Suppr超能文献

慢性高血糖与颅内脑膜瘤。

Chronic hyperglycemia and intracranial meningiomas.

机构信息

Department of Neurosurgery, Clinical Hospital Dubrava, Zagreb, Croatia.

Department of Neurosurgery, University Hospital de la Princesa, Madrid, Spain.

出版信息

BMC Cancer. 2024 Apr 17;24(1):488. doi: 10.1186/s12885-024-12243-4.

Abstract

Meningiomas are among the most common primary tumors of the central nervous system. Previous research into the meningioma histological appearance, genetic markers, transcriptome and epigenetic landscape has revealed that benign meningiomas significantly differ in their glucose metabolism compared to aggressive lesions. However, a correlation between the systemic glucose metabolism and the metabolism of the tumor hasn't yet been found. We hypothesized that chronic levels of glycaemia (approximated with glycated hemoglobin (HbA1c)) are different in patients with aggressive and benign meningiomas. The study encompassed 71 patients with de novo intracranial meningiomas, operated on in three European hospitals, two in Croatia and one in Spain. Our results show that patients with WHO grade 2 meningiomas had significantly higher HbA1c values compared to patients with grade 1 lesions (P = 0.0290). We also found a significant number of patients (19/71; 26.7%) being hyperglycemic, harboring all the risks that such a condition entails. Finally, we found a significant correlation between our patients' age and their preoperative HbA1c levels (P = 0.0008, ρ(rho) = 0.388), suggesting that older meningioma patients are at a higher risk of having their glycaemia severely dysregulated. These findings are especially important considering the current routine and wide-spread use of corticosteroids as anti-edematous treatment. Further research in this area could lead to better understanding of meningiomas and have immediate clinical impact.

摘要

脑膜瘤是中枢神经系统最常见的原发性肿瘤之一。先前对脑膜瘤组织学表现、遗传标志物、转录组和表观遗传景观的研究表明,良性脑膜瘤的葡萄糖代谢与侵袭性病变有显著差异。然而,尚未发现全身葡萄糖代谢与肿瘤代谢之间的相关性。我们假设,侵袭性和良性脑膜瘤患者的慢性血糖水平(用糖化血红蛋白 (HbA1c) 来近似)存在差异。本研究纳入了 71 名新诊断的颅内脑膜瘤患者,这些患者在三家欧洲医院接受手术,其中两家在克罗地亚,一家在西班牙。我们的研究结果表明,WHO 分级 2 级脑膜瘤患者的 HbA1c 值明显高于 1 级病变患者(P=0.0290)。我们还发现了相当数量的(19/71;26.7%)高血糖患者,他们存在这种情况所带来的所有风险。最后,我们发现患者的年龄与术前 HbA1c 水平之间存在显著相关性(P=0.0008,ρ(rho)=0.388),表明年龄较大的脑膜瘤患者血糖严重失调的风险更高。考虑到目前皮质类固醇作为抗水肿治疗的常规和广泛应用,这些发现尤其重要。该领域的进一步研究可以加深对脑膜瘤的理解,并产生直接的临床影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e74/11022447/dce6365219ae/12885_2024_12243_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验