Expression of N-cadherin and -catenin in human meningioma in correlation with peritumoral edema

Expression of N-cadherin and -catenin in human meningioma in correlation with peritumoral edema
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DOI:
10.1080/00207454.2018.1424153
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发表时间:
2018-01-01
影响因子:
2.2
通讯作者:
Reszec, Joanna
Reszec, Joanna
中科院分区:
医学4区
文献类型:
--
作者:
Rutkowski, Robert;Chrzanowski, Robert;Reszec, Joanna

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目的:分析-catenin和N-cadherin在脑膜瘤中的表达,探讨其与瘤周脑水肿(PTBE)的关系。材料与方法:研究组由154例颅内脑膜瘤患者组成,分为低级别组(G1)和高级别组(G2或G3)。采用Steinhoff分类法将PTBE分为4组(0、I、II、III)。分析N-cadherin、-catenin的表达,并根据免疫反应性阳性率进行分级。结果进行统计学分析。结果:低级别脑膜瘤104例,高级别脑膜瘤50例。103例(66.8%)出现PTBE,其中ⅰ级57例,ⅱ级44例,ⅲ级2例。低级别组50例(48.1%)仅在肿瘤细胞膜上发现N-cadherin阳性表达,高级别组34例(68%)。在低级别脑膜瘤中,54例(51.9%)在细胞质和细胞核内观察到-catenin表达。在高级别脑膜瘤中,33例(66%)肿瘤仅在细胞核内表达-catenin。PTBE I级36例,II级28例,III级2例均有N-cadherin表达。-catenin在PTBE I级40例,II级24例,III级2例中表达。结果具有统计学意义。结论:N-cadherin在高级别脑膜瘤组中表达显著。-catenin在细胞核中表达最明显,细胞质中表达最明显。PTBE的程度与N-cadherin和-catenin的表达相关,在高级别脑膜瘤组中表现最为突出。
Objective: To analyze the expression of -catenin and N-cadherin in large series of meningioma cases and to investigate their correlation with peritumoral brain edema (PTBE). Materials and methods: Study group consists of 154 patients diagnosed with intracranial meningioma divided into: low-grade (G1) and high-grade (G2 or G3) group. PTBE was graded into four groups (0, I, II, III) using Steinhoff classification. The expression of N-cadherin, -catenin was analyzed and graded based on the positive ratio of immunoreactivity. The results were analyzed statistically. Results: 104 cases were low-grade and 50 high-grade meningiomas. PTBE was observed in 103(66.8 %) cases: 57 grade I, 44 grade II and 2 grade III. Positive N-cadherin expression was found only in the membrane of the neoplastic cells in 50(48.1%) cases of low-grade, and in 34(68%) of high-grade group. In low-grade meningioma, -catenin expression was observed within the cytoplasm and nucleus in 54(51.9%) cases. In high-grade meningiomas, -catenin expression was observed in 33(66%) tumors only within the nucleus. N-cadherin expression was observed in 36 cases with PTBE grade I, 28 with grade II and 2 with grade III. -catenin expression was observed in 40 cases with PTBE grade I, 24 with grade II and 2 with grade III. The results were statistically significant. Conclusions: Significant N-cadherin expression especially in high-grade meningioma group was found. -catenin expression was the most evident in the nucleus rather than in cytoplasm. The degree of PTBE correlated with the N-cadherin and -catenin expression and was the most prominent in high-grade meningioma group.