scholarly journals Integrated Cox’s model for predicting survival time of glioblastoma multiforme

Tumor Biology ◽  
2017 ◽  
Vol 39 (4) ◽  
pp. 101042831769457 ◽  
Author(s):  
Zhibing Ai ◽  
Longti Li ◽  
Rui Fu ◽  
Jing-Min Lu ◽  
Jing-Dong He ◽  
...  
2007 ◽  
Vol 149 (3) ◽  
pp. 245-253 ◽  
Author(s):  
J.-F. Mineo ◽  
A. Bordron ◽  
M. Baroncini ◽  
C. Ramirez ◽  
C.-A. Maurage ◽  
...  

2013 ◽  
Author(s):  
Mu Zhou ◽  
Lawrence O. Hall ◽  
Dmitry B. Goldgof ◽  
Robert J. Gillies ◽  
Robert A. Gatenby

2017 ◽  
Vol 30 (9) ◽  
pp. e3739 ◽  
Author(s):  
Azimeh N.V. Dehkordi ◽  
Alireza Kamali-Asl ◽  
Ning Wen ◽  
Tom Mikkelsen ◽  
Indrin J. Chetty ◽  
...  

1999 ◽  
Vol 91 (2) ◽  
pp. 251-260 ◽  
Author(s):  
Markus M. Fitzek ◽  
Allan F. Thornton ◽  
James D. Rabinov ◽  
Michael H. Lev ◽  
Francisco S. Pardo ◽  
...  

Object. After conventional doses of 55 to 65 Gy of fractionated irradiation, glioblastoma multiforme (GBM) usually recurs at its original location. This institutional phase II study was designed to assess whether dose escalation to 90 cobalt gray equivalent (CGE) with conformal protons and photons in accelerated fractionation would improve local tumor control and patient survival.Methods. Twenty-three patients were enrolled in this study. Eligibility criteria included age between 18 and 70 years, Karnofsky Performance Scale score of greater than or equal to 70, residual tumor volume of less than 60 ml, and a supratentorial, unilateral tumor.Actuarial survival rates at 2 and 3 years were 34% and 18%, respectively. The median survival time was 20 months, with four patients alive 22 to 60 months postdiagnosis. Analysis by Radiation Therapy Oncology Group prognostic criteria or Medical Research Council indices showed a 5- to 11-month increase in median survival time over those of comparable conventionally treated patients. All patients developed new areas of gadolinium enhancement during the follow-up period. Histological examination of tissues obtained at biopsy, resection, or autopsy was conducted in 15 of 23 patients. Radiation necrosis only was demonstrated in seven patients, and their survival was significantly longer than that of patients with recurrent tumor (p = 0.01). Tumor regrowth occurred most commonly in areas that received doses of 60 to 70 CGE or less; recurrent tumor was found in only one case in the 90-CGE volume.Conclusions. A dose of 90 CGE in accelerated fractionation prevented central recurrence in almost all cases. The median survival time was extended to 20 months, likely as a result of central control. Tumors will usually recur in areas immediately peripheral to this 90-CGE volume, but attempts to extend local control by enlarging the central volume are likely to be limited by difficulties with radiation necrosis.


1991 ◽  
Vol 113 (1-2) ◽  
pp. 31-37 ◽  
Author(s):  
H. -G. H�llerhage ◽  
M. Zumkeller ◽  
M. Becker ◽  
H. Dietz

Oncotarget ◽  
2016 ◽  
Vol 7 (11) ◽  
pp. 13031-13046 ◽  
Author(s):  
Sandra Bien-Möller ◽  
Sandra Lange ◽  
Tobias Holm ◽  
Andreas Böhm ◽  
Heiko Paland ◽  
...  

2013 ◽  
Vol 47 (4) ◽  
pp. 405-410 ◽  
Author(s):  
Marju Kase ◽  
Ave Minajeva ◽  
Kristi Niinepuu ◽  
Sandra Kase ◽  
Markus Vardja ◽  
...  

Abstract Background. The aim of the study was to assess the impact of CD133-positive (CD133+) cancer stem cell proportions on treatment results of glioblastoma multiforme (GBM) patients. Patients and methods. Patients with GBM (n = 42) received postoperative radiotherapy (± chemotherapy). Surgically excised GBM tissue sections were immunohistochemically examined for CD133 expression. The proportions of CD133+ GBM cells were determined (%). The proportion of CD133+ GBM stem cells was established by 2 independent researchers whose results were in good accordance (R = 0.8, p < 0.01). Additionally, CD133 expression levels were correlated with patients overall survival. Results. The proportion of CD133+ cells varied between patients, being from 0.5% to 82%. Mean and median proportions of CD133+ cells of the entire study group were 33% ± 24% (mean ± SD) and 28%, respectively. Clinical data do not support the association between higher proportion of stem cells and the aggressiveness of GBM. Median survival time of the study group was 10.0 months (95% CI 9.0-11.0). The survival time clearly depended on the proportion of CD133+ cells (log rank test, p = 0.02). Median survival times for patients with low (< median) and high (≥ median) proportion of CD133+ cells were 9.0 months (95% CI 7.6-10.5) and 12.0 months (95% CI 9.3-14.7), respectively. In multivariate analysis, the proportion of CD133+ cells emerged as a significant independent predictor for longer overall survival (HR 2.0, 95% CI 1.0-3.8, p = 0.04). Conclusions. In patients with higher stem cell proportion, significantly longer survival times after postoperative radiotherapy were achieved. Underlying reasons and possible higher sensitivity of GBM stem cells to fractionated radiotherapy should be clarified in further studies.


2008 ◽  
Vol 28 (8) ◽  
pp. 1431-1439 ◽  
Author(s):  
Drazen Zagorac ◽  
Danica Jakovcevic ◽  
Debebe Gebremedhin ◽  
David R Harder

Cytochrome P450 epoxygenase catalyzes 5,6-, 8,9-, 11,12-, and 14,15-epoxyeicosatrienoic acids (EETs) from arachidonic acid (AA). In 1996, our group identified the expression of the cytochrome P450 2C11 epoxygenase (CYP epoxygenase) gene in astrocytes. Because of our finding an array of physiological functions have been attributed to EETs in the brain, one of the actions of EETs involves a predominant role in brain angiogenesis. Blockade of EETs formation with different epoxygenase inhibitors decreases endothelial tube formation in cocultures of astrocytes and capillary endothelial cells. The intent of this investigation was to determine if pharmacologic inhibition of formation of EETs is effective in reducing capillary formation in glioblastoma multiforme with a concomitant reduction in tumor volume and increase in animal survival time. Two mechanistically different inhibitors of CYP epoxygenase, 17-octadecynoic acid (17-ODYA) and miconazole, significantly reduced capillary formation and tumor size in glial tumors formed by injection of rat glioma 2 (RG2) cells, also resulting in an increased animal survival time. However, we observed that 17-ODYA and miconazole did not inhibit the formation of EETs in tumor tissue. This implies that 17-ODYA and miconazole appear to exert their antitumorogenic function by a different mechanism that needs to be explored.


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