scholarly journals CKAP2 expression is associated with glioma tumor growth and acts as a prognostic factor in high‑grade�glioma

Author(s):  
Kuanyu Wang ◽  
Ruoyu Huang ◽  
Guanzhang Li ◽  
Fan Zeng ◽  
Zheng Zhao ◽  
...  
2012 ◽  
Vol 177 ◽  
pp. S26
Author(s):  
V. Le Joncour ◽  
C. Lecointre ◽  
M. Jarry ◽  
J.E. Joubert ◽  
M.T. Schouft ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sarah C. Brüningk ◽  
Jeffrey Peacock ◽  
Christopher J. Whelan ◽  
Renee Brady-Nicholls ◽  
Hsiang-Hsuan M. Yu ◽  
...  

AbstractRecurrent high grade glioma patients face a poor prognosis for which no curative treatment option currently exists. In contrast to prescribing high dose hypofractionated stereotactic radiotherapy (HFSRT, $$\ge 6$$ ≥ 6 Gy $$\times$$ × 5 in daily fractions) with debulking intent, we suggest a personalized treatment strategy to improve tumor control by delivering high dose intermittent radiation treatment (iRT, $$\ge 6$$ ≥ 6 Gy $$\times$$ × 1 every 6 weeks). We performed a simulation analysis to compare HFSRT, iRT and iRT plus boost ($$\ge 6$$ ≥ 6 Gy $$\times$$ × 3 in daily fractions at time of progression) based on a mathematical model of tumor growth, radiation response and patient-specific evolution of resistance to additional treatments (pembrolizumab and bevacizumab). Model parameters were fitted from tumor growth curves of 16 patients enrolled in the phase 1 NCT02313272 trial that combined HFSRT with bevacizumab and pembrolizumab. Then, iRT +/− boost treatments were simulated and compared to HFSRT based on time to tumor regrowth. The modeling results demonstrated that iRT + boost(− boost) treatment was equal or superior to HFSRT in 15(11) out of 16 cases and that patients that remained responsive to pembrolizumab and bevacizumab would benefit most from iRT. Time to progression could be prolonged through the application of additional, intermittently delivered fractions. iRT hence provides a promising treatment option for recurrent high grade glioma patients for prospective clinical evaluation.


Cancer Cell ◽  
2012 ◽  
Vol 21 (1) ◽  
pp. 11-24 ◽  
Author(s):  
Lindy E. Barrett ◽  
Zvi Granot ◽  
Courtney Coker ◽  
Antonio Iavarone ◽  
Dolores Hambardzumyan ◽  
...  

2011 ◽  
Vol 7 (3) ◽  
pp. 331 ◽  
Author(s):  
Ashwatha Narayana ◽  
Saroj Kunnakkat ◽  
John Golfinos ◽  
Praveen Medabalmi ◽  
RN Pat Eagan ◽  
...  

2022 ◽  
Vol 11 ◽  
Author(s):  
Qian He ◽  
Wei Zhao ◽  
Qinglan Ren

BackgroundStudies confirmed the predictive value of the prognostic nutrition index (PNI) in many malignant tumors. However, it did not reach a consensus in glioma. Therefore, this study investigated the prognostic value of preoperative PNI in operable high-grade glioma and established a nomogram.MethodsClinical data of high-grade glioma patients were retrospectively analyzed. The primary endpoint was overall survival (OS). Survival analysis was conducted by the Kaplan–Meier method, log-rank test, and Cox regression analysis. A nomogram was established. The prediction effect of the nomogram covering PNI was verified by area under the curve (AUC).ResultsA total of 91 operable high-grade glioma patients were included. Kaplan–Meier analysis showed that among grade IV gliomas (n = 55), patients with higher PNI (>44) showed a trend of OS benefit (p = 0.138). In grade III glioma (n = 36), patients with higher PNI (>47) had longer OS (p = 0.023). However, the intersecting Kaplan–Meier curve suggested that there may be some confounding factors. Cox regression analysis showed that higher PNI was an independent prognostic factor for grade IV glioma (HR = 0.388, p = 0.040). In grade III glioma, there was no statistically relationship between PNI levels and prognosis. When evaluating the prognostic ability of PNI alone by ROC, the AUC in grade III and IV gliomas was low, indicating that PNI alone had poor predictive power for OS. Interestingly, we found that the nomogram including preoperative PNI, age, extent of resection, number of gliomas, and MGMT methylation status could predict the prognosis of patients with grade IV glioma well.ConclusionThe PNI level before surgery was an independent prognostic factor for patients with grade IV glioma. The nomogram covering PNI in patients with grade IV glioma also proved the value of PNI. However, the value of PNI in grade III glioma needs to be further evaluated. More prospective studies are needed to verify this conclusion.


2016 ◽  
pp. now239 ◽  
Author(s):  
Tal Shahar ◽  
Uri Rozovski ◽  
Kenneth R. Hess ◽  
Anwar Hossain ◽  
Joy Gumin ◽  
...  

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