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组蛋白H3赖氨酸36二甲基化(H3K36me2)作为胶质瘤诊断、分级和预后的潜在生物标志物。

Dimethylation of histone H3 lysine 36 (H3K36me2) as a potential biomarker for glioma diagnosis, grading, and prognosis.

作者信息

Cong Huayue, Guo Xiaoqiang, Fan Bo, Liu Yingzi, Dong Changzheng, Sui Aixia

机构信息

Department of Oncology, Hebei General Hospital, Shijiazhuang, Hebei, China.

Department of Gerontology, Tianjin Dongli Hospital, Tianjin, Tianjin, China.

出版信息

J Neuropathol Exp Neurol. 2023 Apr 20;82(5):412-418. doi: 10.1093/jnen/nlad016.

Abstract

Abnormal histone methylation plays a key role in glioma development but the clinical value of specific alterations is still unclear. Here, the potential significance of histone H3 lysine 36 dimethylation (H3K36me2) was investigated as a biomarker for glioma. Seventy-three glioma patients were included in the study and the level of H3K36me2 in the tumor tissues was determined by immunohistochemistry. The χ2 test was used to explore the influence of clinical and pathological characteristics on H3K36me2 levels. The Kaplan-Meier method was used to estimate progression-free survival (PFS) and overall survival (OS). COX regression was used to explore the relationship between H3K36me2 levels and glioma prognosis. The results indicated that the H3K36me2 level increases with glioma grade. The proportion of high H3K36me2 levels was lower in glioma patients under the age of 52 years. H3K36me2 levels were negatively correlated with IDH1 mutation and MGMT promoter methylation, and positively correlated with p53 expression. Thus, high H3K36me2 levels positively correlated with poor prognosis of gliomas. In conclusion, H3K36me2 may be considered as a potential biomarker for glioma diagnosis, grading, and prognosis, but the overall clinical value of H3K36me2 determination deserves further investigation. These results may have important implications for accurate diagnosis and future precision treatment of gliomas.

摘要

异常的组蛋白甲基化在胶质瘤发展中起关键作用,但特定改变的临床价值仍不清楚。在此,研究了组蛋白H3赖氨酸36二甲基化(H3K36me2)作为胶质瘤生物标志物的潜在意义。该研究纳入了73例胶质瘤患者,通过免疫组织化学测定肿瘤组织中H3K36me2的水平。采用χ2检验探讨临床和病理特征对H3K36me2水平的影响。采用Kaplan-Meier法估计无进展生存期(PFS)和总生存期(OS)。采用COX回归分析H3K36me2水平与胶质瘤预后的关系。结果表明,H3K36me2水平随胶质瘤分级增加而升高。52岁以下胶质瘤患者中H3K36me2高水平的比例较低。H3K36me2水平与IDH1突变和MGMT启动子甲基化呈负相关,与p53表达呈正相关。因此,H3K36me2高水平与胶质瘤预后不良呈正相关。总之,H3K36me2可被视为胶质瘤诊断、分级和预后的潜在生物标志物,但H3K36me2检测的整体临床价值值得进一步研究。这些结果可能对胶质瘤的准确诊断和未来的精准治疗具有重要意义。

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