Skip to content


Open Access

The availability of the embryonic TGF-β protein Nodal is dynamically regulated during glioblastoma multiforme tumorigenesis

  • Maria Cecília Oliveira-Nunes1,
  • Suzana Assad Kahn2, 3,
  • Ana Luiza de Oliveira Barbeitas1,
  • Tania Cristina Leite de Sampaio e Spohr3, 4,
  • Luiz Gustavo Feijó Dubois3, 4,
  • Grasiella Maria Ventura Matioszek5,
  • William Querido6,
  • Loraine Campanati3,
  • José Marques de Brito Neto1,
  • Flavia Regina Souza Lima3,
  • Vivaldo Moura-Neto3, 4 and
  • Katia Carneiro1Email authorView ORCID ID profile
Cancer Cell International201616:46

Received: 2 February 2016

Accepted: 7 June 2016

Published: 17 June 2016



Glioblastoma (GBM) is the most common primary brain tumor presenting self-renewing cancer stem cells. The role of these cells on the development of the tumors has been proposed to recapitulate programs from embryogenesis. Recently, the embryonic transforming growth factor-β (TGF-β) protein Nodal has been shown to be reactivated upon tumor development; however, its availability in GBM cells has not been addressed so far. In this study, we investigated by an original approach the mechanisms that dynamically control both intra and extracellular Nodal availability during GBM tumorigenesis.


We characterized the dynamics of Nodal availability in both stem and more differentiated GBM cells through morphological analysis, immunofluorescence of Nodal protein and of early (EEA1 and Rab5) and late (Rab7 and Rab11) endocytic markers and Western Blot. Tukey’s test was used to analyze the prevalent correlation of Nodal with different endocytic markers inside specific differentiation states, and Sidak’s multiple comparisons test was used to compare the prevalence of Nodal/endocytic markers co-localization between two differentiation states of GBM cells. Paired t test was used to analyze the abundance of Nodal protein, in extra and intracellular media.


The cytoplasmic distribution of Nodal was dynamically regulated and strongly correlated with the differentiation status of GBM cells. While Nodal-positive vesicle-like particles were symmetrically distributed in GBM stem cells (GBMsc), they presented asymmetric perinuclear localization in more differentiated GBM cells (mdGBM). Strikingly, when subjected to dedifferentiation, the distribution of Nodal in mdGBM shifted to a symmetric pattern. Moreover, the availability of both intracellular and secreted Nodal were downregulated upon GBMsc differentiation, with cells becoming elongated, negative for Nodal and positive for Nestin. Interestingly, the co-localization of Nodal with endosomal vesicles also depended on the differentiation status of the cells, with Nodal seen more packed in EEA1/Rab5 + vesicles in GBMsc and more in Rab7/11 + vesicles in mdGBM.


Our results show for the first time that Nodal availability relates to GBM cell differentiation status and that it is dynamically regulated by an endocytic pathway during GBM tumorigenesis, shedding new light on molecular pathways that might emerge as putative targets for Nodal signaling in GBM therapy.


GlioblastomaCancer stem-cellNodalEndocytosisTumorigenesis


Nodal is a member of the TGF-β superfamily of secreted proteins that signals through the serine/threonine kinase receptors family triggering the phosphorylation of Smads 2 and 3 [1]. Among a range of biological functions attributed to Nodal protein is its classical role during embryonic development [13], stem cell development and differentiation [4]. However, recent studies have shown that Nodal also regulates the maintenance of pluripotency in embryonic stem cells [5], carcinogenesis [6], and tumor cell progression and development [715].

Glioblastoma (GBM; grade IV astrocytoma) is the most common primary brain tumor characterized by aggressive invasiveness, high proliferative rate, insensitivity to radio- and chemotherapy and a short survival period [1618]. It has been reported that the tumoral mass is generated by a rare fraction of cells displaying self-renew capacity named tumor-initiating cells [1922] that are involved in tumor growth and resistance to chemotherapy [23]. Sub-population of GBM cells with stem-like properties may be the source of tumors since, apparently, these stem cells are highly resistant to current cancer treatments and survive to regenerate new tumors [16, 24, 25].

Regardless the physiological function of Nodal has been extensively described elsewhere during tumor progression and tumorigenesis, the characterization of Nodal availability in this context has not been addressed so far. In this study we have investigated by an original approach the dynamics of Nodal intracellular distribution and extracellular availability in both stem and more differentiated GBM cells. Strikingly, we found that in GBM stem cells Nodal co-localizes in early endosomal vesicles and is abundantly available both intra and extracellularly. On the other hand, Nodal was found to co-localize to late endosomal compartments, including lysosomal vesicles, and was less available in the extracellular medium in more differentiated GBM cells. Altogether, our results propose for the first time that the Nodal availability is controlled by an endocytic pathway during GBM tumorigenesis shedding light on the molecular pathways that might emerge as putative targets for GBM therapy.


Cell culture

The cells were cultured as described in [26]. The human glioblastoma cell line GBM011 (mdGBM) [27] and OB1 stem cells (GBMsc) [28] were obtained in previous studies. The human GBM U87MG cell line (mdGBM) was purchase from ATCC (Manassas, VA, USA). The experiments with human cells were regulated by the license MS, CONEP 2340. DU145 prostate cell line was purchased from the Cell Bank of Rio de Janeiro—UFRJ.


Permeabilization was done with 3 % Triton X-100 in PBS followed by 10 % BSA in PBS incubation. Primary anti-Nodal (1:25, rabbit, H-110, Santa Cruz Antibodies), anti-Nestin (1:200, Promega), anti-EEA1 (1:100, Santa Cruz sc5939), anti-Rab5 (1:100, Santa Cruz sc46692), Rab7 (1:100, Santa Cruz Antibodies sc6563) and Rab11 (1:100, Santa Cruz sc9020) were used followed by secondary antibody incubation (1:300, Molecular Probes) plus DAPI nuclear stain (1 μg/1 μl). The slides for Nodal immunostaining were incubated with tyramide (1:100, TSA kit #13, Life Technologies, T-20923) and were mounted with Vectashield (Vector Laboratories). Leica TCS SP5 AOBS confocal microscope was used. The images were handled in Image J. Intensity and co-localization analysis was perfomed by Leica Application Suite (LAS), Leica Microsystems and Pearson’s correlation coefficient (PCC) was used for statistic quantifying colocalization. We analyzed three different fields for each marker, where we performed the co-localization analysis in a mean of three spheroids or 20–30 cells per field. The prevalence of Nodal colocalization with different endocytic markers in each cell line was analyzed by Tukey’s test. For comparison and analysis of Nodal/endocytic markers between two cell lines, we used Sidak’s multiple comparisons test.

Western blot

RIPA buffer solution was used in the presence of protease inhibitors. The protein samples were separated by electrophoresis and blotted to PVDF membrane, followed by blocking with 5 % non-fate dry milk powder in 0.1 % PBS-Tween and incubated overnight with primary antibody for Nodal. The secondary antibody used was the same for Nodal immunofluorescence assays. The reaction was developed using SuperSignal® West Pico Chemoluminescent Substrate (Thermo Scientific) and gray scale analysis of protein bands was performed using image software. Loading control and normalization was performed through α-tubulin and actin immunobloting, and quantifications were performed in Image J.

Conditioned medium acquirement

OB1 stem cell and OB1 cells subjected to differentiation were cultivated with DMEM in the absence of Fetal Serum Bovine (FSB) for 3 days to acquire Conditioned Medium (CM). Proteins present in the CM were precipitated with 80 % acetone at −20 °C overnight and the protein extracts were processed by Western Blot assays as described above. Here, loading control and normalization was performed through densitometry of Coomassie Blue R staining of the gel. Quantifications handled on Image J.

Statistical analysis

GraphPad Prism (v6.0, La Jolla, CA) was used for ordinary one-way or two-way ANOVA analysis where appropriate. If the ANOVA produced a significant result, post hoc pair-wise comparisons were tested for significance in which the P value was adjusted (P adj < 0.05) by the Tukey’s method for multiple comparisons inside each group and by the Sidak’s method for multiple comparisons among the individual groups. Results are presented as mean ± SD and statistical relevance was defined as P < 0.05.


Nodal protein intracellular distribution depends on GBM differentitation status

Nodal immunostaining was detected symmetrically distributed in the cytoplasm of OB1 stem cells (Fig. 1a), appearing as vesicle-like subcellular particles (Fig. 1b, arrow). Additionally, we noticed that the presence of Nodal in these cells changed along the development of the oncospheres. While small spheres contained only cells that show a symmetrical Nodal distribution (Additional file 1: Figure S1a), large ones were comprised by cells with distinct Nodal distributions (Additional file 1: Figure S1b). Nodal-positive cells were found on top of the oncospheres and presented Nodal immunostaining mainly localized to points of cell–cell contact (Additional file 1: Figure S1c–e). Nodal immunostaining was detected symmetrically distributed in the cytoplasm of cells located on the lateral edges, surrounding the whole oncosphere (Additional file 1: Figure S1f–h), as well as in the cytoplasm of cells that were directly attached to the substrate (Additional file 1: Figure S1i–l). The lack of the initially seen Nodal protein symmetrical distribution in some cells was most likely was due to the beginning of their differentiation in the interior of the oncospheres. Thus we conclude that Nodal is localized to vesicles-like particles that are symmetrically distributed in the cytoplasm of undifferentiated OB1 stem cells.
Figure 1
Fig. 1

Nodal protein intracellular distribution depends on GBM differentitation status. a Nodal immunostaining was symmetrically distributed in the cytoplasm of OB1 stem cells. b Optical slices projected on the YZ axis showing a virtual reconstruction of the cell seen in “a” (asterisk). Nodal was localized to vesicle-like particles (arrow). c In GBM011 cells, Nodal immunostaining was found in a rare population of cells and was asymmetrically localized to a perinuclear region. Vesicle-like particle were also observed (arrow)

In GBM011 cells, Nodal immunostaining was present in an asymmetric pattern, characterized by a perinuclear distribution, with no evidence of association to the plasma membrane (Fig. 1c). Nodal positive vesicle-like particles were observed, and unlike OB1 stem cells, presented a perinuclear localization (Fig. 1c, arrow).

To test whether Nodal asymmetric distribution is restricted to mdGBM cells or if it is a broader marker of differentiated cancer cells, we also tested and found the same asymmetry in the well-described prostate cell line DU145 that has been shown to transduce the Nodal signaling pathway (Additional file 2: Figure S2). Thus we conclude that Nodal immunostaining is found in asymmetric perinuclear localization in more differentiated GBM cells during interphase.

Nodal asymmetric cytoplasmic distribution shifts to a symmetric distribution in dedifferentiated GBM cells

We next tested whether the Nodal asymmetric and symmetric distributions represent markers of the differentiation state of GBM cells. We reasoned that the asymmetric distribution, found in mdGBM cells, would shift to a symmetric distribution, if these cells were induced to a less differentiated status. To test this hypothesis, we have used the U87MG cell line induced with a dedifferentiation protocol. We verified the differentiation status through Nanog Western Blot, in OB1, differentiated OB1, U87MG and U87MG dedifferentiated cells (Additional file 3: Figure S3). In the original differentiated cells, Nodal immunostaining was asymmetrically located in the perinuclear area (Additional file 4: Figure S4, arrows). Conversely, when U87MG cells were induced to dedifferentiate (U87MG-O), the Nodal asymmetric distribution shifted to a symmetric pattern (Additional file 4: Figure S4b–d, arrows), similar to that observed in OB1 stem cells. We also found that U87MG-O cells upregulate Nodal protein intracellular levels, reinforcing our data obtained on OB1 cells. This finding indicates that Nodal cytoplasmic distribution and levels are dynamically regulated and strongly correlate with the differentiation status of GBM cells.

Nodal protein intra and extracellular levels are reduced upon GBM differentiation

To better understand the dynamics of Nodal protein during the transition between a stem cell like to a more differentiated cell behavior of GBM cells, we have quantified the abundance of intracellular Nodal in OB1 stem cells induced to differentiate. To confirm the differentiation of the cells, we evaluated cell morphology and the distribution of Nestin, a marker for differentiating progenitor cells [29]. OB1 stem cells grown as spheres, in the absence of FBS, were Nestin-negative and Nodal positive (Fig. 2a, b). Differentiated OB1 cells presented a spread out morphology, were Nestin-positive and mostly negative for Nodal (69 %, n = 66 cells; Fig. 2c, d). As expected, in OB1 stem cells subjected to differentiation there was a decreased in Nodal protein levels (Fig. 2e; n = 3).
Figure 2
Fig. 2

Nodal protein levels are dowregulated during GBM differentiation. a, b OB1 stem cells forming oncospheres were immunostained for Nodal (red) and Nestin (green). DAPI (blue). OB1 stem cells present Nodal immunostaining localized to vesicles-like particles symmetrically distributed in the cytoplasm of GBM stem cells that are Nestin-negative (c, d). Upon differentiation, less differentiated cells were found positive for both Nodal and Nestin. More differentiated GBM cells were found negative for Nodal and positive for Nestin (69 % of cells; d, asterisk). Cells presenting a less elongated morphology were found Nodal-positive and Nestin-negative (26 % of cells). e Quantification of intracellular Nodal protein in OB1 stem cells and upon differentiation by Western blot. Nodal protein levels decrease in 50 % upon differentiation (quantification of average across three separate experiments). Nodal protein normalization through α-Tubulin immunoblotting. f Quantification of extracellular Nodal protein in protein precipitation of proteins present in conditioned medium by Western blot, presenting visible decrease in Nodal levels in OB1 cells upon differentiation. Nodal protein normalization through Coomassie Blue staining of gel. Data are mean ± SD. ***P < 0.001 by unpaired t test, n = 3)

As Nodal is a member of the TGFβ superfamily, we asked whether the extracellular levels of Nodal are also dynamically regulated during GBM tumorigenesis. Protein quantification of the conditioned medium showed that Nodal extracellular levels were downregulated as GBMsc were induced to differentiate (Fig. 2f). These results show that not only Nodal distribution is altered but also its intra and extracellular availability are reduced upon GBMsc differentiation.

Nodal protein co-localizes with different endosomal vesicles depending on the differentiation status of GBM cells

Previous studies have shown that Nodal was found in endosomal vesicles [30]. Therefore, to elucidate whether the vesicle-like particles observed in stem and differentiated GBM cells correspond to the same subcellular compartments or not or even whether they may change according to the differentiation status of GBM cells, we performed immuno co-localization of Nodal and different endosomal proteins in OB1 and differentiated OB1 cells (Figs. 3, 4). Nodal immunostaining in OB1 stem cells was found to co-localize with both early (EEA1 and Rab5) and late (Rab7 and Rab11) endosomes (Figs. 3, 4), suggesting that OB1 stem cells are continuously recycling and degrading Nodal. In contrast, in differentiated OB1 cells, Nodal immunostaining was mostly co-localized with late (Rab7 and Rab11) endosomal vesicles (Figs. 3, 4). These results are in agreement with a decrease in the levels of secreted Nodal in mdGBM cells as shown in Fig. 2f. It was possible to verify the same pattern and rates on U87MG and U87MG-O cells (Additional file 5: Figure S5, Additional file 6: Figure S6), suggesting that the Nodal endocytic processing is not specific of a cell line, relating to the phenotypic state. Also, our analysis of Nodal/endosomal markers co-localization in GBM011 cells reveal that the GBM primary cultures reproduced the pattern observed in mdGBM cells (Additional file 6: Figure S6). Thus, we conclude that Nodal availability might be controlled by an endocytic pathway, in a differentiation status dependent manner.
Figure 3
Fig. 3

Nodal protein co-localizes with different endosomal vesicles depending on the differentiation status of GBM cells. Representative images of Nodal immunostaining with endosomal markers. In OB1 stem cells, Nodal co-localized with both early (EEA1 and Rab5) and late (Rab7 and Rab11) endosomes. In contrast, in differentiated OB1 cells, Nodal immunostaining was mostly co-localized with late (Rab7 and Rab11) endosomal vesicles

Figure 4
Fig. 4

Nodal mostly co-localizes to Rab7 and Rab11 in more differentiated GBM cells. Pearson’s coefficient of relative amount of co-localization of endosomal markers/Nodal in OB1 and differentiated OB1 cell cultures (quantification of average across three separate fields, each containing an average of three to four spheroids—OB1 cells—or 20–30 cells—differentiated OB1 cells). Data means are ± SD. ***P < 0.001 by two-way ANOVA for repeated measures followed by Tukey’s test for correction of the P value

Based on the results obtained in this study, it is possible to summarize in an illustration the dynamics of Nodal distribution and availability during differentiation of GBM stem cells, as well as the endocytic mechanisms that may regulate Nodal during GBM tumorigenesis (Fig. 5). Briefly, the GBM stem cells present a large amount of Nodal symmetrically distributed in their cytoplasm and presenting similar co-localization with both early (EEA1 and Rab5) and late (Rab7 and Rab11) endosomal vesicles. After differentiation, an asymmetric distribution of Nodal is seen in the cytoplasm, mostly limited to the perinuclear region. Moreover, the levels of Nodal in the cells are reduced and its co-localization with endosomal vesicles changes, showing a decrease in its association with early (EEA1 and Rab5) endosomes and increase in its association with late (Rab7 and Rab11) endosomes. The dedifferentiation of the cells can return these characteristics back those seen in the stem cells.
Figure 5
Fig. 5

Illustration of the dynamics of Nodal distribution and availability during differentiation of GBM stem cells and of the endocytic mechanisms that may regulate Nodal during GBM tumorigenesis. The GBM stem cells shows a large amount of Nodal symmetrically distributed in their cytoplasm. The presence of Nodal in these cells is co-localization with both early (EEA1 and Rab5) and late (Rab7 and Rab11) endosomes. Upon differentiation, an asymmetric distribution of Nodal is found in the perinuclear region of the cells. In these cells, the intra and extracellular levels of Nodal are reduced and its co-localization with endosomes changes. There is a decrease in the association of Nodal with early (EEA1 and Rab5) endosomes and increase in its association with late (Rab7 and Rab11) endosomes. The characteristics seen in the stem cells can be returned after the dedifferentiation of the cells


We provide novel data regarding Nodal protein dynamics during GBM tumorigenesis, a process that remains poorly characterized. Besides Nodal has already been shown as a substantial engine disposed by different types of cancer, its availability and dynamics has not been addressed so far. Since we consider the understanding of basic regulation of cancer machinery a fundamental factor for its approach, our study quest a better understanding of Nodal protein in a subcellular level on GBM. Using an original approach, we analyzed the dynamics of Nodal distribution and availability in GBM cells with distinct differentiation status. Through detailed subcellular immunofluorescence analysis, we showed for the first time that Nodal is dynamically regulated during GBM cell differentiation, with clear differences found between the stem and the more differentiated cells. We were able to observe not only that the Nodal cytoplasmic distribution varied between GBMsc and mdGBM, but also to confirm that it is strongly dependent upon the differentiation status to which each cell type is induced. Even more interestingly, we showed that the availability of Nodal is regulated by different endocytic pathways during GBM tumorigenesis, being associated with distinct endosomal vesicles depending on the differentiation status of the cells.

Vesicular intracellular trafficking has important roles in cell signaling coupling processing and endocytosis in signal-receiving cells [31, 32]. Endosomal markers are restrained at specific subcellular compartments, which dictates the stage of endosomal maturation of the vesicle [32]. Rab5 proteins are localized in early endosomes, which play essential roles in endocytosis, signaling regulation, motility and invasion [3335]. Moreover, Rab5/EEA1 vesicles provide faster and direct recycling than through recycling endosomes (1–2 vs 15–20 min) [36]. We found that Nodal is packed in EEA1/Rab5-positive vesicles in GBMsc. A possible consequence of the connection between Nodal and the endocytic pathway through Rab5/EEA1 vesicles is a higher rate of turnover of endocytated Nodal back to the membrane, maintaining Nodal signaling in the GBMsc itself, keeping in this way, high levels of Nodal in the extracellular media. This fact would contribute to keep cells in a more undifferentiated state. In fact, previous works have show that Nodal inhibition forces pluripotent embryonic stem cells into a differentiation pathway [37].

On the other hand, Rab7-positive vesicles are a key factor for enzymatic regulation and internalization of membrane surface proteins [38]. Our data show that mdGBM cells mostly presented Nodal co-localization with Rab7 and Rab11. This result indicates that these cells actively internalize Nodal and direct it for degradation or for recycling endosomes. The subsequent lower rate of Nodal addressed to the extracellular media could contribute to gradually downregulate its signaling in mdGBM cells. Altogether, our current results suggest that the endocytic pathway plays a key role for Nodal availability regulation during GBM differentiation.

We also have observed a change in Nodal intracellular distribution that was dependent upon the degree of cellular differentiation. GBMsc displayed a vesicle-like pattern of Nodal staining symmetrically distributed in the cytoplasm (Fig. 1a, b, arrow). On the other hand, mdGBM cells stained for Nodal in a more asymmetric and perinuclear fashion (Fig. 1c). We speculate that these changes directly result from the different vesicles that carry Nodal in the two cell types. EEA1/Rab5-positive vesicles would maintain Nodal closer to the membrane in GBMsc, whereas Rab7-positive vesicles would bring Nodal closer to the perinuclear region. As a consequence, GBMsc may present a higher rate of Nodal maintaining its signaling levels in the GBMsc itself.

Our immunostaining for OB1 stem cells showed that Nodal protein staining decreased as OB1 stem cells undergone differentiation (Fig. 2b, d). Our results clearly show that Nestin-positive cells are Nodal negative only when morphologically spread out, an additional indicator of differentiation. Conversely, U87MG cells forced to acquire a more undifferentiated morphology, shifted back to a symmetric pattern of Nodal cytoplasmic distribution (Additional file 4: Figure S4). These results indicate that Nodal expression heavily depends on cellular differentiation status, and we may speculate that Nodal is progressively downregulated during tumor development. In accordance, previous studies show that the TGF-β/Activin/Nodal branch is necessary to keep the pluripotent and undifferentiated state of human embryonic stem cells [5, 39]. Altogether, our results support the notion that the cancer stem cell presents a similar behavior to the embryonic stem cell in terms of Nodal function. Despite the tight correlation between Nodal signaling and the stem cell phenotype, we still noticed the presence of Nodal in mdGBM cells. We speculate that tumor cells, although they might be in a differentiation pathway, never fully acquire a final, normal differentiated phenotype—due to the innumerous transformations they have incurred. Furthermore, the similar pattern, presented by the primary culture GBM011, to the behavior of well established cell lines suggests that Nodal protein can display an innovative marker on primary culture and biopsies analysis. However, tumor heterogeneity, especially in GBM, consists in a possible limitation for the accuracy of this approach. It would be necessary to not exclude the possibility of the subpopulation taken in the sample be precisely the more differentiated subpopulation. Thus, multiple markers would consist on a foremost solution. Still, since Nodal has been correlated to cancer aggressiveness and resistance [6, 8, 10, 11], its verification in such samples would indicate the differentiation state and, consequently, improve prognosis.

Taken together, our results indicate for the first time that Nodal is consistently involved in GBM differentiation, since it is highly expressed in GBMsc and downregulated in mdGBM cells. Dedifferentiated GBM cells upregulate Nodal further supporting this hypothesis. This dynamics displayed by Nodal is tightly connected to the endocytic pathway in which Nodal is inserted. Our results also shed light on a new approach to evaluate GBM differentiation by analyzing Nodal protein subcellular distribution, shedding light on the molecular pathways that might emerge as putative targets for GBM therapy.





transforming growth factor-β


GBM stem cells


more differentiated GBM


Universidade Federal do Rio de Janeiro


fetal serum bovine


conditioned medium


standard deviation


Authors’ contributions

Conceived and designed the experiments: MCON SAK LC FL VMN KC. Performed the experiments: MCON SAK ALOB. Analyzed the data: MCON SAK GV WQ JMB KC. Contributed reagents/materials/analysis tools: LGD TCLSS GV LC WQ JMB FL VMN KC. Wrote the paper: MCON SAK WQ FL VMN KC. All authors read and approved the final manuscript.


This work was supported by National Institute for Translational Neuroscience (INNT) from Ministry of Science and Technology; Brazilian Federal Agency for the Support and Evaluation of Graduate Education (CAPES) from the Ministry of Education; National Council for Technological and Scientific Development (CNPq); Rio de Janeiro State Research Foundation (FAPERJ); Ary Frauzino Foundation to Cancer Research and PhD program on Morphological Sciences (PCM) from the Federal University of Rio de Janeiro (UFRJ); PEW Foundation; Fundação Ary Frauzino do Câncer; Pró-Saúde Associação Beneficiente de Assistência Social e Hospitalar.

Availability of data and materials

All relevant data are within the paper and its Supporting Information files.

Competing interests

The authors declare that they have no competing interests.

Ethics approval

The experiments with human cells were regulated by the license MS, CONEP 2340.


This work was supported by Brazilian Federal Agency for the Support and Evaluation of Graduate Education (CAPES) from the Ministry of Education for Fellowship; National Council for Technological and Scientific Development (CNPq); Rio de Janeiro State Research Foundation (FAPERJ); PEW Foundation; Fundação Ary Frauzino do Câncer; Pró-Saúde Associação Beneficiente de Assistência Social e Hospitalar. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

Authors’ Affiliations

Institute of Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
Institute for Stem Cell Biology and Regenerative Medicine, Stanford University, Stanford, USA
Institute of Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
Instituto Estadual do Cérebro Paulo Niemeyer (IECPN), Rio de Janeiro, Brazil
Institute of Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
Institute of Biomedical Sciences, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil


  1. Levin M, Johnson RL, Stern CD, Kuehn M, Tabin C. A molecular pathway determining left-right asymmetry in chick embryogenesis. Cell. 1995;82:803–14.View ArticlePubMedGoogle Scholar
  2. Levin M, Pagan S, Roberts DJ, Cooke J, Kuehn MR, Tabin CJ. Left/right patterning signals and the independent regulation of different aspects of situs in the chick embryo. Dev Biol. 1997;189:57–67.View ArticlePubMedGoogle Scholar
  3. Carneiro K, Donnet C, Rejtar T, Karger BL, Barisone GA, Diaz E, Kortagere S, Lemire JM, Levin M. Histone deacetylase activity is necessary for left-right patterning during vertebrate development. BMC Dev Biol. 2011;11:29.View ArticlePubMedPubMed CentralGoogle Scholar
  4. Galvin-Burgess KE, Travis ED, Pierson KE, Vivian JL. TGF-beta-superfamily signaling regulates embryonic stem cell heterogeneity: self-renewal as a dynamic and regulated equilibrium. Stem Cells. 2013;31:48–58.View ArticlePubMedPubMed CentralGoogle Scholar
  5. James D, Levine AJ, Besser D, Hemmati-Brivanlou A. TGFbeta/activin/nodal signaling is necessary for the maintenance of pluripotency in human embryonic stem cells. Development. 2005;132:1273–82.View ArticlePubMedGoogle Scholar
  6. Strizzi L, Hardy KM, Margaryan NV, Hillman DW, Seftor EA, Chen B, Geiger XJ, Thompson EA, Lingle WL, Andorfer CA, Perez EA, Hendrix MJ. Potential for the embryonic morphogen Nodal as a prognostic and predictive biomarker in breast cancer. Breast Cancer Res. 2012;14:R75.View ArticlePubMedPubMed CentralGoogle Scholar
  7. Vo BT, Khan SA. Expression of nodal and nodal receptors in prostate stem cells and prostate cancer cells: autocrine effects on cell proliferation and migration. Prostate. 2011;71:1084–96.View ArticlePubMedPubMed CentralGoogle Scholar
  8. Hueng DY, Lin GJ, Huang SH, Liu LW, Ju DT, Chen YW, Sytwu HK, Chang C, Huang SM, Yeh YS, Lee HM, Ma HI. Inhibition of Nodal suppresses angiogenesis and growth of human gliomas. J Neurooncol. 2011;104:21–31.View ArticlePubMedGoogle Scholar
  9. McAllister JC, Zhan Q, Weishaupt C, Hsu MY, Murphy GF. The embryonic morphogen, nodal, is associated with channel-like structures in human malignant melanoma xenografts. J Cutan Pathol. 2010;37(Suppl 1):19–25.View ArticlePubMedPubMed CentralGoogle Scholar
  10. Strizzi L, Hardy KM, Kirsammer GT, Gerami P, Hendrix MJ. Embryonic signaling in melanoma: potential for diagnosis and therapy. Lab Invest. 2011;91:819–24.View ArticlePubMedPubMed CentralGoogle Scholar
  11. Topczewska JM, Postovit LM, Margaryan NV, Sam A, Hess AR, Wheaton WW, Nickoloff BJ, Topczewski J, Hendrix MJ. Embryonic and tumorigenic pathways converge via Nodal signaling: role in melanoma aggressiveness. Nat Med. 2006;12:925–32.View ArticlePubMedGoogle Scholar
  12. Xu G, Zhong Y, Munir S, Yang BB, Tsang BK, Peng C. Nodal induces apoptosis and inhibits proliferation in human epithelial ovarian cancer cells via activin receptor-like kinase 7. J Clin Endocrinol Metab. 2004;89:5523–34.View ArticlePubMedGoogle Scholar
  13. Xu G, Zhou H, Wang Q, Auersperg N, Peng C. Activin receptor-like kinase 7 induces apoptosis through up-regulation of Bax and down-regulation of Xiap in normal and malignant ovarian epithelial cell lines. Mol Cancer Res. 2006;4:235–46.View ArticlePubMedGoogle Scholar
  14. Ye G, Fu G, Cui S, Zhao S, Bernaudo S, Bai Y, Ding Y, Zhang Y, Yang BB, Peng C. MicroRNA 376c enhances ovarian cancer cell survival by targeting activin receptor-like kinase 7: implications for chemoresistance. J Cell Sci. 2011;124:359–68.View ArticlePubMedGoogle Scholar
  15. Zhong Y, Xu G, Ye G, Lee D, Modica-Amore J, Peng C. Nodal and activin receptor-like kinase 7 induce apoptosis in human breast cancer cell lines: role of caspase 3. Int J Physiol Pathophysiol Pharmacol. 2009;1:83–96.PubMedPubMed CentralGoogle Scholar
  16. Alves TR, Lima FR, Kahn SA, Lobo D, Dubois LG, Soletti R, Borges H, Neto VM. Glioblastoma cells: a heterogeneous and fatal tumor interacting with the parenchyma. Life Sci. 2011;89:532–9.View ArticlePubMedGoogle Scholar
  17. Lima FR, Kahn SA, Soletti RC, Biasoli D, Alves T, da Fonseca AC, Garcia C, Romao L, Brito J, Holanda-Afonso R, Faria J, Borges H, Moura-Neto V. Glioblastoma: therapeutic challenges, what lies ahead. Biochim Biophys Acta. 1826;2012:338–49.Google Scholar
  18. Maher EA, Furnari FB, Bachoo RM, Rowitch DH, Louis DN, Cavenee WK, DePinho RA. Malignant glioma: genetics and biology of a grave matter. Genes Dev. 2001;15:1311–33.View ArticlePubMedGoogle Scholar
  19. Hadjipanayis CG, Van Meir EG. Brain cancer propagating cells: biology, genetics and targeted therapies. Trends Mol Med. 2009;15:519–30.View ArticlePubMedPubMed CentralGoogle Scholar
  20. Galli R, Binda E, Orfanelli U, Cipelletti B, Gritti A, De Vitis S, Fiocco R, Foroni C, Dimeco F, Vescovi A. Isolation and characterization of tumorigenic, stem-like neural precursors from human glioblastoma. Cancer Res. 2004;64:7011–21.View ArticlePubMedGoogle Scholar
  21. Singh SK, Hawkins C, Clarke ID, Squire JA, Bayani J, Hide T, Henkelman RM, Cusimano MD, Dirks PB. Identification of human brain tumour initiating cells. Nature. 2004;432:396–401.View ArticlePubMedGoogle Scholar
  22. Persano L, Rampazzo E, Basso G, Viola G. Glioblastoma cancer stem cells: role of the microenvironment and therapeutic targeting. Biochem Pharmacol. 2013;85:612–22.View ArticlePubMedGoogle Scholar
  23. Bao S, Wu Q, McLendon RE, Hao Y, Shi Q, Hjelmeland AB, Dewhirst MW, Bigner DD, Rich JN. Glioma stem cells promote radioresistance by preferential activation of the DNA damage response. Nature. 2006;444:756–60.View ArticlePubMedGoogle Scholar
  24. Diehn M, Cho RW, Lobo NA, Kalisky T, Dorie MJ, Kulp AN, Qian D, Lam JS, Ailles LE, Wong M, Joshua B, Kaplan MJ, Wapnir I, Dirbas FM, Somlo G, Garberoglio C, Paz B, Shen J, Lau SK, Quake SR, Brown JM, Weissman IL, Clarke MF. Association of reactive oxygen species levels and radioresistance in cancer stem cells. Nature. 2009;458:780–3.View ArticlePubMedPubMed CentralGoogle Scholar
  25. Dean M, Fojo T, Bates S. Tumour stem cells and drug resistance. Nat Rev Cancer. 2005;5:275–84.View ArticlePubMedGoogle Scholar
  26. Kahn SA, Biasoli D, Garcia C, Geraldo LH, Pontes B, Sobrinho M, Frauches AC, Romao L, Soletti RC, Assuncao Fdos S, Tovar-Moll F, de Souza JM, Lima FR, Anderluh G, Moura-neto V. Equinatoxin II potentiates temozolomide- and etoposide-induced glioblastoma cell death. Curr Top Med Chem. 2012;12:2082–93.View ArticlePubMedGoogle Scholar
  27. Faria J, Romao L, Martins S, Alves T, Mendes FA, de Faria GP, Hollanda R, Takiya C, Chimelli L, Morandi V, de Souza JM, Abreu JG. Moura Neto V. Interactive properties of human glioblastoma cells with brain neurons in culture and neuronal modulation of glial laminin organization. Differentiation. 2006;74:562–72.View ArticlePubMedGoogle Scholar
  28. Biasoli D, Kahn SA, Cornelio TA, Furtado M, Campanati L, Chneiweiss H, Moura-Neto V, Borges HL. Retinoblastoma protein regulates the crosstalk between autophagy and apoptosis, and favors glioblastoma resistance to etoposide. Cell Death Dis. 2013;4:e767.View ArticlePubMedPubMed CentralGoogle Scholar
  29. Chinnaiyan P, Wang M, Rojiani AM, Tofilon PJ, Chakravarti A, Ang KK, Zhang HZ, Hammond E, Curran W Jr, Mehta MP. The prognostic value of nestin expression in newly diagnosed glioblastoma: report from the Radiation Therapy Oncology Group. Radiat Oncol. 2008;3:32.View ArticlePubMedPubMed CentralGoogle Scholar
  30. Blanchet MH, Le Good JA, Oorschot V, Baflast S, Minchiotti G, Klumperman J, Constam DB. Cripto localizes Nodal at the limiting membrane of early endosomes. Sci Signal. 2008;1:ra13.View ArticlePubMedGoogle Scholar
  31. Ng EL, Gan BQ, Ng F, Tang BL. Rab GTPases regulating receptor trafficking at the late endosome-lysosome membranes. Cell Biochem Funct. 2012;30:515–23.View ArticlePubMedGoogle Scholar
  32. Huotari J, Helenius A. Endosome maturation. EMBO J. 2011;30:3481–500.View ArticlePubMedPubMed CentralGoogle Scholar
  33. Sandri C, Caccavari F, Valdembri D, Camillo C, Veltel S, Santambrogio M, Lanzetti L, Bussolino F, Ivaska J, Serini G. The R-Ras/RIN2/Rab5 complex controls endothelial cell adhesion and morphogenesis via active integrin endocytosis and Rac signaling. Cell Res. 2012;22:1479–501.View ArticlePubMedPubMed CentralGoogle Scholar
  34. Frittoli E, Palamidessi A, Marighetti P, Confalonieri S, Bianchi F, Malinverno C, Mazzarol G, Viale G, Martin-Padura I, Garre M, Parazzoli D, Mattei V, Cortellino S, Bertalot G, Di Fiore PP, Scita G. A RAB5/RAB4 recycling circuitry induces a proteolytic invasive program and promotes tumor dissemination. J Cell Biol. 2014;206:307–28.View ArticlePubMedPubMed CentralGoogle Scholar
  35. Torres VA. Rab’ing tumor cell migration and invasion: focal adhesion disassembly driven by Rab5. Cell Adh Migr. 2014;8:84–7.View ArticlePubMedPubMed CentralGoogle Scholar
  36. Mellman I, Yarden Y. Endocytosis and cancer. Cold Spring Harb Perspect Biol. 2013;5:a016949.View ArticlePubMedPubMed CentralGoogle Scholar
  37. Shen MM. Nodal signaling: developmental roles and regulation. Development. 2007;134:1023–34.View ArticlePubMedGoogle Scholar
  38. Zhang M, Chen L, Wang S, Wang T. Rab7: roles in membrane trafficking and disease. Biosci Rep. 2009;29:193–209.View ArticlePubMedGoogle Scholar
  39. Vallier L, Reynolds D, Pedersen RA. Nodal inhibits differentiation of human embryonic stem cells along the neuroectodermal default pathway. Dev Biol. 2004;275:403–21.View ArticlePubMedGoogle Scholar


© The Author(s) 2016