EGFR, p53, IDH-1 and MDM2 immunohistochemical analysis in glioblastoma: therapeutic and prognostic correlation

Arq Neuropsiquiatr. 2015 Jul;73(7):561-8. doi: 10.1590/0004-282X20150059.

Abstract

We studied 36 glioblastoma cases at HC-UNICAMP from 2008 to 2012 and classified the immunohistochemical distribution of the wild-type epidermal growth factor receptor (EGFR), mutated forms of p53 protein and isocitrate dehydrogenase-1 (IDH-1) and murine double protein 2 (MDM2). Immunostaining findings were correlated with clinical data and response to treatment (surgery, chemotherapy and radiotherapy). About 97% of the tumors were primary, most of them localized in the frontal lobe. Mean time free of clinical or symptomatic disease and free time of radiological disease were 7.56 and 7.14 months, respectively. We observed a significant positive correlation between expressions of p53 and MDM2, EGFR and MDM2. Clinical, radiological and overall survivals also showed a significant positive correlation. p53 staining and clinical survival showed a significant negative correlation. The current series provides clinical and histopathological data that contribute to knowledge on glioblastoma in Brazilians.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / analysis*
  • Biomarkers, Tumor / genetics
  • Brain Neoplasms / chemistry*
  • Brain Neoplasms / mortality
  • Brain Neoplasms / pathology
  • Brain Neoplasms / therapy
  • ErbB Receptors / analysis*
  • ErbB Receptors / genetics
  • Female
  • Glioblastoma / chemistry*
  • Glioblastoma / mortality
  • Glioblastoma / pathology
  • Glioblastoma / therapy
  • Humans
  • Immunohistochemistry
  • Isocitrate Dehydrogenase / analysis*
  • Isocitrate Dehydrogenase / genetics
  • Male
  • Middle Aged
  • Mutation
  • Prognosis
  • Proto-Oncogene Proteins c-mdm2 / analysis*
  • Proto-Oncogene Proteins c-mdm2 / genetics
  • Reference Values
  • Retrospective Studies
  • Statistics, Nonparametric
  • Tumor Suppressor Protein p53 / analysis*
  • Tumor Suppressor Protein p53 / genetics
  • Young Adult

Substances

  • Biomarkers, Tumor
  • Tumor Suppressor Protein p53
  • Isocitrate Dehydrogenase
  • IDH1 protein, human
  • MDM2 protein, human
  • Proto-Oncogene Proteins c-mdm2
  • EGFR protein, human
  • ErbB Receptors