51. DARPP32, STAT5 and STAT3 mRNA expression ratios in glioblastomas are associated with patient outcome
- Author
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Sofia Lampaki, George Fountzilas, George Iliadis, Prodromos Hytiroglou, Konstantinos Polyzoidis, George Karkavelas, Despina Televantou, Panagiotis Selviaridis, and Vassiliki Kotoula
- Subjects
Oncology ,Male ,STAT3 Transcription Factor ,Cancer Research ,medicine.medical_specialty ,Dopamine and cAMP-Regulated Phosphoprotein 32 ,Multivariate analysis ,Survivin ,STAT5B ,Apoptosis ,Biology ,Pathology and Forensic Medicine ,Inhibitor of Apoptosis Proteins ,STAT3 ,Text mining ,Internal medicine ,medicine ,STAT5 Transcription Factor ,Temozolomide ,Humans ,RNA, Messenger ,Phosphorylation ,Protein kinase B ,business.industry ,Brain Neoplasms ,Research ,DARPP32 ,IDH-negative disease ,General Medicine ,Middle Aged ,PPP1R1B ,Dacarbazine ,STAT5A ,Cancer research ,Female ,Glioblastoma subtyping ,Gene expression ,business ,Glioblastoma ,Proto-Oncogene Proteins c-akt ,Chemoradiotherapy ,medicine.drug - Abstract
Based on recent developments in glioblastoma subtyping, we examined DARPP32 (PPP1R1B), a neuronal marker against STAT5 and STAT3 that are pro-oncogenic in glioblastoma. mRNA ratios of DARPP32, STAT1, STAT3, STAT5A and STAT5B were assessed in routinely diagnosed gliomas s including a series of glioblastomas from patients (n = 67) treated with chemoradiotherapy (temozolomide), out of which 88 % had sequencing validated IDH-negative disease. DARPP32/STAT1 (p = 0.0007), DARPP32/STAT3 (p = 0.0004) and DARPP32/STAT5B (p = 0.0039) ratios were significantly higher in grade II and III as compared to grade IV tumours. The same high ratios were also associated with absence of immunohistochemically assessed AKT/PKB phosphorylation and survivin protein expression. High DARPP32/STAT3, DARPP32/STAT5B, and STAT5B/STAT3 ratios were associated with longer patient progression free (PFS) and overall survival (OS). Upon multivariate analysis, total/subtotal removal of the tumour (HR:0.431; 95%CI:0.241–0.771, Wald p = 0.005), high DARPP32/STAT5B (HR:0.341; 95%CI:0.169–0.690; Wald p = 0.003) and STAT5B/STAT3 mRNA ratios (HR:0.480; 95%CI:0.280–0.824; Wald p = 0.008) were independent favorable parameters for prolonged PFS. Extent of surgery (HR:0.198; 95%CI:0.101–0.390; p
- Published
- 2012