Correlation Between Tumor Molecular Markers and Perioperative Epilepsy in Patients With Glioma: A Systematic Review and Meta-Analysis

Purpose: Tumors derived from the neuroepithelium are collectively termed gliomas and are the most common malignant primary brain tumor. Epilepsy is a common clinical symptom in patients with glioma, which can impair neurocognitive function and quality of life. Currently, the pathogenesis of glioma-r...

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Main Authors: Li Song, Xingyun Quan, Chaoyi Chen, Ligang Chen, Jie Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2021.692751/full
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author Li Song
Xingyun Quan
Chaoyi Chen
Ligang Chen
Ligang Chen
Ligang Chen
Ligang Chen
Jie Zhou
Jie Zhou
Jie Zhou
Jie Zhou
author_facet Li Song
Xingyun Quan
Chaoyi Chen
Ligang Chen
Ligang Chen
Ligang Chen
Ligang Chen
Jie Zhou
Jie Zhou
Jie Zhou
Jie Zhou
author_sort Li Song
collection DOAJ
description Purpose: Tumors derived from the neuroepithelium are collectively termed gliomas and are the most common malignant primary brain tumor. Epilepsy is a common clinical symptom in patients with glioma, which can impair neurocognitive function and quality of life. Currently, the pathogenesis of glioma-related epilepsy is not fully described. Therefore, it is necessary to further understand the mechanism of seizures in patients with glioma. In this study, a comprehensive meta-analysis was conducted to investigate the relationship between five commonly used tumor molecular markers and the incidence of perioperative epilepsy in patients with glioma.Methods: PubMed, EMBASE, and Cochrane Library databases were searched for related research studies. Odds ratio and the corresponding 95% confidence interval were used as the main indicators to evaluate the correlation between tumor molecular markers and the incidence of perioperative epilepsy in patients with glioma.Results: A total of 12 studies were included in this meta-analysis. The results showed that isocitrate dehydrogenase 1 (IDH1) mutation was significantly correlated with the incidence of perioperative epilepsy. A subgroup analysis showed that IDH1 was significantly correlated with the incidence of preoperative epilepsy, but not with intraoperative and postoperative epilepsy. There was no correlation between O6-methylguanine-DNA methyltransferase methylation and 1p/19q deletion and the incidence of perioperative epilepsy. Tumor protein p53 and epidermal growth factor receptor could not be analyzed because of the limited availability of relevant literature. There was no significant heterogeneity or publication bias observed among the included studies.Conclusion: The present meta-analysis confirms the relationship between tumor molecular markers and the incidence of perioperative epilepsy in patients with glioma. The present results provide more comprehensive evidence for the study of the pathogenesis of glioma-related epilepsy. Our research may offer a new method for the treatment of perioperative seizures in patients with glioma.
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spelling doaj.art-550dfed58c274fbdb790fb12d6e84a732022-12-21T18:43:17ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-09-011210.3389/fneur.2021.692751692751Correlation Between Tumor Molecular Markers and Perioperative Epilepsy in Patients With Glioma: A Systematic Review and Meta-AnalysisLi Song0Xingyun Quan1Chaoyi Chen2Ligang Chen3Ligang Chen4Ligang Chen5Ligang Chen6Jie Zhou7Jie Zhou8Jie Zhou9Jie Zhou10Department of Neurosurgery, Northwest Women's and Children's Hospital, Xi'an, ChinaDepartment of Neurosurgery, Xi'an International Medical Center, Xi'an, ChinaAnorectal Department, Affiliated Hospital of Traditional Chinese Medicine of Southwest Medical University, Lu Zhou, ChinaDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, ChinaSichuan Clinical Research Center for Neurosurgery, Lu Zhou, ChinaAcademician (Expert) Workstation of Sichuan Province, Lu Zhou, ChinaNeurological Diseases and Brain Function Laboratory, Lu Zhou, ChinaDepartment of Neurosurgery, The Affiliated Hospital of Southwest Medical University, Lu Zhou, ChinaSichuan Clinical Research Center for Neurosurgery, Lu Zhou, ChinaAcademician (Expert) Workstation of Sichuan Province, Lu Zhou, ChinaNeurological Diseases and Brain Function Laboratory, Lu Zhou, ChinaPurpose: Tumors derived from the neuroepithelium are collectively termed gliomas and are the most common malignant primary brain tumor. Epilepsy is a common clinical symptom in patients with glioma, which can impair neurocognitive function and quality of life. Currently, the pathogenesis of glioma-related epilepsy is not fully described. Therefore, it is necessary to further understand the mechanism of seizures in patients with glioma. In this study, a comprehensive meta-analysis was conducted to investigate the relationship between five commonly used tumor molecular markers and the incidence of perioperative epilepsy in patients with glioma.Methods: PubMed, EMBASE, and Cochrane Library databases were searched for related research studies. Odds ratio and the corresponding 95% confidence interval were used as the main indicators to evaluate the correlation between tumor molecular markers and the incidence of perioperative epilepsy in patients with glioma.Results: A total of 12 studies were included in this meta-analysis. The results showed that isocitrate dehydrogenase 1 (IDH1) mutation was significantly correlated with the incidence of perioperative epilepsy. A subgroup analysis showed that IDH1 was significantly correlated with the incidence of preoperative epilepsy, but not with intraoperative and postoperative epilepsy. There was no correlation between O6-methylguanine-DNA methyltransferase methylation and 1p/19q deletion and the incidence of perioperative epilepsy. Tumor protein p53 and epidermal growth factor receptor could not be analyzed because of the limited availability of relevant literature. There was no significant heterogeneity or publication bias observed among the included studies.Conclusion: The present meta-analysis confirms the relationship between tumor molecular markers and the incidence of perioperative epilepsy in patients with glioma. The present results provide more comprehensive evidence for the study of the pathogenesis of glioma-related epilepsy. Our research may offer a new method for the treatment of perioperative seizures in patients with glioma.https://www.frontiersin.org/articles/10.3389/fneur.2021.692751/fulltumor molecular markersepilepsymeta-analysisgliomaperioperative
spellingShingle Li Song
Xingyun Quan
Chaoyi Chen
Ligang Chen
Ligang Chen
Ligang Chen
Ligang Chen
Jie Zhou
Jie Zhou
Jie Zhou
Jie Zhou
Correlation Between Tumor Molecular Markers and Perioperative Epilepsy in Patients With Glioma: A Systematic Review and Meta-Analysis
Frontiers in Neurology
tumor molecular markers
epilepsy
meta-analysis
glioma
perioperative
title Correlation Between Tumor Molecular Markers and Perioperative Epilepsy in Patients With Glioma: A Systematic Review and Meta-Analysis
title_full Correlation Between Tumor Molecular Markers and Perioperative Epilepsy in Patients With Glioma: A Systematic Review and Meta-Analysis
title_fullStr Correlation Between Tumor Molecular Markers and Perioperative Epilepsy in Patients With Glioma: A Systematic Review and Meta-Analysis
title_full_unstemmed Correlation Between Tumor Molecular Markers and Perioperative Epilepsy in Patients With Glioma: A Systematic Review and Meta-Analysis
title_short Correlation Between Tumor Molecular Markers and Perioperative Epilepsy in Patients With Glioma: A Systematic Review and Meta-Analysis
title_sort correlation between tumor molecular markers and perioperative epilepsy in patients with glioma a systematic review and meta analysis
topic tumor molecular markers
epilepsy
meta-analysis
glioma
perioperative
url https://www.frontiersin.org/articles/10.3389/fneur.2021.692751/full
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