Prognostic Role of Invasion-Related Extracellular Matrix Molecules in Diffusely Infiltrating Grade 2 and 3 Astrocytomas

Background: Astrocytoma, an IDH-mutant is a common primary brain tumor. Total surgical resection is not feasible due to peritumoral infiltration mediated by extracellular matrix (ECM) molecules. Methods: This study aimed at determining the expression pattern of ECM molecules in different prognostic...

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Main Authors: László Szivos, József Virga, Zoltán Mészár, Melinda Rostás, Andrea Bakó, Gábor Zahuczki, Tibor Hortobágyi, Álmos Klekner
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/14/11/1157
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author László Szivos
József Virga
Zoltán Mészár
Melinda Rostás
Andrea Bakó
Gábor Zahuczki
Tibor Hortobágyi
Álmos Klekner
author_facet László Szivos
József Virga
Zoltán Mészár
Melinda Rostás
Andrea Bakó
Gábor Zahuczki
Tibor Hortobágyi
Álmos Klekner
author_sort László Szivos
collection DOAJ
description Background: Astrocytoma, an IDH-mutant is a common primary brain tumor. Total surgical resection is not feasible due to peritumoral infiltration mediated by extracellular matrix (ECM) molecules. Methods: This study aimed at determining the expression pattern of ECM molecules in different prognostic groups of WHO grade 2 and grade 3 patients and identifying the effect of onco-radiotherapy on tumor cell invasion of grade 3 patients. Gene and protein expression of ECM molecules was determined by qRT-PCR and immunohistochemistry, respectively. Results: In the different prognostic groups of grade 2 tumors HMMR, IDH-1, MKI-67, PDGF-A and versican, in grade 3 tumors integrin α-3, and in both groups integrin α-3 and IDH-1 mRNA expression was significantly different. Regarding protein expression, only integrin αV expression changed significantly in the prognostic groups of grade 2 tumors. Conclusions: Based on the invasion spectrum determined by this joint gene and protein expression analysis, there was a sensitivity of 87.5% and a negative predictive value of 88.9% regarding the different prognostic groups of grade 2 astrocytoma. For grade 3 tumors, the applied standard oncotherapeutic modalities apparently lacked significant anti-invasive effects.
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spelling doaj-art-de09ba9be3e44e0ca61801bb202cb3f22025-08-20T02:08:02ZengMDPI AGBrain Sciences2076-34252024-11-011411115710.3390/brainsci14111157Prognostic Role of Invasion-Related Extracellular Matrix Molecules in Diffusely Infiltrating Grade 2 and 3 AstrocytomasLászló Szivos0József Virga1Zoltán Mészár2Melinda Rostás3Andrea Bakó4Gábor Zahuczki5Tibor Hortobágyi6Álmos Klekner7Department of Neurosurgery, University of Debrecen, H-4032 Debrecen, HungaryDepartment of Neurosurgery, University of Debrecen, H-4032 Debrecen, HungaryDepartment of Anatomy, Histology and Embryology, University of Debrecen, H-4032 Debrecen, HungaryDepartment of Biochemistry and Molecular Biology, University of Debrecen, H-4032 Debrecen, HungaryDepartment of Oncology, University of Debrecen, H-4032 Debrecen, HungaryUD-GenoMed Medical Genomic Technologies Ltd., H-4032 Debrecen, HungaryDepartment of Neurology, University of Debrecen, H-4032 Debrecen, HungaryDepartment of Neurosurgery, University of Debrecen, H-4032 Debrecen, HungaryBackground: Astrocytoma, an IDH-mutant is a common primary brain tumor. Total surgical resection is not feasible due to peritumoral infiltration mediated by extracellular matrix (ECM) molecules. Methods: This study aimed at determining the expression pattern of ECM molecules in different prognostic groups of WHO grade 2 and grade 3 patients and identifying the effect of onco-radiotherapy on tumor cell invasion of grade 3 patients. Gene and protein expression of ECM molecules was determined by qRT-PCR and immunohistochemistry, respectively. Results: In the different prognostic groups of grade 2 tumors HMMR, IDH-1, MKI-67, PDGF-A and versican, in grade 3 tumors integrin α-3, and in both groups integrin α-3 and IDH-1 mRNA expression was significantly different. Regarding protein expression, only integrin αV expression changed significantly in the prognostic groups of grade 2 tumors. Conclusions: Based on the invasion spectrum determined by this joint gene and protein expression analysis, there was a sensitivity of 87.5% and a negative predictive value of 88.9% regarding the different prognostic groups of grade 2 astrocytoma. For grade 3 tumors, the applied standard oncotherapeutic modalities apparently lacked significant anti-invasive effects.https://www.mdpi.com/2076-3425/14/11/1157peritumoral infiltrationastrocytomainvasion spectrumextracellular matrixprognostic factor
spellingShingle László Szivos
József Virga
Zoltán Mészár
Melinda Rostás
Andrea Bakó
Gábor Zahuczki
Tibor Hortobágyi
Álmos Klekner
Prognostic Role of Invasion-Related Extracellular Matrix Molecules in Diffusely Infiltrating Grade 2 and 3 Astrocytomas
Brain Sciences
peritumoral infiltration
astrocytoma
invasion spectrum
extracellular matrix
prognostic factor
title Prognostic Role of Invasion-Related Extracellular Matrix Molecules in Diffusely Infiltrating Grade 2 and 3 Astrocytomas
title_full Prognostic Role of Invasion-Related Extracellular Matrix Molecules in Diffusely Infiltrating Grade 2 and 3 Astrocytomas
title_fullStr Prognostic Role of Invasion-Related Extracellular Matrix Molecules in Diffusely Infiltrating Grade 2 and 3 Astrocytomas
title_full_unstemmed Prognostic Role of Invasion-Related Extracellular Matrix Molecules in Diffusely Infiltrating Grade 2 and 3 Astrocytomas
title_short Prognostic Role of Invasion-Related Extracellular Matrix Molecules in Diffusely Infiltrating Grade 2 and 3 Astrocytomas
title_sort prognostic role of invasion related extracellular matrix molecules in diffusely infiltrating grade 2 and 3 astrocytomas
topic peritumoral infiltration
astrocytoma
invasion spectrum
extracellular matrix
prognostic factor
url https://www.mdpi.com/2076-3425/14/11/1157
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