“…The molecular changes that occur in SEGAs may be distinct from other TSC lesions and could account for their often relentless growth. In a recent study, gene array analysis in SEGAs identified numerous differentially expressed genes, in particular secreted frizzled-related protein 4, lactotransferrin, glycoprotein (transmembrane) nmb, annexin A1, Rho family GTPase 3, and S100 calcium binding protein a11 (Tyburczy et al, 2010). Another study using cDNA array and immunohistochemical analysis showed that epidermal growth factor (EGF), EGF receptor (EGFR), hepatocyte growth factor, c-Met, and vascular endothelial growth factor (VEGF), but not Flt-1, mRNA, and protein expression was upregulated in Tsc1 conditional knockout mouse brain, and these alterations closely predicted enhanced expression of these proteins in SEGAs (Parker et al, 2011;Fig.…”