[1]吴珠,杨生长,陈力.AQP-4、VEGF表达与脑膜瘤术后脑水肿加重的相关性分析[J].中国临床神经外科杂志,2022,27(05):363-365.[doi:10.13798/j.issn.1009-153X.2022.05.009]
 WU Zhu,YANG Sheng-chang,CHEN Li.Correlation between expressions of AQP-4 and VEGF and postoperative cerebral edema exacerbation in patients with meningioma[J].,2022,27(05):363-365.[doi:10.13798/j.issn.1009-153X.2022.05.009]
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AQP-4、VEGF表达与脑膜瘤术后脑水肿加重的相关性分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年05期
页码:
363-365
栏目:
论著
出版日期:
2022-05-31

文章信息/Info

Title:
Correlation between expressions of AQP-4 and VEGF and postoperative cerebral edema exacerbation in patients with meningioma
文章编号:
1009-153X(2022)05-0363-03
作者:
吴珠杨生长陈力
572600海南,东方市人民医院神经外科(吴珠、杨生长、陈力)
Author(s):
WU Zhu YANG Sheng-chang CHEN Li
Department of Neurosurgery, DongfangPeople's Hospital, Dongfang 572600, China
关键词:
脑膜瘤术后脑水肿显微手术水通道蛋白4血管内皮生长因子
Keywords:
Meningiomas Aquaporin 4 Vascular endothelial growth factor Postoperative cerebral edema
分类号:
R739.41;Q786
DOI:
10.13798/j.issn.1009-153X.2022.05.009
文献标志码:
A
摘要:
目的 探讨水通道蛋白4(AQP-4)、血管内皮生长因子(VEGF)表达与脑膜瘤术后脑水肿加重的相关性。方法 收集2019年1月至2020年1月手术切除并经术后病理确诊的脑膜瘤组织105例,免疫组化染色检测AQP-4和VEGF的表达。术后2~15 d复查头部MRI判断脑水肿。结果 105例中,术后脑水肿加重30例(28.57%),未加重75例。术后脑水肿加重组AQP-4阳性表达率(63.3%)和VEGF阳性表达率(30.0%)较未加重组明显增加(分别为30.7%和16.0%;P<0.05)。多因素logistic回归分析显示,AQP-4和VEGF阳性表达是脑膜瘤术后脑水肿加重的独立危险因素(P<0.05)。结论 AQP-4和VEGF表达上调与脑膜瘤术后脑水肿加重有关。
Abstract:
Objective To investigate the correlation between the expressions of aquaporin 4 (AQP-4) and vascular endothelial growth factor (VEGF) and the aggravation of postoperative cerebral edema in the patients with meningioma. Methods The expressions of AQP-4 and VEGF were detected by immunohistochemical staining in meningioma tissues obtained from 105 patients who underwent microsurgery from January 2019 to January 2020. The aggravation of postoperative peritumoral edema was detected by head MRI 2~15 days after operation. Results The aggravation of postoperative cerebral edema occurred in 30 patients (28.57%; edema group) of 105 patients, and did not in 75 patients (non-edema group). The positive expression rates of AQP-4 (63.3%) and VEGF (30.0%) in edema group were significantly higher than those (30.7% and 16.0%, respectively) in non-edema group (P<0.05). Multivariate logistic regression analysis showed that the positive expressions of AQP-4 and VEGF were independent risk factors for the aggravation of postoperative cerebral edema (P<0.05). Conclusions The up-regulation of AQP-4 and VEGF in meningioma tissue is related to the aggravation of postoperative cerebral edema in the patients with meningioma.

参考文献/References:

[1] Li LM, Zheng WJ, Chen YZ, et al. Predictive factors of post- operative peritumoral brain edema after meningioma resec- tion [J]. Neurol India, 2021, 69(6): 1682-1687.
[2] 焦方舟,龚作炯. 水通道蛋白4与脑水肿相关研究进展[J]. 疑难病杂志,2017,16(2):199-202,206.
[3] 安宏娜,陈 玮,吾红光,等. 急性脑梗死患者血清 AQP1、AQP4、VEGF表达与脑水肿严重程度的关系[J]. 中国动脉硬化杂志,2019,27(11):956-959,964.
[4] Osawa T, Tosaka M, Nagaishi M, et al. Factors affecting peritumoral brain edema in meningioma: special histological subtypes with prominently extensive edema [J]. J Neuro- oncol, 2013, 111: 49-57.
[5] Faropoulos K, Polia A, Tsakona C, et al. Evaluation of AQP4/TRPV4 channel co-expression, microvessel density, and its association with peritumoral brain edema in intra- cranial meningiomas [J]. J Mol Neurosci, 2021, 71(9): 1786-1795.
[6] Bernatz S, Monden D, Gessler F, et al. Influence of VEGF- A, VEGFR-1-3, and neuropilin 1-2 on progression-free: and overall survival in WHO grade II and III meningioma patients [J]. J Mol Histol, 2021, 52(2): 233-243.
[7] Berhouma M, Jacquesson T, Jouanneau E, et al. Pathogene- sis of peri-tumoral edema in intracranial meningiomas [J]. Neurosurg Rev, 2019, 42(1): 59-71.
[8] Galani V, Lampri E, Varouktsi A, et al. Genetic and epige- netic alterations in meningiomas [J]. Clin Neurol Neuro- surg, 2017, 158: 119-125.
[9] Palaniandy K, Haspani MSM, Zain NRM. Prediction of his- tological grade and completeness of resection of intracranial meningiomas: role of peritumoural brain edema [J]. Malays J Med Sci, 2017, 24(3): 33-43.
[10] Xiao B, Fan YH, Zhang Z, et al. Three-dimensional radio- mics features from multi-parameter MRI combined with clinical characteristics predict postoperative cerebral edema exacerbation in patients with meningioma [J]. Front Oncol, 2021, 11: 625220.
[11] Treggiari MM, Schutz N, Yanez ND, et al. Role of intracra- nial pressure values and patterns in predicting outcome in traumatic brain injury: a systematic review [J]. Neurocrit Care, 2007, 6(2): 104-112.
[12] Saffarian A, Derakhshan N, Taghipour M, et al. "Wounded meningioma syndrome": postoperative exacerbation of brain edema in brain-invasive meningioma [J]. World Neurosurg, 2018, 115: 483-484.
[13] Tao C, Wang J, Zhang Y, et al. Predictors of acute vertebro- basilar vasospasm following tumor resection in the foramen magnum region [J]. PloS One, 2016, 11(9): e0163908.
[14] Clement T, Rodriguez-Grande B, Badaut J. Aquaporins in brain edema [J]. J Neurosci Res, 2020, 98(1): 9-18.
[15] Schob S, Surov A, Wienke A, et al. Correlation between aquaporin 4 expression and different DWI parameters in grade I meningioma [J]. Mol Imaging Biol, 2017, 19(1): 138-142.

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备注/Memo

备注/Memo:
基金项目:海南省卫生计生行业科研项目(18A200112)
更新日期/Last Update: 2022-06-30