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Does the existence of HCMV components predict poor prognosis in glioma?
Daling Ding1, Sheng Han, Zixun Wang
1Department of Neurosurgery, The First Hospital of China Medical University, Nanjing Street 155, Heping District, Shenyang, 110001, China.
Abstract:
Human cytomegalovirus (HCMV) has been associated with malignant gliomas. The objective of the present study was to further investigate the existence and prognostic value of HCMV components in gliomas. Using immunohistochemical staining, HCMV proteins IE1-72 and pp65 were examined in 67 glioma specimens of various histologic grades, in comparison to 6 -control brain tissue samples. The HCMV DNA was measured in both the tumor tissues and the peripheral blood of the patients, using nested PCR. Kaplan-Meier analysis and Cox proportional hazards models were used to analyzed the prognostic value of HCMV components in glioma tissues. IE1-72 was detected in 76.1% (51/67) of glioma tissues, and pp65 was detected in 65.7% (44/67) of glioma tissues. HCMV DNA was detected in 52.2% (35/67) of glioma tissues and 29.9% (20/67) of peripheral blood samples of glioma patients. These HCMV components were not detected in control brain tissue. However, the existence of HCMV components showed no significant correlation with the prognosis of glioma patients. Our results demonstrate that although HCMV proteins and nucleic acids are present in gliomas, they do not correlate with the prognosis. The role of HCMV in gliomas needs to be carefully interpreted.
Insights
Human cytomegalovirus (HCMV) is present in gliomas, but its components do not impact patient prognosis. Further research is needed to understand HCMV's role in glioma development.
Area of Science:
- Neuro-oncology
- Virology
- Molecular pathology
Background:
- Malignant gliomas are aggressive brain tumors with poor prognoses.
- Human cytomegalovirus (HCMV) has been implicated in glioma pathogenesis.
- The precise role and prognostic significance of HCMV in gliomas remain unclear.
Purpose of the Study:
- To investigate the presence of HCMV proteins (IE1-72, pp65) and DNA in glioma tissues.
- To evaluate the prognostic value of detected HCMV components in glioma patients.
- To compare HCMV presence in glioma tissues versus control brain samples.
Main Methods:
- Immunohistochemical staining for HCMV proteins IE1-72 and pp65 in 67 glioma specimens.
- Nested PCR to detect HCMV DNA in tumor tissues and patient peripheral blood.
- Kaplan-Meier analysis and Cox proportional hazards models for prognostic evaluation.
Main Results:
- HCMV proteins IE1-72 (76.1%) and pp65 (65.7%) were frequently detected in gliomas.
- HCMV DNA was found in 52.2% of glioma tissues and 29.9% of peripheral blood samples.
- No significant correlation was observed between HCMV presence and glioma patient prognosis.
Conclusions:
- HCMV proteins and nucleic acids are prevalent in gliomas but do not serve as prognostic markers.
- The findings suggest a complex relationship between HCMV and gliomas that requires further investigation.
- The clinical relevance of HCMV in the context of malignant gliomas needs careful interpretation.
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