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Changes in PlGF and MET-HGF expressions in paired initial and recurrent glioblastoma
Ist Teil von
Journal of neuro-oncology, 2016-12, Vol.130 (3), p.431-437
Ort / Verlag
New York: Springer US
Erscheinungsjahr
2016
Quelle
MEDLINE
Beschreibungen/Notizen
Angiogenesis is one of the key features of glioblastoma (GB). However, the use of anti-angiogenic therapies directed against vascular endothelial growth factor (VEGF) is limited by primary or acquired resistance. MET/HGF and PlGF signaling are involved in potential alternative escape mechanisms to VEGF pathway. Our objective was to explore the potential changes of
MET
/
HGF
and
PlGF
expression, comparing initial diagnosis and recurrence after radiotherapy-temozolomide (RT/TMZ). Paired frozen tumors from both initial and recurrent surgery after radio-chemotherapy were available for 28 patients. RNA expressions of
PlGF, MET
, and
HGF
genes were analyzed by RT-qPCR.
PlGF
expression significantly decreased at recurrence (
p
= 0.021), and expression of
MET
showed a significant increase (
p
= 0.011) at recurrence. RNA expressions of
MET
and
HGF
significantly correlated both at baseline and recurrence (baseline:
p
= 0.005; recurrence:
p
= 0.019). Evolutive profile (increasing versus decreasing expression at recurrence) of
MET
was associated with PFS (
p
= 0.002) and OS (
p
= 0.022) at recurrence, while the evolutive profile of
HGF
was associated with PFS at relapse (
p
= 0.049). Recurrence of GB after chemo-radiation could be associated with a variation in
PlGF
and
MET
expression. These results contribute to suggest a modification of the GB angiogenic process between initial diagnosis and recurrence.