Study to evaluate the relationship between receptor expression and clinical parameters in subjects with glioblastoma

Background: The most frequent and most aggressive primary brain tumor, glioblastoma (GBM) has an extremely poor prognosis. Several studies have shown the involvement of sex hormonal receptors and growth factor receptors in the onset of GBM. Recent research has highlighted the importance of inflammat...

Full description

Bibliographic Details
Main Authors: K Ashwini, Jayaprakash Shetty, Kishan Prasad, Shilpa S Shetty, Ananthan Raghotham, Vijith Shetty, Praveen Kumar Shetty, N Suchetha Kumari
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Biomedical and Biotechnology Research Journal
Subjects:
Online Access:http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2023;volume=7;issue=2;spage=270;epage=276;aulast=Ashwini
_version_ 1827783426471624704
author K Ashwini
Jayaprakash Shetty
Kishan Prasad
Shilpa S Shetty
Ananthan Raghotham
Vijith Shetty
Praveen Kumar Shetty
N Suchetha Kumari
author_facet K Ashwini
Jayaprakash Shetty
Kishan Prasad
Shilpa S Shetty
Ananthan Raghotham
Vijith Shetty
Praveen Kumar Shetty
N Suchetha Kumari
author_sort K Ashwini
collection DOAJ
description Background: The most frequent and most aggressive primary brain tumor, glioblastoma (GBM) has an extremely poor prognosis. Several studies have shown the involvement of sex hormonal receptors and growth factor receptors in the onset of GBM. Recent research has highlighted the importance of inflammatory biomarkers as useful prognostic indicators and survival outcome predictions in several cancer. Based on pretreatment blood tests, the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), eosinophil-to-lymphocyte ratio (ELR) have been investigated as potential indicators of prognosis in cancer patients. The aim of the present study was to evaluate the expression of androgen receptor (AR), estrogen receptor (ER), and epidermal growth factor receptor (EGFR) in the GBM tissue blocks and to correlate NLR, PLR, and ELR with clinical parameters. Methods: Receptor expression in the tissue sample was screened by immunohistochemistry. Clinical data of these patients were collected from clinical records and NLR, PLR, and ELR were calculated. Results: The present study showed increased expression of EGFR in the screened sample. We grouped receptor-expressing groups as EGFR expressing group and others (AR and EGFR, ERα). Statistically significant difference in the distribution of neutrophils, lymphocytes, and serum glutamic-oxaloacetic transaminase (SGOT) level was found between the EGFR and other groups. Statistically significant positive correlation was found between NLR and SGOT and serum glutamic-pyruvic transaminase (SGPT). Statistically significant positive correlation was found between TLC, SGOT with PLR and statistically significant negative correlation was found between hemoglobin and PLR. Statistically significant positive correlation was found between SGOT, SGPT, and ELR. There was no significant correlation found between the position of the tumor and size of the tumor with clinical parameters. Conclusions: These blood biomarkers along with receptor expression should gain more importance in predicting therapy and improving overall survival in GBM patients.
first_indexed 2024-03-11T15:47:27Z
format Article
id doaj.art-c70b5933a24e41d9a90d88e411a0c039
institution Directory Open Access Journal
issn 2588-9834
2588-9842
language English
last_indexed 2024-03-11T15:47:27Z
publishDate 2023-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Biomedical and Biotechnology Research Journal
spelling doaj.art-c70b5933a24e41d9a90d88e411a0c0392023-10-26T06:05:23ZengWolters Kluwer Medknow PublicationsBiomedical and Biotechnology Research Journal2588-98342588-98422023-01-017227027610.4103/bbrj.bbrj_62_23Study to evaluate the relationship between receptor expression and clinical parameters in subjects with glioblastomaK AshwiniJayaprakash ShettyKishan PrasadShilpa S ShettyAnanthan RaghothamVijith ShettyPraveen Kumar ShettyN Suchetha KumariBackground: The most frequent and most aggressive primary brain tumor, glioblastoma (GBM) has an extremely poor prognosis. Several studies have shown the involvement of sex hormonal receptors and growth factor receptors in the onset of GBM. Recent research has highlighted the importance of inflammatory biomarkers as useful prognostic indicators and survival outcome predictions in several cancer. Based on pretreatment blood tests, the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), eosinophil-to-lymphocyte ratio (ELR) have been investigated as potential indicators of prognosis in cancer patients. The aim of the present study was to evaluate the expression of androgen receptor (AR), estrogen receptor (ER), and epidermal growth factor receptor (EGFR) in the GBM tissue blocks and to correlate NLR, PLR, and ELR with clinical parameters. Methods: Receptor expression in the tissue sample was screened by immunohistochemistry. Clinical data of these patients were collected from clinical records and NLR, PLR, and ELR were calculated. Results: The present study showed increased expression of EGFR in the screened sample. We grouped receptor-expressing groups as EGFR expressing group and others (AR and EGFR, ERα). Statistically significant difference in the distribution of neutrophils, lymphocytes, and serum glutamic-oxaloacetic transaminase (SGOT) level was found between the EGFR and other groups. Statistically significant positive correlation was found between NLR and SGOT and serum glutamic-pyruvic transaminase (SGPT). Statistically significant positive correlation was found between TLC, SGOT with PLR and statistically significant negative correlation was found between hemoglobin and PLR. Statistically significant positive correlation was found between SGOT, SGPT, and ELR. There was no significant correlation found between the position of the tumor and size of the tumor with clinical parameters. Conclusions: These blood biomarkers along with receptor expression should gain more importance in predicting therapy and improving overall survival in GBM patients.http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2023;volume=7;issue=2;spage=270;epage=276;aulast=Ashwinieosinophil-to-lymphocyte ratioglioblastomaimmunohistochemistryneutrophil-lymphocytes ratioplatelet-lymphocytes ratioreceptor expression
spellingShingle K Ashwini
Jayaprakash Shetty
Kishan Prasad
Shilpa S Shetty
Ananthan Raghotham
Vijith Shetty
Praveen Kumar Shetty
N Suchetha Kumari
Study to evaluate the relationship between receptor expression and clinical parameters in subjects with glioblastoma
Biomedical and Biotechnology Research Journal
eosinophil-to-lymphocyte ratio
glioblastoma
immunohistochemistry
neutrophil-lymphocytes ratio
platelet-lymphocytes ratio
receptor expression
title Study to evaluate the relationship between receptor expression and clinical parameters in subjects with glioblastoma
title_full Study to evaluate the relationship between receptor expression and clinical parameters in subjects with glioblastoma
title_fullStr Study to evaluate the relationship between receptor expression and clinical parameters in subjects with glioblastoma
title_full_unstemmed Study to evaluate the relationship between receptor expression and clinical parameters in subjects with glioblastoma
title_short Study to evaluate the relationship between receptor expression and clinical parameters in subjects with glioblastoma
title_sort study to evaluate the relationship between receptor expression and clinical parameters in subjects with glioblastoma
topic eosinophil-to-lymphocyte ratio
glioblastoma
immunohistochemistry
neutrophil-lymphocytes ratio
platelet-lymphocytes ratio
receptor expression
url http://www.bmbtrj.org/article.asp?issn=2588-9834;year=2023;volume=7;issue=2;spage=270;epage=276;aulast=Ashwini
work_keys_str_mv AT kashwini studytoevaluatetherelationshipbetweenreceptorexpressionandclinicalparametersinsubjectswithglioblastoma
AT jayaprakashshetty studytoevaluatetherelationshipbetweenreceptorexpressionandclinicalparametersinsubjectswithglioblastoma
AT kishanprasad studytoevaluatetherelationshipbetweenreceptorexpressionandclinicalparametersinsubjectswithglioblastoma
AT shilpasshetty studytoevaluatetherelationshipbetweenreceptorexpressionandclinicalparametersinsubjectswithglioblastoma
AT ananthanraghotham studytoevaluatetherelationshipbetweenreceptorexpressionandclinicalparametersinsubjectswithglioblastoma
AT vijithshetty studytoevaluatetherelationshipbetweenreceptorexpressionandclinicalparametersinsubjectswithglioblastoma
AT praveenkumarshetty studytoevaluatetherelationshipbetweenreceptorexpressionandclinicalparametersinsubjectswithglioblastoma
AT nsuchethakumari studytoevaluatetherelationshipbetweenreceptorexpressionandclinicalparametersinsubjectswithglioblastoma