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PMID: 21725855 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Elevated expression of macrophage migration inhibitory factor correlates with tumor recurrence and poor prognosis of patients with gliomas.

Journal of neuro-oncology ·Vol. 106 ·No. 1 ·2012-01-00 ·Pages 43-51

Wang XB, Tian XY, Li Y, Li B, Li Z

Abstract

Macrophage migration inhibitory factor (MIF) plays a critical role in tumorigenesis. We aim to examine the association of MIF with tumor recurrence and survival of gliomas, and to determine whether MIF is a valuable prognostic predictor for glioma patients. The expression of MIF and interleukin 8 (IL-8) was evaluated in 36 high-grade gliomas (20 glioblastoma multiforme, 13 anaplastic astrocytoma, and 3 anaplastic oligoastrocytoma) and 32 low-grade gliomas (18 fibrillary astrocytoma, 5 pilocytic astrocytoma, 5 oligodendroglioma, 3 ependymoma and 1 pleomorphic xanthoastrocytoma) by immunostaining. Intratumoral microvessel density (IMD) of tumors in relation to immunostainings and clinicopathological factors were analyzed statistically as well as the follow-up data of patients. High expression of both MIF (58.8%) and IL-8 (52.9%) was significantly associated with high-grade gliomas and increased microvessels in tumors, but only high expression of MIF was closely related to tumor recurrence (P = 0.001). High expression of IL-8 exhibited a close correlation with high expression of MIF in tumors (P = 0.001). Histological grading, high expression of MIF and IL-8 correlated with patients' overall survival in univariate analysis. However, only histological grading and MIF expression exhibited a relationship with survival of patients as independent prognostic factors of glioma by multivariate analysis; the hazard ratios were 28.012 (P = 0.001) and 11.782 (P = 0.001), respectively. Elevated production of MIF in glioma tumor cells may contribute to tumor recurrence and a worse prognosis. MIF may serve as an independent predictive factor for prognosis of glioma patients.

MeSH Terms
Adolescent Adult Aged Brain Neoplasms/blood supply,genetics,pathology Capillaries/pathology Child Female Follow-Up Studies Genetic Markers Glioma/blood supply,genetics,pathology Humans Immunohistochemistry Interleukin-8/biosynthesis,genetics Kaplan-Meier Estimate Macrophage Migration-Inhibitory Factors/biosynthesis Male Middle Aged Neoplasm Recurrence, Local/genetics Neovascularization, Pathologic/pathology Predictive Value of Tests Prognosis Regression Analysis Survival Young Adult
Chemicals
Genetic Markers Interleukin-8 Macrophage Migration-Inhibitory Factors
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Wang Xiao-Bing
Department of Pathology, Guangdong General Hospital, 106, Zhongshan Road II, Guangzhou, China.
Tian Xiao-Ying
Li Yang
Li Bin
Li Zhi
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Article Info
Journal
Journal of neuro-oncology
Abbr.
J Neurooncol
ISSN
1573-7373
Published
2012-01-00
Epub
2011-00-03
Pages
43-51
Language
English
Region
United States
NLM ID
8309335
Subset
IM
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