Department of Laboratory Medicine, Suizhou Hospital, HuBei University of Medicine of the People's Republic of China, Suizhou, China.
Departments of Neurosurgery, Weifang Central Hospital, Weifang, China.
J Neurosurg Sci. 2024 Jun;68(3):320-326. doi: 10.23736/S0390-5616.22.05552-7. Epub 2022 Apr 5.
Glioblastoma (GBM) is the most frequent glioma in adults. The prognosis of GBM is very poor and new prognostic biomarkers are in urgent need to better select high-risk patients and guide the individual treatments.
In our study, we compared the expression of interleukin-17 receptor D (IL17RD) between GBMs and normal tissues from TCGA database, and detected IL17RD mRNA in 17 fresh GBM pairs with qPCR. With immunohistochemistry, we investigated the expression of IL17RD in 156 GBM tissues and further evaluated its clinical significance. The associations between IL17RD and clinicopathological factors were assessed by Chi-square test. The prognostic significance of IL17RD was evaluated by univariate analysis with Kaplan-Meier method, and by multivariate analysis with Cox-regression Hazard model.
The TPMs and mRNAs of IL17RD in GBM were substantially lower than those in normal brain tissues. The rates of low or high expression of IL17RD accounted for 41.67% and 58.33% respectively. IL17RD was significantly associated with higher survival rates of GBM. The 3-year overall survival rates of patients with low and high IL17RD were 7.2% and 19.5% respectively. In the Cox-regression model, the IL17RD expression was defined as an independent prognostic biomarker of GBM. Patients with high IL17RD expression had a more favorable outcome than those with low IL17RD.
High IL17RD expression was an independent prognostic indicator of GBM, suggesting a more favorable prognosis. Our results suggested that IL17RD detection may help find the high-risk patients which may receive more severe surveillance and more individual treatments.
胶质母细胞瘤(GBM)是成人中最常见的神经胶质瘤。GBM 的预后非常差,急需新的预后生物标志物来更好地选择高危患者并指导个体化治疗。
在本研究中,我们比较了 TCGA 数据库中 GBM 和正常组织中白细胞介素-17 受体 D(IL17RD)的表达,并通过 qPCR 检测了 17 对新鲜 GBM 配对样本中的 IL17RDmRNA。通过免疫组织化学方法,我们检测了 156 例 GBM 组织中 IL17RD 的表达,并进一步评估了其临床意义。通过卡方检验评估 IL17RD 与临床病理因素的相关性。通过 Kaplan-Meier 方法进行单因素分析,通过 Cox 回归风险模型进行多因素分析,评估 IL17RD 的预后意义。
GBM 中 IL17RD 的 TPMs 和 mRNAs 明显低于正常脑组织。IL17RD 低表达和高表达的比例分别为 41.67%和 58.33%。IL17RD 与 GBM 较高的生存率显著相关。IL17RD 低表达和高表达的患者 3 年总生存率分别为 7.2%和 19.5%。在 Cox 回归模型中,IL17RD 表达被定义为 GBM 的独立预后生物标志物。高 IL17RD 表达的患者预后较好。
高 IL17RD 表达是 GBM 的独立预后指标,提示预后较好。我们的研究结果表明,IL17RD 检测可能有助于发现高危患者,这些患者可能需要更严密的监测和更个体化的治疗。