The members of the neurotrophin family play key biological roles in th
e development of the nervous system. Based on studies initially in cel
l lines (e.g., the rat pheochromocytoma PC12 cells), neurotrophins hav
e been found to be important mediators of proliferation, differentiati
on, and survival in the normal brain, but their role in brain tumors r
emains unclear. Since neurotrophins and neurotrophin receptors are fre
quently detected in biopsy samples of central nervous system medullobl
astomas, efforts have been undertaken in several laboratories to eluci
date the potential effects of neurotrophins on the growth and differen
tiation of these tumors. Results from these studies may have both basi
c and clinical implications because medulloblastomas resemble embryoni
c neuroectodermal stem cells and/or their immature neuronal and glial
progeny. This review focuses on recent developments in our understandi
ng of the role of neurotrophins in medulloblastomas, especially the ab
ility of nerve growth factor to induce apoptosis in vitro in medullobl
astomas. (C) 1997 Wiley-Liss, Inc.