Prognostic value of stem cell markers in glioblastoma

Biomarkers. 2019 Nov;24(7):677-683. doi: 10.1080/1354750X.2019.1652345. Epub 2019 Sep 8.

Abstract

Background/Context: Glioblastoma (GB) is the most common primary brain tumour in adults and it is associated with a high mortality rate. According to the stem cell theory, the growth, relapse and treatment response of GB is determined by the stem cell subpopulation present in the tumour. Objective: Our aim is to study the prognostic value of stem cell markers (CD44, Nestin, Olig2 and SOX2) in a series of homogeneously treated GBs. Material and methods: We study 280 GBs treated with STUPP acheme with a histologican review of the cases and TMA with a máximum of 4 spots for each case. Each slide was immunohistochemically stained and Reading. We compared the immunohistochemical results with survival tme. Results: Only SOX2 immunoexpression (IE) excedding 10% of the tumour cells was found to be related to good survival (p= 0.037) in univariate analysis. However, amultivariate analysis indicate the age, surgery and MGMT promotes methylation but no SOX2 IE are prognostic factors. Conclusions: We conclude the immunohistochemical studies of stem cell markers in GB are not useful for predicting prognosis in daily practice.

Keywords: CD44; Glioblastoma; Nestin; Olig2; SOX2; prognosis.

MeSH terms

  • Adult
  • Biomarkers, Tumor / analysis*
  • Female
  • Glioblastoma / diagnosis*
  • Glioblastoma / metabolism
  • Glioblastoma / pathology
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Prognosis
  • SOXB1 Transcription Factors / metabolism
  • Stem Cells / metabolism
  • Stem Cells / pathology*

Substances

  • Biomarkers, Tumor
  • SOX2 protein, human
  • SOXB1 Transcription Factors