Expression of ubiquitin-conjugating enzyme H10 in meningioma tissues and its clinical significance
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Abstract:
Objective:To investigate the expression of ubiquitin-conjugating enzyme H10 (UbcH10) protein in meningiomas tissues of different pathological grades and its clinical significance. 〖WTHZ〗Methods:〖WTBZ〗Forty-seven patients diagnosed as meningioma with integrity clinical and follow-up information during April 2002 to September 2009 were selected from Department of Neurosurgery, Changzheng Hospital and were graded according to the 2007 WHO standard. The expressions of UbcH10 and Ki-67 proteins in meningioma tissues of various pathological grades were examined by immunohistochemistry. The correlation between the expressions of UbcH10 and Ki-67 protein was analyzed by using Spearman method. The correlation of UbcH10 expression with meningioma recurrence-free surivival was analyzed using the Kaplan-Meier method. 〖WTHZ〗Results:〖WTBZ〗UbcH10 protein was mainly expressed in the cytoplasm of meningioma cells. The expression of UbcH10 protein in meningioma tissues was significantly higher than that in normal brain tissues (\[5.57±1.72\]% vs 0,P=0.00). Quantitative analysis confirmed that the expression of UbcH10 protein was significantly higher in atypical and anaplastic meningiomas as compared with classic meningiomas (\[10.53±5.79\]% vs \[4.23±2.85\]%, P<0.01), indicating that the expression of UbcH10 protein was correlated with meningioma pathological grade and recurrence. The expression of UbcH10 protein was correlated with the expression of Ki-67 protein (r=0.77, P<0.01). Kaplan-Meier survival curve result indicated patients with high expression level of UbcH10 and Ki-67 and higher pathological grade showed a significantly shortened recurrence-free surivival than those with a lower expression level of UbcH10 (P=0.007) and Ki-67 (P=0.018), and a lower pathological grade (P<0.01). Cox multivariate regression analysis showed that the pathological grade (P=0.029) and the expression level of UbcH10 (P=0.044) were independent prognosis factors for meningioma patients, with the hazard ratio of 2.918 and 4756, respectively. Whereas, the clinicopathological factors, including age, gender, Ki-67 level, tumor diameter and tumor location were not independent factors for prognosis. Conclusion:UbcH10 may be involved in the development and progression of meningioma, and UbcH10 expression is an independent risk factor that could predict the prognosis.
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Project supported by the Scientific Foundation of Science and Techology Committee of Shanghai (No. 08431900400)