Department of Pathology, GROW School for Oncology and Developmental Biology, Maastricht University Medical Centre, P. Debyelaan 25, Postbox 5800, 6202 AZ, Maastricht, The Netherlands.
Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Sci Rep. 2021 Aug 12;11(1):16432. doi: 10.1038/s41598-021-95956-x.
WHO grade I meningiomas occasionally show regrowth after radiosurgical treatment, which cannot be predicted by clinical features. There is increasing evidence that certain biomarkers are associated with regrowth of meningiomas. The aim of this retrospective study was to asses if these biomarkers could be of value to predict regrowth of WHO grade I meningiomas after additive radiosurgery. Forty-four patients with WHO grade I meningiomas who underwent additive radiosurgical treatment between 2002 and 2015 after Simpson IV resection were included in this study, of which 8 showed regrowth. Median follow-up time was 64 months (range 24-137 months). Tumors were analyzed for the proliferation marker Ki-67 by immunohistochemistry and for deletion of 1p36 by fluorescence in situ hybridization (FISH). Furthermore, genomic DNA was analyzed for promoter hypermethylation of the genes NDRG1-4, SFRP1, HOXA9 and MGMT. Comparison of meningiomas with and without regrowth after radiosurgery revealed that loss of 1p36 (p = 0.001) and hypermethylation of NDRG1 (p = 0.046) were correlated with regrowth free survival. Loss of 1p36 was the only parameter that was significantly associated with meningioma regrowth after multivariate analysis (p = 0.01). Assessment of 1p36 loss in tumor tissue prior to radiosurgery might be considered an indicator of prognosis/regrowth. However, this finding has to be validated in an independent larger set of tumors.
世卫组织一级脑膜瘤偶尔在放射外科治疗后会出现复发,而这种复发无法通过临床特征预测。越来越多的证据表明,某些生物标志物与脑膜瘤的复发有关。本回顾性研究的目的是评估这些生物标志物是否对预测世卫组织一级脑膜瘤在附加放射外科治疗后的复发有价值。本研究纳入了 44 例在 2002 年至 2015 年间接受了世卫组织一级脑膜瘤手术切除后附加放射外科治疗的患者,其中 8 例出现了复发。中位随访时间为 64 个月(范围 24-137 个月)。通过免疫组织化学分析肿瘤的增殖标志物 Ki-67,并通过荧光原位杂交(FISH)分析 1p36 的缺失。此外,还对基因 NDRG1-4、SFRP1、HOXA9 和 MGMT 的启动子超甲基化进行了基因组 DNA 分析。对放射外科治疗后有无复发的脑膜瘤进行比较,结果显示 1p36 缺失(p=0.001)和 NDRG1 超甲基化(p=0.046)与无复发生存相关。多变量分析显示,1p36 缺失是与脑膜瘤复发唯一显著相关的参数(p=0.01)。在放射外科治疗前评估肿瘤组织中的 1p36 缺失可以被认为是预后/复发的一个指标。然而,这一发现需要在更大的独立肿瘤样本中进行验证。
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