Diffusion Kurtosis Imaging Reflects Glial Fibrillary Acidic Protein (GFAP), Topo IIα, and O⁶-Methylguanine-DNA Methyltransferase (MGMT) Expression in Astrocytomas

• Published in: Medical science monitor 2018-12, Vol.24, p.8822-8830
• Main Authors: Wang, Xiao-Chun, Lei, Ying, Wang, Le, Tan, Yan, Qin, Jiang-Bo, Ma, Guo-Lin, Zhang, Hui
• Format: Article
• Language: English
• Subjects: Adult; Aged; Anisotropy; Astrocytoma - diagnostic imaging; Astrocytoma - genetics; Astrocytoma - metabolism; Astrocytoma - pathology; Brain Neoplasms - diagnostic imaging; Brain Neoplasms - genetics; Brain Neoplasms - metabolism; Brain Neoplasms - pathology; Clinical Research; Diffusion Magnetic Resonance Imaging - methods; Diffusion Tensor Imaging - methods; DNA Modification Methylases - biosynthesis; DNA Modification Methylases - genetics; DNA Modification Methylases - metabolism; DNA Repair Enzymes - biosynthesis; DNA Repair Enzymes - genetics; DNA Repair Enzymes - metabolism; DNA Topoisomerases, Type II - biosynthesis; DNA Topoisomerases, Type II - genetics; DNA Topoisomerases, Type II - metabolism; Female; Glial Fibrillary Acidic Protein - biosynthesis; Glial Fibrillary Acidic Protein - genetics; Glial Fibrillary Acidic Protein - metabolism; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Poly-ADP-Ribose Binding Proteins - biosynthesis; Poly-ADP-Ribose Binding Proteins - genetics; Poly-ADP-Ribose Binding Proteins - metabolism; Tumor Suppressor Proteins - biosynthesis; Tumor Suppressor Proteins - genetics; Tumor Suppressor Proteins - metabolism
• ISSN: 1643-3750; 1234-1010; 1643-3750
• DOI: 10.12659/MSM.911631

BACKGROUND Astrocytomas are the most common primary brain neoplasms. Biological indicators of astrocytomas can reflect its biological characteristics. The aim of this study was to assess the expression of the pathological glial fibrillary acidic protein (GFAP) Topo IIα and O⁶-methylguanine-DNA methyltransferase (MGMT) in astrocytomas using magnetic resonance (MR) diffusion kurtosis imaging (DKI) to evaluate the biological characteristics of astrocytomas. MATERIAL AND METHODS Sixty-six patients with pathologically proven astrocytomas were enrolled in this study. All patients underwent conventional MRI head scanning, DKI scanning, and enhanced scanning under the same conditions. Spearman's rank correlation analysis and Bonferroni correction were used to compare the values of DKI and the expression levels of GFAP, Topo IIα, and MGMT between the 2 groups. RESULTS Mean kurtosis (MK) values were negatively correlated with the expression of GFAP (r=-0.836; P=0.03). However, these were positively correlated with the expression of Topo IIα (r=0.896; P=0.01). Moreover, fractional anisotropy (FA) values were not correlated with the expression of GFAP (r=0.366; P=0.05), Topo IIα (r=-0.562; P=0.05), or MGMT (r=-0.153; P=0.10). CONCLUSIONS MK was significantly associated with the expression of GFAP and Topo IIα. To a certain extent, applying DKI may show the biological behavior of tumor cell differentiation, proliferation activity, invasion, and metastasis, and guide individual treatment.