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Published on: June 23, 2023
Expression of autocrine motility factor mRNA is a poor prognostic factor in high-grade astrocytoma
Yoshinori Tanizaki1, Yuichi Sato, Hidehiro Oka
1Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan. tanizaki@med.kitasato-u.ac.jp
Abstract:
It has been reported that tumor infiltration is correlated with the expression of autocrine motility factor (AMF) and its receptor 78 kDa glycoprotein (gp78). The purpose of the present study was to detect AMF and gp78 mRNA expression levels and their localization in high-grade astrocytomas (glioblastoma and anaplastic astrocytoma) and to determine whether AMF and gp78 are important prognostic factors. A total of 32 formalin-fixed and paraffin-embedded glioblastomas and 23 formalin-fixed and paraffin-embedded anaplastic astrocytomas was used. The expressions of AMF and gp78 mRNA were detected using the highly sensitive in situ hybridization method. The expression of AMF mRNA was detected in 27 of 32 glioblastomas (84.4%) and 11 of 23 anaplastic astrocytomas (47.8%). The positivity of AMF mRNA was significantly higher in glioblastomas than in anaplastic astrocytomas (P = 0.0094), but gp78 mRNA was detected in most cases and no statistical significance was observed. The overall survival of patients with AMF expression was significantly shorter than patients without AMF expression (P = 0.0175). In anaplastic astrocytomas, the overall survival of patients with AMF expression was also significantly shorter than in patients without AMF expression (P = 0.0058). This study demonstrated that AMF is a poor prognostic factor in high-grade astrocytomas.
Insights
Autocrine motility factor (AMF) is significantly elevated in high-grade astrocytomas, particularly glioblastomas. AMF expression is linked to shorter survival, identifying it as a poor prognostic factor in these brain tumors.
Area of Science:
- Neuro-oncology
- Molecular pathology
- Cancer biomarkers
Background:
- Tumor infiltration in astrocytomas correlates with autocrine motility factor (AMF) and its receptor gp78 expression.
- Understanding AMF and gp78 roles is crucial for high-grade astrocytoma prognosis.
Purpose of the Study:
- To quantify AMF and gp78 mRNA expression and localization in high-grade astrocytomas.
- To evaluate AMF and gp78 as prognostic indicators in glioblastoma and anaplastic astrocytoma.
Main Methods:
- In situ hybridization was used to detect AMF and gp78 mRNA in 32 glioblastomas and 23 anaplastic astrocytomas.
- Formalin-fixed, paraffin-embedded tissue samples were analyzed.
Main Results:
- AMF mRNA was detected in 84.4% of glioblastomas and 47.8% of anaplastic astrocytomas, with significantly higher expression in glioblastomas (P=0.0094).
- gp78 mRNA was widely detected, but without statistical significance.
- Patients with AMF expression showed significantly shorter overall survival in both glioblastoma (P=0.0175) and anaplastic astrocytoma (P=0.0058) cohorts.
Conclusions:
- AMF mRNA expression is significantly higher in glioblastomas compared to anaplastic astrocytomas.
- AMF is identified as a significant poor prognostic factor for high-grade astrocytomas.
- Further research into AMF's role could inform therapeutic strategies for astrocytoma.
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