticin™; BioShop, Oakville, ON, Canada) the following day. Next, increasing concentrations of G418 (up to 1,000 µg/ml) were used to select stable SNAP25-overexpressing clones over the next 30 days. The increasing SNAP25 mRNA levels in the stable clones were quantified by RT-qPCR and protein was immunoblotted by western blot analysis, as described above. The GFP was also immunodetected with anti-EGFP IgG (1:1,000 in blocking solution; Cat. no. ab184601; Abcam). Normal neural cells were acquired by a differentiation of placenta-derived multipotent cells (PDMCs) under a 3-day incubation with 0.4 mM 3-isobutyl-1-methylxanthine (IBMX) (23). The expression pattern of SNAP25 (green) was immunostained with rabbit anti-SNAP25 antibody (1:100; ab109105; Abcam) and DyLight 488-conjugated goat anti-rabbit IgG antibody (1:200; A120-101D2; Bethyl Laboratories, Montgomery, TX, USA). The glial fibrillary acidic protein (GFAP), the Tau protein, and pan neuronal markers (PNM) were respectively probed using anti-GFAP (1:200; MAB3402; Millipore), anti-Tau (1:100, ab80579; Abcam) and anti-PNM antibodies (1:25; MAB2300, Millipore). Finally, the Cy3-conjugated goat anti-mouse antibody (1:200; AP124C; Millipore) was used as the secondary antibody. For the immunofluorescence analysis, 4' ,6-diamidino-2-phenylindole (DAPI) was used to counterstain the nucleus and exhibited blue color. The fluorescent samples were then dehydrated, mounted, and analyzed using a Nikon Eclipse 80i fluorescence microscope (Nikon Instruments, Melville, NY, USA).

Determination of the cytotoxicity of arabinofuranosyl cytidine (Ara-C) in SNAP25-expressing MB cells. MB cells (Daoy)
without or with SNAP25 overexpression were cultured at 3x10 3 cells/well in 96-well plates for 24 h. Cell viability was examined using a Cell Counting kit-8 (CCK-8; Sigma) in the presence of various concentrations (from 0.1 nM to 10 mM) of Ara-C (C1768; Sigma) following incubation for 48 h, according to the manufacturer's instructions. Briefly, the absorbance of each well was read at 450 nm using a microplate reader (iMark; Bio-Rad, Richmond, CA, USA) after 2-4 h of incubation until a brown precipitate formed.
Statistical analysis. The differences in SNAP25 expressions, numbers of dendrites, and Ara-C concentrations were compared using the Student's t-test. Statistical analysis was performed using SPSS 13.0 (SPSS, Inc., Somers, NY, USA). The data were representative of at least 3 experiments with similar results, and a value of p<0.05 was considered to indicate a statistically significant difference.

Results
Significant candidates with differential expression levels in MB. Differentially expressed genes in MB were selected using Agilent and Affymetrix microarrays (Fig. 1). We identified 4,596 candidates based on their significantly up-(>1.50-fold) or downregulated (<0.67-fold) expression levels in MB cells using Agilent oligonucleotide microarrays. In addition, over 10,000 genes with differential expression levels (>1.50-or <0.67-fold) were obtained from the public database. As shown in Fig. 1, 2,544 genes with consistent expression level differences were determined by comparing the data obtained from different microarray systems (Affymetrix and Agilent), but only 278 genes (130 upregulated and 148 downregulated: link to download these significant genes in MB cells, https://drive. google.com/file/d/0Bw-QVez2CXs5YWhaMER1Zl9Kd1k/ view?usp=sharing) exhibited similar expression patterns. From the 278 genes, 86 candidates (41 upregulated and 45 downregulated) were also identified based on consistent differences in their expression levels according to different microarrays (standard deviation <0.75; p<0.05). We found that many genes had statistically different expression levels according to the whole-genome microarrays, where 35 GO terms were enriched, including vesicle, neuron part and synapse. Among the candidates, SNAP25 was associated with 6 GO terms (GO0042995, cell projection; GO0044763, single-organism cellular process; GO0097458, neuron part; GO0044699, single-organism process; GO0045202, synapse; GO0016020, membrane) and its expression level was reduced in MB cells. Soluble N-ethylmaleimide-sensitive factor attachment protein receptors (SNAREs) and their associated proteins play critical roles in vesicle docking, priming, fusion, and the synchronization of neurotransmitter release via exocytosis pathways (24,25). Briefly, the significant GO terms with functional similarity, including molecular function, biological process and cellular component (Table III), were explored based on their GO annotations and using enrichment analysis. In particular, genes for SNAREs annotated with the function 'vesicle' were identified and one of these proteins, SNAP25, had significantly lower expression levels in the MB cells in all of the microarrays. It should be noted that the probe used for SNAP25 in the Agilent microarrays was the probe A_23_P210756 near the stop codon (TAA), which indicated the total SNAP25 expression level.

Decreased protein expression levels of SNARE and SNAP25 in MB cells.
The differences in the mRNA and protein levels also validated the differential expression of the SNARE protein. Two SNAP25 variants have been reported previously (26). For the total SNAP25 or individual variants, lower mRNA levels were detected in each MB cell line compared with those in normal brain cells ( Fig. 2A). Moreover, we detected different expression patterns for variants 1 and 2. Normal brain cells and D341 Med (group 3 subgroup) expressed relatively more of variant 2, whereas lower levels of variant 2 were detected in Daoy cells [sonic hedgehog (SHH) subgroup] and VGH-Med cells. The very high difference in the gene expression level of total SNAP25 was also replicated in the protein levels compared with the normal brain tissues, as well as in other normal tissues in the brain stem, such as the medulla oblongata and cerebellum (Fig. 2C). The difference in SNAP25 expression was also confirmed by immunohistochemical staining analyses of our archived MB sections, where the MB lesions identified by H&E staining expressed less SNAP25 protein (Fig. 3). By contrast, SNAP25 was expressed at normal levels in the nontumor regions of the same MB tissue sections.
Increased dendrite density and chemotherapeutic effects on SNAP25-expressing MB cells. The stable clones of Daoy cells with pEGFP C3 or pEGFP C3-SNAP25 were selected as described above. The mRNA level of SNAP25 in pEGFP C3-SNAP25-transfected Daoy cells was extremely higher (>1,0000 fold) than in cells transfected with only pEGFP C3 (Fig. 4A). This overexpressed SNAP25 was also specifically immunodetected, wheras only GFP could be hybridized in the cells with pEGFP C3 (Fig. 4B). A morphological change in the MB cells was associated with SNAP25 expression. Daoy cells and VGH-Med cells with only GFP, but low endogenous SNAP25 expression, had a smooth cell membrane (Fig. 5). None of the cells which only expressed GFP exhibited significant dendrites. By contrast, many dendrites were observed on the membrane of each cell that overexpressed GFP/SNAP25 fusion protein (the lower panels of Fig. 5A and B). This was also supported by the neural differen-tiation analysis, which showed that markedly positive levels of SNAP25 were detected in differentiated neural cells (Fig. 5C).
Currently, Ara-C is being developed as a chemical agent for the clinical treatment of MB (27,28). We found that the protein expression of SNAP25 in Daoy cells increased susceptibility to Ara-C. The half-maximal inhibitory concentration of Ara-C was significantly lower for the SNAP25-expressing Daoy cells (96.8±29.5 nM) compared with that in cells that had low endogenous SNAP25 levels (171.6±34.0 nM) (p<0.05) (Fig. 6).

Discussion
Cancer, including MB, is generally attributed to genetic aberrations in tumor tissues (29,30). Previous studies have explored the genetic alterations in MB to determine their associations with the clinical prognosis, thereby facilitating the development of therapeutic approaches based on analyses of high-throughput databases (29,31). Moreover, internet-based tools have been  used to determine the effectiveness of treatments for childhood MB (32). In the present study, we performed comparative genome-wide surveys to determine the molecular characteristics of MB and to identify potential targets for MB treatment.
The synaptic vesicle membrane glycoprotein, synaptophysin, has been studied in the context of MB (30). Over the past decade, the subcellular localizations of SNAREs and their ability to form the so-called SNARE complex have been shown to play important roles in the minimal fusion machinery and in cell-to-cell signaling (33,34). In addition, SNAREs may also be involved in the functional regulation of some ion channels (35). Ramakrishnan et al suggested that deficits in the expression of SNAREs may impair the functions of the brain and sense organs (25). A deficiency of SNAP25 may block normal vesicle fusion in brain cells (36,37). SNAP25 is known to be involved in endocytosis or exocytosis during vesicle mobilization, where its role is facilitated by other SNAREs and syntaxins (34,38,39). Furthermore, SNAP25 may interact with various proteins that drive the spontaneous calcium-independent fusion of synaptic vesicles (40). In addition to SNAP25, another SNARE protein, synaptic vesicle protein synaptophysin, has been shown to have differential expression levels in MB (41). This suggests that a complex mechanism affects the production of synaptic vesicles during MB tumorigenesis and that SNAREs are critical for normal vesicle fusion (42).
Similarly, reduced levels of SNAP25 have also been detected in the hippocampus of patients with schizophrenia (43,44). Moreover, Dubuc et al reported that the WNT subgroup expressed higher levels of variant 2 (26). Similarly, high levels of variant 2 were detected in normal brain cells and in D341 Med cells (group 3 subgroup). By contrast, lower levels were expressed in Daoy cells (SHH subgroup) and VGH-Med cells. This implies that the expression patterns of SNAP25 variants may be subgroup specific. Recent efforts at stratifying MBs based on their molecular features have revolutionized our understanding of this morbidity (9). We believe that the knowledge of classification may contribute to the development of novel molecular therapies targeting a specific subgroup of MBs (45).
A number of clinical studies have shown that SNAP25 participates in synaptic plasticity and it may be associated with a separate synaptic pathology (43,46). These hypotheses were also supported by our cytological results, where an increased dendrite density was observed in Daoy cells and VGH-Med cells when the expression of SNAP25 was restored in the present study. Thus, nerve impulses may be conducted via these dendrites (47). The molecular significance of SNAP25 in brain cells may be related to protein-protein interactions with many other proteins, such as syntaxin 1A and syntaxinbinding protein 1 (38,48,49). Moreover, dendrite instability has been detected in many neuronal diseases (50). The decreased dendrite density associated with reduced levels of SNAP25 and the presence of MB cells without dendrites may be related to MB tumorigenesis. Therefore, the SNARE complex, which includes SNAP25, may play various complex roles when synaptic vesicle fusion occurs after a nerve impulse reaches the synapse. However, the SNAP25-restored dendrites may be more important in the SHH subgroup of MB. Other than the SHH subgroup, three principle subgroups (WNT, Group 3 and 4) were also defined by their distinct molecules (51,52). In the present study, only the Daoy cells (SHH subgroup) (53) and an undefined MB subgroup, VGH-Med cells, could restore dendrites in the presence of SNAP25. These implied that the restoration of dendrites caused by SNAP25 expression may lead cells to the terminal differentiation and then loss of tumorigenicity (54). By contrast, the D341 Med cells classified in the Group 3 subgroup (55) did not produce similar results (data not shown). Therefore, we hypothesized that SNAP25 may play a critically significant role in MB, particularly for the SHH subgroup, where Daoy cells and VGH-Med cells exhibited similar molecular patterns.
Alterations in synaptic vesicle fusion or dendrite density may be associated with MB chemotherapy. In 1998, Hodel reported that a reduction of SNAP25 in the brain impaired neuronal dopamine signaling, thereby providing a target for the development of therapeutic treatments (56). An important morphogen for neural differentiation, retinoic acid, can enhance MB chemosensitivity (57). These data indicate that optimal synaptic vesicle fusion and a normal dendrite density may improve the chemotherapeutic outcomes in this specific neuronal disorder. The results of our analysis of Ara-C treatment in MB cells also support this hypothesis. Thus, restoring the expression of SNAP25 in MB cells can increase the sensitivity to Ara-C, which is an intrathecal chemotherapeutic that is used as an antineoplastic agent in children (58).
Genomic variation affects the structure and expression of genes; thus, genetic analyses may enhance our understanding of the predisposition, biology and clinical response to therapy in various diseases (59). Methods are needed that highlight biomarkers with potential clinical utility in the diagnosis and treatment of the common types of primary pediatric brain tumors (15). In the present study, SNAP25 was less abundant in the tissue arrays and in our enrolled patients. Thus, we suggest that the reduced levels of SNAP25 may have implications for clinical treatment. In addition, the dendrite density was restored when MB cells expressed SNAP25 protein, which may rebuild the synaptic junctions between neuronal cells. The pyrimidine analogue, Ara-C, has been reported to be one of the most effective agents in inducing the apoptosis of many tumor cells (60). However, the chemosensitivity to Ara-C was greatly increased when MB cells expressed SNAP25.
In conclusion, our results suggest that a SNARE complex that includes SNAP25 is crucial for the dendrite formation and is associated with the effects of targeted chemotherapy. A downregulation of SNAP25 may impede targeted chemotherapy as the SNAREs in brain cells may not form correctly. The detection of SNAP25 expression in MB cells may be essential for the chemotherapeutic application of Ara-C.