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Published in: Journal of Neuro-Oncology 2/2019

01-11-2019 | Glioblastoma | Laboratory Investigation

Overexpression of CD44 is associated with a poor prognosis in grade II/III gliomas

Authors: Chongxian Hou, Yukitomo Ishi, Hiroaki Motegi, Michinari Okamoto, Yafei Ou, Jiawei Chen, Shigeru Yamaguchi

Published in: Journal of Neuro-Oncology | Issue 2/2019

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Abstract

Purpose

Overexpression of CD44 has been detected in many types of tumor tissues. Moreover, CD44 is recognized as a cancer stem cell marker for many cancers. However, the prognostic value of CD44 for glioma patients has not yet been clarified. The authors tried to explore the impact of CD44 expression on grade II/III glioma patients.

Methods

To assess the RNA expression levels of CD44 in glioma tissues and normal brain tissues, meta-analyses were conducted in the online Oncomine database. The mRNA expression levels of CD44, CD44s, and CD44v2–v10 in 112 grade II/III glioma patients in Hokkaido University Hospital (HUH) were detected by qPCR. The RNA-seq data and clinical data of grade II/III glioma patients were obtained from The Cancer Genome Atlas (TCGA) and the Chinese Glioma Genome Atlas (CGGA) databases.

Results

Based on the Oncomine database, CD44 has significantly high expression in glioma tissues as compared with normal tissues. We explored the clinical relevance of CD44 mRNA expression based on the HUH cohorts, the TCGA cohorts, and the CGGA cohorts. In survival analysis, high mRNA expression of CD44 was correlated with poor overall survival and poor progression-free survival in grade II/III glioma patients. Multivariate Cox regression analyses confirmed CD44 as an independent prognostic factor for grade II/III glioma patients.

Conclusions

The present study suggests that overexpression of CD44 is associated with a poor prognosis for grade II/III glioma patients. Moreover, our findings suggest that CD44 could serve as a prognostic biomarker in grade II/III glioma patients.
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Metadata
Title
Overexpression of CD44 is associated with a poor prognosis in grade II/III gliomas
Authors
Chongxian Hou
Yukitomo Ishi
Hiroaki Motegi
Michinari Okamoto
Yafei Ou
Jiawei Chen
Shigeru Yamaguchi
Publication date
01-11-2019
Publisher
Springer US
Published in
Journal of Neuro-Oncology / Issue 2/2019
Print ISSN: 0167-594X
Electronic ISSN: 1573-7373
DOI
https://doi.org/10.1007/s11060-019-03288-8

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