WHO grade I meningiomas that show regrowth after gamma knife radiosurgery often show 1p36 loss

Abstract WHO grade I meningiomas occasionally show regrowth after radiosurgical treatment, which cannot be predicted by clinical features. There is increasing evidence that certain biomarkers are associated with regrowth of meningiomas. The aim of this retrospective study was to asses if these bioma...

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Autores principales: Pim J. J. Damen, Vincent J. Bulthuis, Patrick E. J. Hanssens, Suan Te Lie, Ruth Fleischeuer, Veerle Melotte, Kim A. Wouters, Andrea Ruland, Jan Beckervordersandforth, Ernst Jan M. Speel
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:2dc5a0c13c81421a87bc2d6145914b792021-12-02T18:50:59ZWHO grade I meningiomas that show regrowth after gamma knife radiosurgery often show 1p36 loss10.1038/s41598-021-95956-x2045-2322https://doaj.org/article/2dc5a0c13c81421a87bc2d6145914b792021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95956-xhttps://doaj.org/toc/2045-2322Abstract WHO grade I meningiomas occasionally show regrowth after radiosurgical treatment, which cannot be predicted by clinical features. There is increasing evidence that certain biomarkers are associated with regrowth of meningiomas. The aim of this retrospective study was to asses if these biomarkers could be of value to predict regrowth of WHO grade I meningiomas after additive radiosurgery. Forty-four patients with WHO grade I meningiomas who underwent additive radiosurgical treatment between 2002 and 2015 after Simpson IV resection were included in this study, of which 8 showed regrowth. Median follow-up time was 64 months (range 24–137 months). Tumors were analyzed for the proliferation marker Ki-67 by immunohistochemistry and for deletion of 1p36 by fluorescence in situ hybridization (FISH). Furthermore, genomic DNA was analyzed for promoter hypermethylation of the genes NDRG1–4, SFRP1, HOXA9 and MGMT. Comparison of meningiomas with and without regrowth after radiosurgery revealed that loss of 1p36 (p = 0.001) and hypermethylation of NDRG1 (p = 0.046) were correlated with regrowth free survival. Loss of 1p36 was the only parameter that was significantly associated with meningioma regrowth after multivariate analysis (p = 0.01). Assessment of 1p36 loss in tumor tissue prior to radiosurgery might be considered an indicator of prognosis/regrowth. However, this finding has to be validated in an independent larger set of tumors.Pim J. J. DamenVincent J. BulthuisPatrick E. J. HanssensSuan Te LieRuth FleischeuerVeerle MelotteKim A. WoutersAndrea RulandJan BeckervordersandforthErnst Jan M. SpeelNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Pim J. J. Damen
Vincent J. Bulthuis
Patrick E. J. Hanssens
Suan Te Lie
Ruth Fleischeuer
Veerle Melotte
Kim A. Wouters
Andrea Ruland
Jan Beckervordersandforth
Ernst Jan M. Speel
WHO grade I meningiomas that show regrowth after gamma knife radiosurgery often show 1p36 loss
description Abstract WHO grade I meningiomas occasionally show regrowth after radiosurgical treatment, which cannot be predicted by clinical features. There is increasing evidence that certain biomarkers are associated with regrowth of meningiomas. The aim of this retrospective study was to asses if these biomarkers could be of value to predict regrowth of WHO grade I meningiomas after additive radiosurgery. Forty-four patients with WHO grade I meningiomas who underwent additive radiosurgical treatment between 2002 and 2015 after Simpson IV resection were included in this study, of which 8 showed regrowth. Median follow-up time was 64 months (range 24–137 months). Tumors were analyzed for the proliferation marker Ki-67 by immunohistochemistry and for deletion of 1p36 by fluorescence in situ hybridization (FISH). Furthermore, genomic DNA was analyzed for promoter hypermethylation of the genes NDRG1–4, SFRP1, HOXA9 and MGMT. Comparison of meningiomas with and without regrowth after radiosurgery revealed that loss of 1p36 (p = 0.001) and hypermethylation of NDRG1 (p = 0.046) were correlated with regrowth free survival. Loss of 1p36 was the only parameter that was significantly associated with meningioma regrowth after multivariate analysis (p = 0.01). Assessment of 1p36 loss in tumor tissue prior to radiosurgery might be considered an indicator of prognosis/regrowth. However, this finding has to be validated in an independent larger set of tumors.
format article
author Pim J. J. Damen
Vincent J. Bulthuis
Patrick E. J. Hanssens
Suan Te Lie
Ruth Fleischeuer
Veerle Melotte
Kim A. Wouters
Andrea Ruland
Jan Beckervordersandforth
Ernst Jan M. Speel
author_facet Pim J. J. Damen
Vincent J. Bulthuis
Patrick E. J. Hanssens
Suan Te Lie
Ruth Fleischeuer
Veerle Melotte
Kim A. Wouters
Andrea Ruland
Jan Beckervordersandforth
Ernst Jan M. Speel
author_sort Pim J. J. Damen
title WHO grade I meningiomas that show regrowth after gamma knife radiosurgery often show 1p36 loss
title_short WHO grade I meningiomas that show regrowth after gamma knife radiosurgery often show 1p36 loss
title_full WHO grade I meningiomas that show regrowth after gamma knife radiosurgery often show 1p36 loss
title_fullStr WHO grade I meningiomas that show regrowth after gamma knife radiosurgery often show 1p36 loss
title_full_unstemmed WHO grade I meningiomas that show regrowth after gamma knife radiosurgery often show 1p36 loss
title_sort who grade i meningiomas that show regrowth after gamma knife radiosurgery often show 1p36 loss
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/2dc5a0c13c81421a87bc2d6145914b79
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