Department of Neurosurgery, the Second Affiliated Hospital of Shandong First Medical University, Tai'an, Shandong, China.
Department of Cardiology, the Second Affiliated Hospital of Shandong First Medical University, Tai'an, Shandong, China.
Clin Neurol Neurosurg. 2023 Apr;227:107665. doi: 10.1016/j.clineuro.2023.107665. Epub 2023 Mar 1.
Glioblastoma (GBM) is the most common and lethal primary brain tumor in adults. The treatment options of GBM are quite few and the prognosis of GBM is very dismal. Identifying the effective and prognostic biomarker is important for molecular classification and individual treatment of patients. CDC14 is a conserved dual specificity phosphatase functioning mainly in mitosis and DNA respiration. The expression and function of CDC14 family in tumor progression is still elusive.
In our study, we established a retrospective GBM cohort consisting of 135 patients who underwent the surgery and received standard treatment therapy. We compared the expression of CDC14A and CDC14B in GBM and tumor-adjacent tissues by retrieving data from TCGA and qPCR. With immunohistochemistry (IHC), we detected the expression of CDC14B in the cohort, and analyzed the correlation between CDC14B and clinicopathological factors by chi-square test. The significance of CDC14B on GBM recurrence and prognosis was assessed by univariate and multivariate analyses.
CDC14B, but not CDC14A, had a higher expression in GBM tissues than in tumor-adjacent tissues. High CDC14B was correlated with high progression-free survival (PFS) rate and overall survival (OS) rate of GBM. In the Cox-regression model, CDC14B was an independent and favorable biomarker indicating low risk of recurrence and GBM-related death.
High CDC14B is correlated with high GBM PFS and OS rate, and CDC14B is an independent biomarker of GBM, indicating low recurrence and favorable prognosis. Our study reveals a new biomarker of GBM which could indicate the recurrence and prognosis of GBM. This may help stratify the high-risk patients and modify the prognostic assessment based on molecular features.
胶质母细胞瘤(GBM)是成人中最常见和最致命的原发性脑肿瘤。GBM 的治疗选择很少,其预后非常差。确定有效的预后生物标志物对于患者的分子分类和个体化治疗非常重要。CDC14 是一种保守的双特异性磷酸酶,主要在有丝分裂和 DNA 呼吸中发挥作用。CDC14 家族在肿瘤进展中的表达和功能仍不清楚。
在我们的研究中,我们建立了一个回顾性 GBM 队列,包括 135 名接受手术和标准治疗的患者。我们通过从 TCGA 检索数据比较了 GBM 和肿瘤旁组织中 CDC14A 和 CDC14B 的表达,并通过 qPCR 进行了验证。通过免疫组织化学(IHC),我们检测了队列中 CDC14B 的表达,并通过卡方检验分析了 CDC14B 与临床病理因素的相关性。通过单变量和多变量分析评估了 CDC14B 对 GBM 复发和预后的意义。
CDC14B 而非 CDC14A 在 GBM 组织中的表达高于肿瘤旁组织。高 CDC14B 与 GBM 的无进展生存期(PFS)和总生存期(OS)率较高相关。在 Cox 回归模型中,CDC14B 是独立的有利预后生物标志物,表明复发风险低和与 GBM 相关的死亡风险低。
高 CDC14B 与 GBM 的 PFS 和 OS 率较高相关,CDC14B 是 GBM 的独立生物标志物,表明复发率低,预后良好。我们的研究揭示了 GBM 的一个新的生物标志物,可用于预测 GBM 的复发和预后。这可能有助于对高危患者进行分层,并根据分子特征修改预后评估。