the study of cd117 expression in glial tumorsand its relationship with the tumor-type and grade

Authors

parvin mahzouni associate professor, department of pathology, school of medicine, isfahan university of medical sciences, isfahan, iran

mohsen jafari resident, department of pathology, school of medicine, isfahan university of medical sciences, isfahan, iran

abstract

background : cd117 is a thyrosin kinase receptor encoded by c-kit proto-oncogene. it is expressed during normal development in some tissues and also in a subset of neoplasia especially gastrointestinal stromal tumors   (gists). treatment with thyrosin kinase inhibitors (e.g., imatinib) is useful in cd117- positive gists. the goal of this study is to investigate the expression of cd117 in glial tumors as a potential diagnostic marker and target for therapy. methods : in this descriptive-analytical study, paraffin- embedded tissue blocks from 50 cases of glial tumors (various histological types and grades) were selected in a convenience sampling for the cd117 immunhistochemical study including expression of the marker, staining intensity, and percentage of the stained cells. the results were analyzed by chi-square and mann–whitney tests. results : cd117 expression was detected in about 76% of glial tumors but the frequency of the expression showed no statistically significant relationship with the tumor type (p = 0.829). although cd117 immunoreactivity was more frequent   in high-grade tumors   (84%) compared   to the low-grade ones (68%), no statistically significant relationship was found between the cd117 expression and grade of the tumor (p = 0.09). staining intensity and percentage of stained cells in high-grade tumors were significantly more than in low-grade tumors (p-values of 0.046 and 0.023, respectively). conclusions : according to the statistically significant difference in the staining intensity and percentage of the stained cells between the low-grade and high-grade glial tumors, these two parameters may be useful for making distinction   between various grades of these tumors. moreover, according to the prominent expression of cd117 in high-grade gliomas, these tumors   may be potential candidates for treatment with thyrosin kinase inhibitors. keywords : cd117, glial tumors, immunohistochemical staining, tumor grade

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Journal title:
journal of research in medical sciences

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