Diagnostic Utility of Immunohistochemical Detection of MEOX2, SOX11, INSM1 and EGFR in Gliomas

Histological identification of dispersed glioma cells in small biopsies can be challenging, especially in tumours lacking the <i>IDH1</i> R132H mutation or alterations in TP53. We postulated that immunohistochemical detection of proteins expressed preferentially in gliomas (EGFR, MEOX2,...

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Main Authors: Jiri Soukup, Lucie Gerykova, Anjali Rachelkar, Helena Hornychova, Michael Christian Bartos, Petr Krupa, Barbora Vitovcova, Zuzana Pleskacova, Petra Kasparova, Katerina Dvorakova, Veronika Skarkova, Jiri Petera
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Language:English
Published: MDPI AG 2023-07-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/13/15/2546
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author Jiri Soukup
Lucie Gerykova
Anjali Rachelkar
Helena Hornychova
Michael Christian Bartos
Petr Krupa
Barbora Vitovcova
Zuzana Pleskacova
Petra Kasparova
Katerina Dvorakova
Veronika Skarkova
Jiri Petera
author_facet Jiri Soukup
Lucie Gerykova
Anjali Rachelkar
Helena Hornychova
Michael Christian Bartos
Petr Krupa
Barbora Vitovcova
Zuzana Pleskacova
Petra Kasparova
Katerina Dvorakova
Veronika Skarkova
Jiri Petera
author_sort Jiri Soukup
collection DOAJ
description Histological identification of dispersed glioma cells in small biopsies can be challenging, especially in tumours lacking the <i>IDH1</i> R132H mutation or alterations in TP53. We postulated that immunohistochemical detection of proteins expressed preferentially in gliomas (EGFR, MEOX2, CD34) or during embryonal development (SOX11, INSM1) can be used to distinguish reactive gliosis from glioma. Tissue microarrays of 46 reactive glioses, 81 glioblastomas, 34 IDH1-mutant diffuse gliomas, and 23 gliomas of other types were analysed. Glial neoplasms were significantly more often (<i>p</i> < 0.001, χ<sup>2</sup>) positive for EGFR (34.1% vs. 0%), MEOX2 (49.3% vs. 2.3%), SOX11 (70.5% vs. 20.4%), and INSM1 (65.4% vs. 2.3%). In 94.3% (66/70) of the glioblastomas, the expression of at least two markers was observed, while no reactive gliosis showed coexpression of any of the proteins. Compared to IDH1-mutant tumours, glioblastomas showed significantly higher expression of EGFR, MEOX2, and CD34 and significantly lower positivity for SOX11. Non-diffuse gliomas were only rarely positive for any of the five markers tested. Our results indicate that immunohistochemical detection of EGFR, MEOX2, SOX11, and INSM1 can be useful for detection of glioblastoma cells in limited histological samples, especially when used in combination.
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spelling doaj.art-d7be2a049cff41569d5bf51ef8f2b6ab2023-11-18T22:46:57ZengMDPI AGDiagnostics2075-44182023-07-011315254610.3390/diagnostics13152546Diagnostic Utility of Immunohistochemical Detection of MEOX2, SOX11, INSM1 and EGFR in GliomasJiri Soukup0Lucie Gerykova1Anjali Rachelkar2Helena Hornychova3Michael Christian Bartos4Petr Krupa5Barbora Vitovcova6Zuzana Pleskacova7Petra Kasparova8Katerina Dvorakova9Veronika Skarkova10Jiri Petera11Department of Pathology, Military University Hospital Prague, U Vojenske Nemocnice 1200, Praha 6, 169 02 Prague, Czech RepublicThe Fingerland Department of Pathology, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicThe Fingerland Department of Pathology, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicThe Fingerland Department of Pathology, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicDepartment of Neurosurgery, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicDepartment of Neurosurgery, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicDepartment of Medical Biology and Genetics, Charles University, Faculty of Medicine in Hradec Králové, Zborovská 2089, 500 03 Hradec Kralove, Czech RepublicDepartment of Oncology and Radiotherapy, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicThe Fingerland Department of Pathology, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicDepartment of Medical Biology and Genetics, Charles University, Faculty of Medicine in Hradec Králové, Zborovská 2089, 500 03 Hradec Kralove, Czech RepublicDepartment of Medical Biology and Genetics, Charles University, Faculty of Medicine in Hradec Králové, Zborovská 2089, 500 03 Hradec Kralove, Czech RepublicDepartment of Oncology and Radiotherapy, Charles University, Faculty of Medicine in Hradec Králové and University Hospital Hradec Králové, Sokolska 581, 500 05 Hradec Kralove, Czech RepublicHistological identification of dispersed glioma cells in small biopsies can be challenging, especially in tumours lacking the <i>IDH1</i> R132H mutation or alterations in TP53. We postulated that immunohistochemical detection of proteins expressed preferentially in gliomas (EGFR, MEOX2, CD34) or during embryonal development (SOX11, INSM1) can be used to distinguish reactive gliosis from glioma. Tissue microarrays of 46 reactive glioses, 81 glioblastomas, 34 IDH1-mutant diffuse gliomas, and 23 gliomas of other types were analysed. Glial neoplasms were significantly more often (<i>p</i> < 0.001, χ<sup>2</sup>) positive for EGFR (34.1% vs. 0%), MEOX2 (49.3% vs. 2.3%), SOX11 (70.5% vs. 20.4%), and INSM1 (65.4% vs. 2.3%). In 94.3% (66/70) of the glioblastomas, the expression of at least two markers was observed, while no reactive gliosis showed coexpression of any of the proteins. Compared to IDH1-mutant tumours, glioblastomas showed significantly higher expression of EGFR, MEOX2, and CD34 and significantly lower positivity for SOX11. Non-diffuse gliomas were only rarely positive for any of the five markers tested. Our results indicate that immunohistochemical detection of EGFR, MEOX2, SOX11, and INSM1 can be useful for detection of glioblastoma cells in limited histological samples, especially when used in combination.https://www.mdpi.com/2075-4418/13/15/2546MEOX2SOX11glioblastomaEGFRINSM1CD34
spellingShingle Jiri Soukup
Lucie Gerykova
Anjali Rachelkar
Helena Hornychova
Michael Christian Bartos
Petr Krupa
Barbora Vitovcova
Zuzana Pleskacova
Petra Kasparova
Katerina Dvorakova
Veronika Skarkova
Jiri Petera
Diagnostic Utility of Immunohistochemical Detection of MEOX2, SOX11, INSM1 and EGFR in Gliomas
Diagnostics
MEOX2
SOX11
glioblastoma
EGFR
INSM1
CD34
title Diagnostic Utility of Immunohistochemical Detection of MEOX2, SOX11, INSM1 and EGFR in Gliomas
title_full Diagnostic Utility of Immunohistochemical Detection of MEOX2, SOX11, INSM1 and EGFR in Gliomas
title_fullStr Diagnostic Utility of Immunohistochemical Detection of MEOX2, SOX11, INSM1 and EGFR in Gliomas
title_full_unstemmed Diagnostic Utility of Immunohistochemical Detection of MEOX2, SOX11, INSM1 and EGFR in Gliomas
title_short Diagnostic Utility of Immunohistochemical Detection of MEOX2, SOX11, INSM1 and EGFR in Gliomas
title_sort diagnostic utility of immunohistochemical detection of meox2 sox11 insm1 and egfr in gliomas
topic MEOX2
SOX11
glioblastoma
EGFR
INSM1
CD34
url https://www.mdpi.com/2075-4418/13/15/2546
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