Phospholipid extracts from 48 intracranial tumors were analyzed using
P-31 NMR. Phospholipids commonly identified in the tumor spectra inclu
ded phosphatidylglycerol (PG), phosphatidic acid (PA), diphosphatidylg
lycerol (DPG), uncharacterized phospholipid (U), ethanolamine plasmalo
gen (EPLAS), phosphatidylethanolamine (PE), phosphatidylserine (PS), s
phingomyelin (SM), lysophosphatidylcholine (LPC), phosphatidylinositol
(PI), a choline phospholipid (CPLIP), and phosphatidylcholine (PC), D
ifferences in the mean relative mole-percentage of phosphorus concentr
ations of individual phospholipids were used to differentiate among tu
mors. Neural sheath tumors (neurilemmoma, neurofibroma and fibrosarcom
a) were noted to contain significantly elevated levels of SM relative
to tumors of neural glial origin and individually, glioblastoma multif
orme was noted to contain depressed levels of SM relative to neurilemm
oma, neurofibroma and meningioma. Significantly decreased levels of PA
were noted for glioblastoma relative to neurilemmoma along with signi
ficantly decreased levels of PE relative to meningioma. Elevated level
s of LPC and CPLIP were seen in glioblastoma multiforme relative to me
ningioma. Additional findings included elevated levels of PC for gliob
lastoma multiforme relative to neurofibroma, and neurilemmoma was diff
erentiated from neurofibroma with elevated levels of PA and depressed
levels of PI. P-31 NMR phospholipid analysis provides supplemental bio
chemical information which may be used to improve the interpretation o
f spectra acquired in vivo, and reveals important tumor-specific bioch
emical information which may further improve the understanding of the
biological behavior of intracranial tumors.