CD44 expression and tumour cell density correlate with response to tamoxifen/carboplatin chemotherapy in glioblastomas

J Neurooncol. 2004 Jan;66(1-2):139-46. doi: 10.1023/b:neon.0000013496.58236.f0.

Abstract

In order to identify response predictors for a post-operative glioblastoma therapy consisting of tamoxifen, carboplatin and radiotherapy, expression of 12 antigens was evaluated in 36 newly diagnosed tumours and 13 recurrences. Results were correlated with the clinical course of the disease. Antigen expression was assessed immunohistochemically for CD44s, TGF-beta2, TGF-alpha, progesterone receptor, estrogen receptor, EGFR, urokinase, urokinase inhibitor 1, CD87, p53 protein and Ki-67. Vessel density was determined by labelling of endothelia with von Willebrand factor. Response to chemotherapy correlated positively with cell density (p < 0.05) and negatively with CD44 over-expression (p < 0.02). Further, a positive correlation between age and CD44 expression (p < 0.05) and a negative correlation between age and p53 accumulation (p < 0.01) was found. In tumour recurrences expression of CD44 was significantly higher in local recurrences than in distant multifocal recurrences (p < 0.02), suggesting that CD44 may predominantly be associated with cell adhesion in glioblastomas.

Publication types

  • Clinical Trial
  • Clinical Trial, Phase II

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents, Hormonal / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Brain Neoplasms / drug therapy
  • Brain Neoplasms / metabolism*
  • Brain Neoplasms / pathology*
  • Brain Neoplasms / radiotherapy
  • Carboplatin / administration & dosage
  • Combined Modality Therapy
  • Female
  • Glioblastoma / drug therapy
  • Glioblastoma / metabolism*
  • Glioblastoma / pathology*
  • Glioblastoma / radiotherapy
  • Humans
  • Hyaluronan Receptors / metabolism*
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local / drug therapy
  • Neoplasm Recurrence, Local / metabolism
  • Neoplasm Recurrence, Local / pathology
  • Neovascularization, Pathologic / metabolism
  • Postoperative Care
  • Tamoxifen / administration & dosage
  • von Willebrand Factor / metabolism

Substances

  • Antineoplastic Agents
  • Antineoplastic Agents, Hormonal
  • Hyaluronan Receptors
  • von Willebrand Factor
  • Tamoxifen
  • Carboplatin