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High Expression of TGF-β1 Predicting Tumor Progression in Skull Base Chordomas

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机构: [1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing [2]China National Clinical Research Center for Neurological Diseases, Beijing [3]Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing [4]Beijing Key Laboratory of Brian Tumor, Beijing [5]Department of Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China
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关键词: Chordoma Oncology Prognosis Progression Skull base TGF-β1

摘要:
Objective: To investigate the expression characteristics and prognostic value of transforming growth factor β1 (TGF-β1) in primary skull base chordomas (SBCs). Methods: The mRNA expression levels of TGF-β1 were measured in 57 frozen samples from patients with primary SBCs. Clinical data collection, follow-up, correlations, and survival analyses were performed. Results: In the series of 57 patients (29 men and 28 women) with primary SBCs, the mean value of TGF-β1 mRNA was 1.713 with a median of 0.904. Twenty-four SBCs were soft type and 33 were hard type. The Mann–Whitney U test revealed that the expression level of TGF-β1 mRNA in hard type SBCs was significantly higher than the expression level found in the soft type (P = 0.03). The independent-samples median test suggested that the expression level of TGF-β1 mRNA in female patients' SBCs was significantly higher than that in male patients' SBCs (P = 0.01). Expression differences of TGF-β1 were not seen among different pathological subtypes, tumor blood supply, or degree of resection. The Spearman rank correlation coefficient clarified that TGF-β1 mRNA levels were not correlated with tumor diameter, preoperative Karnofsky Performance Status (KPS), postoperative KPS, follow-up KPS, age, or intraoperative blood loss. The multivariate Cox analysis revealed that pathological subtype (P = 0.008), expression level of TGF-β1 mRNA (P = 0.01), and tumor texture (P = 0.03) were all independent prognostic factors for tumor progression. Conclusions: SBCs in female patients and SBCs with hard texture were prone to have high TGF-β1 mRNA expression. High expression of TGF-β1, hard tumor texture, and conventional subtype were all independent risk factors for tumor progression. © 2019

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 3 区 外科 4 区 临床神经病学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
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出版当年[2017]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY

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第一作者机构: [1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing [2]China National Clinical Research Center for Neurological Diseases, Beijing [3]Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing [4]Beijing Key Laboratory of Brian Tumor, Beijing
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通讯机构: [1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing [2]China National Clinical Research Center for Neurological Diseases, Beijing [3]Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing [4]Beijing Key Laboratory of Brian Tumor, Beijing
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