Expression of HLA-DR genes in gliomas: correlation with clinicopathological features and prognosis

来源 :中华神经外科杂志(英文) | 被引量 : 0次 | 上传用户:yanjiawei2005
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background: Human leukocyte antigen (HLA)-DR is a classical major histocompatibility complex (MHC) class II molecule encoded by five genes: HLA-DRA, HLA-DRB1, HLA-DRB3, HLA-DRB4 and HLA-DRB5. The current study aimed to investigate the role of these genes in gliomas by analyzing microarray data. Methods: We enrolled 305 patients with histologically confirmed gliomas, and performed microarray data analysis along with studying their clinical characteristics. A new variable, termed HLA-DR score, was defined to explain the expression information of all five HLA-DR genes by factor analysis. HLA-DR scores in each grade of glioma and normal brain tissue were compared using one-way ANOVA. Lastly, correlations of HLA-DR scores with progression-free survival (PFS) and overall survival (OS) were analyzed with Kaplan-Meier and Cox analysis. Results: Our study indicated that an increased HLA-DR score, i.e. overexpression of HLA-DR genes, was correlated with a more aggressive glioma tumor grade (p < 0.001, One-way ANOVA). Moreover, the HLA-DR score was significantly higher in astrocytic tumors than oligodendroglial tumors (?0.718 ± 3.177 versus ?2.975 ± 2.662, t-test) in low-grade gliomas (LGGs). Kaplan-Meier analysis of both PFS (p = 0.046, log-rank test; p = 0.021, Breslow test) and OS (p = 0.029, Breslow test) showed significant differences in the clinical outcomes between LGG patients with high versus low HLA-DR scores. Finally, the HLA-DR score was further identified to be an independent prognostic factor of clinical outcomes by multivariate analysis (p = 0.042 and p = 0.025, for PFS and OS, respectively) in LGG patients. Conclusion: Expression of HLA-DR genes can be used to predict the tumor grade in gliomas, and the histological subtype in LGG. Furthermore, they are also an independent predictor for LGG patient survival.
其他文献
Background: The information about paediatric meningiomas is poor. The purpose of this study was to review the clinical characteristic, treatment considerations
随着光纤通信、卫星通信、移动通信等技术的快速发展,人们已经进入到了数字电视时代,电视信号从原来的模拟信号转变为数字信号,提高了电视节目的传输质量,能够为用户提供高清
就在当前国内经济依然面临下行压力的形势下,诸多传统产业在为淘汰落后过剩产能、产业升级而挣扎,仍在冬天里徘徊.而作为我国战略新兴产业的光伏产业历经3年严冬,在国家政策
期刊
目前,全世界用于人表皮生长因子受体(human epidermal growth fator receptor,HER)-2/neu 基因的检测方法很多,主要有免疫组织化学法(immuno-histochemistry,IHC)、酶联免疫法(e
针对采用LCL滤波器的三相并网逆变器,首先进行理论分析并建立数学模型,然后提出一种直接电流双环控制策略并对其稳定性进行分析.对LCL滤波器进行设计分析,并给出参数设计的约
随着我国社会的快速发展和经济的稳步提升,我国的测绘系统研究也迎来了新的发展空间,其中测绘设备的先进性的提升,也是我国的测绘学取得的巨大进步的具体体现之一.开展ADS 80