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ODC mRNA as a prognostic factor for predicting recurrence in meningiomas
A Klekner1, A G Röhn, G Schillinger
1Department of Neurosurgery, University of Cologne, Germany.
Ornithine decarboxylase (ODC) mRNA levels may predict meningioma recurrence. Higher ODC mRNA in primary tumors correlated with later recurrence, suggesting its potential as a prognostic marker.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Biochemistry
Background:
- Ornithine decarboxylase (ODC) activity increases in proliferating neoplastic cells.
- ODC activation is observed in various brain tumors, including meningiomas.
- Investigating ODC gene expression in meningiomas is crucial for understanding tumor behavior.
Purpose of the Study:
- To investigate ornithine decarboxylase (ODC) gene expression at the transcriptional level in primary and recurrent meningiomas.
- To correlate ODC mRNA levels and activity with tumor recurrence and proliferation markers.
- To determine if ODC mRNA can serve as a prognostic factor for meningioma recurrence.
Main Methods:
- Quantification of ODC mRNA, ODC activity, mitosis count, and Ki-67 index in three meningioma groups: non-recurrent, recurrent, and their corresponding recurrent tumors.
- Statistical analysis to compare ODC mRNA levels and activity between groups.
- Median follow-up periods of 8.4 years for non-recurrent and 3.0 years for recurrent tumors were recorded.
Main Results:
- ODC mRNA levels were significantly higher in meningiomas with later recurrence compared to non-recurrent tumors (p < 0.01).
- ODC mRNA levels declined in recurrent tumors compared to their primary counterparts (p < 0.001).
- ODC activity increased significantly in recurrent tumors versus primary tumors (p < 0.001), while the Ki-67 index also showed a significant increase in recurrent tumors (p < 0.001).
Conclusions:
- ODC mRNA levels may serve as a prognostic factor for predicting meningioma recurrence.
- The findings highlight the role of ODC in meningioma progression and recurrence.
- Further research is warranted to validate ODC mRNA as a reliable biomarker for meningioma prognosis.
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