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Ling C, Pouget C, Rech F, Pflaum R, Treffel M, Bielle F, Mokhtari K, Casse JM, Vignaud JM, Kalamarides M, Peyre M, Gauchotte G. Endothelial Cell Hypertrophy and Microvascular Proliferation in Meningiomas Are Correlated with Higher Histological Grade and Shorter Progression-Free Survival. J Neuropathol Exp Neurol 2017; 75:1160-1170. [PMID: 27807004 DOI: 10.1093/jnen/nlw095] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Microvascular proliferation (MVP) is a hallmark of glioblastoma. Endothelial cell hypertrophy (ECH), also known as endothelial hyperplasia, is correlated with a shorter survival of patients with gliomas. However, the prognostic value of these 2 morphological features has not been studied in meningiomas. The aim of this study was to evaluate the prognostic value of angiogenesis in meningiomas, most notably ECH, MVP, and microvascular density, which were evaluated using immunohistochemistry with antibodies against CD34 and CD105 (a marker of neovascularization) in a series of 139 meningiomas. ECH, MVP, and CD105 immunoreactivity were significantly correlated with higher histological grades (p < 0.0001, p = 0.0004, and p = 0.0003, respectively). ECH and MVP but not CD105 immunoreactivities were significantly correlated with a shorter progression-free survival time (PFS) (p = 0.017, p = 0.021, and p = 0.137, respectively). In Cox multivariate analysis, ECH was an independent predictor of shorter PFS (p = 0.028). Therefore, ECH and MVP are markers of shorter PFS in meningiomas and are significantly correlated with grade. These findings give insight into the use of anti-angiogenic therapies. Further studies are needed to determine whether these markers could allow us to identify patients who could benefit from anti-angiogenic therapies.
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Affiliation(s)
- Catherine Ling
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Celso Pouget
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Fabien Rech
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Robin Pflaum
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Mathilde Treffel
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Franck Bielle
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Karima Mokhtari
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Jean-Matthieu Casse
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Jean-Michel Vignaud
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Michel Kalamarides
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Matthieu Peyre
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
| | - Guillaume Gauchotte
- From the Department of Pathology, CHRU, Nancy, France (CL, CP, MT JMC, JMV, GG); Department of Neurosurgery, CHRU, Nancy, France (FR); INSERM U1051, Institut des Neurosciences de Montpellier, Montpellier, France (FR); INSERM U954, NGERE, Faculté de Médecine de Nancy, Université de Lorraine, Vandoeuvre-lès-Nancy, France (RP, JMV, GG); Laboratory of Neuropathology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (FB, KM); INSERM U1127, CNRS UMR 7225, Université Pierre et Marie Curie-Paris 6, Institut du Cerveau et de la Moelle épinière, Paris, France (FB, KM, MK, MP); Centre de Ressources Biologiques, BB-0033-00035, CHRU, Nancy, France (JMV, GG); and Department of Neurosurgery, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique-Hôpitaux de Paris, Paris, France (MK, MP)
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