TY - JOUR
T1 - High levels of c-Met is associated with poor prognosis in glioblastoma
AU - Petterson, Stine Asferg
AU - Dahlrot, Rikke Hedegaard
AU - Hermansen, Simon Kjær
AU - K A Munthe, Sune
AU - Gundesen, Michael Tveden
AU - Wohlleben, Helle
AU - Rasmussen, Tine
AU - Beier, Christoph Patrick
AU - Hansen, Steinbjørn
AU - Kristensen, Bjarne Winther
PY - 2015/5
Y1 - 2015/5
N2 - The tyrosine kinase receptor c-Met has been suggested to be involved in crucial parts of glioma biology like tumor stemness, growth and invasion. The aim of this study was to investigate the prognostic value of c-Met in a population-based glioma patient cohort. Tissue samples from 238 patients with WHO grade I, II, III and IV tumors were analyzed using immunohistochemical staining and advanced image analysis. Strong c-Met expression was found in tumor cells, blood vessels, and peri-necrotic areas. At the subcellular level, c-Met was identified in the cytoplasm and in the cell membrane. Measurements of high c-Met intensity correlated with high WHO grade (p = 0.006) but no association with survival was observed in patients with WHO grade II (p = 0.09) or III (p = 0.17) tumors. High expression of c-Met was associated with shorter overall survival in patients with glioblastoma multiforme (p = 0.03). However the prognostic effect of c-Met in glioblastomas was time-dependent and only observed in patients who survived more than 8.5 months, and not within the first 8.5 months after diagnosis. This was significant in multivariate analysis (HR 1.99, 95 % CI 1.29-3.08, p = 0.002) adjusted for treatment and the clinical variables age (HR 1.01, 95 % CI 0.99-1.03, p = 0.30), performance status (HR 1.34, 95 % CI 1.17-1.53, p < 0.001), and tumor crossing midline (HR 1.28, 95 % CI 0.79-2.07, p = 0.29). In conclusion, this study showed that high levels of c-Met holds unfavorable prognostic value in glioblastomas.
AB - The tyrosine kinase receptor c-Met has been suggested to be involved in crucial parts of glioma biology like tumor stemness, growth and invasion. The aim of this study was to investigate the prognostic value of c-Met in a population-based glioma patient cohort. Tissue samples from 238 patients with WHO grade I, II, III and IV tumors were analyzed using immunohistochemical staining and advanced image analysis. Strong c-Met expression was found in tumor cells, blood vessels, and peri-necrotic areas. At the subcellular level, c-Met was identified in the cytoplasm and in the cell membrane. Measurements of high c-Met intensity correlated with high WHO grade (p = 0.006) but no association with survival was observed in patients with WHO grade II (p = 0.09) or III (p = 0.17) tumors. High expression of c-Met was associated with shorter overall survival in patients with glioblastoma multiforme (p = 0.03). However the prognostic effect of c-Met in glioblastomas was time-dependent and only observed in patients who survived more than 8.5 months, and not within the first 8.5 months after diagnosis. This was significant in multivariate analysis (HR 1.99, 95 % CI 1.29-3.08, p = 0.002) adjusted for treatment and the clinical variables age (HR 1.01, 95 % CI 0.99-1.03, p = 0.30), performance status (HR 1.34, 95 % CI 1.17-1.53, p < 0.001), and tumor crossing midline (HR 1.28, 95 % CI 0.79-2.07, p = 0.29). In conclusion, this study showed that high levels of c-Met holds unfavorable prognostic value in glioblastomas.
KW - Brain Neoplasms/diagnosis
KW - Cell Line, Tumor
KW - Cephalosporins/metabolism
KW - Cohort Studies
KW - Community Health Planning
KW - Female
KW - Glioblastoma/diagnosis
KW - Humans
KW - Kaplan-Meier Estimate
KW - Magnetic Resonance Imaging
KW - Male
KW - Melphalan/analogs & derivatives
KW - Middle Aged
KW - Proportional Hazards Models
KW - Severity of Illness Index
U2 - 10.1007/s11060-015-1723-3
DO - 10.1007/s11060-015-1723-3
M3 - Journal article
C2 - 25800004
SN - 0167-594X
VL - 122
SP - 517
EP - 527
JO - Journal of Neuro-Oncology
JF - Journal of Neuro-Oncology
IS - 3
ER -