Rodríguez-Hernández Luis A, Navarro-Bonnet Jorge, Ortiz-Plata Alma, Gonzalez-Mosqueda Juan P, Martinez-Arellano Pablo, Calva-González Metztli, Sangrador-Deitos Marcos V, Mondragón-Soto Michel G, Lopez Mena Diego, Portocarrero-Ortiz Lesly
Neurological Surgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, MEX.
Neurological Surgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suarez, Mexico City, MEX.
Cureus. 2023 Jun 1;15(6):e39826. doi: 10.7759/cureus.39826. eCollection 2023 Jun.
Objectives Meningiomas (MNGs) are the most common intracranial tumors found in the adult population. While most intracranial MNGs may be surgically removed, a subset of patients remains ineligible for conventional treatment. This is either because of a lack of surgical access or due to atypical, anaplastic or invasive characteristics of the tumors. These patients may benefit from targeted therapies that focus on cell receptor expression. The aim of this study was to assess dopamine receptor (DR) and Ki-67 expression in the MGNs of patients treated with surgery in the Instituto Nacional de Neurología y Neurocirugía, Mexico. Materials and methods This study analyzed 23 patients with confirmed MNG diagnoses (10 female and 13 male (mean age: 44.5 years)) who had undergone surgical resection between 2010 and 2014 at our institution. In the collected samples, we performed analyses for Ki-67, Dopamine 1 and Dopamine 2 receptors' expression. Results For the markers Ki-67, DR-D1 and DR-D2, the mean percentual expressions were 18.9%, 23.02% and 8.33%. No significant correlation was found between the expressions of these receptors and the studied MNG characteristics. The expression index of Ki-67 showed a significant relation with mean age (p = 0.03) and prolactin levels (p = 0.02). Conclusions Samples showed varied expressions of the studied receptors. Despite the difference in expressions between the markers, more studies are needed to confirm the findings. In contrast to previous studies, we could not find any relationship between D2-R and tumor characteristics.
目的 脑膜瘤(MNGs)是成年人群中最常见的颅内肿瘤。虽然大多数颅内脑膜瘤可以通过手术切除,但仍有一部分患者不符合传统治疗条件。这要么是因为缺乏手术入路,要么是由于肿瘤具有非典型、间变性或侵袭性特征。这些患者可能受益于专注于细胞受体表达的靶向治疗。本研究的目的是评估墨西哥国立神经病学与神经外科学研究所接受手术治疗的患者脑膜瘤中多巴胺受体(DR)和Ki-67的表达。材料与方法 本研究分析了2010年至2014年在我们机构接受手术切除的23例确诊为脑膜瘤的患者(10例女性和13例男性,平均年龄:44.5岁)。在收集的样本中,我们对Ki-67、多巴胺1和多巴胺2受体的表达进行了分析。结果 对于Ki-67、DR-D1和DR-D2标记物,平均百分比表达分别为18.9%、23.02%和8.33%。这些受体的表达与所研究的脑膜瘤特征之间未发现显著相关性。Ki-67的表达指数与平均年龄(p = 0.03)和催乳素水平(p = 0.02)显示出显著关系。结论 样本显示所研究受体的表达各不相同。尽管标记物之间的表达存在差异,但仍需要更多研究来证实这些发现。与先前的研究不同,我们未发现D2-R与肿瘤特征之间存在任何关系。