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  1. Article ; Online: Correlation of the tumor escape phenotype with loss of PRELP expression in melanoma.

    Schäfer, Helene / Subbarayan, Karthikeyan / Massa, Chiara / Vaxevanis, Christoforos / Mueller, Anja / Seliger, Barbara

    Journal of translational medicine

    2023  Volume 21, Issue 1, Page(s) 643

    Abstract: Background: Despite immunotherapies having revolutionized the treatment of advanced cutaneous melanoma, effective and durable responses were only reported in a few patients. A better understanding of the interaction of melanoma cells with the ... ...

    Abstract Background: Despite immunotherapies having revolutionized the treatment of advanced cutaneous melanoma, effective and durable responses were only reported in a few patients. A better understanding of the interaction of melanoma cells with the microenvironment, including extracellular matrix (ECM) components, might provide novel therapeutic options. Although the ECM has been linked to several hallmarks of cancer, little information is available regarding the expression and function of the ECM protein purine-arginine-rich and leucine-rich protein (PRELP) in cancer, including melanoma.
    Methods: The structural integrity, expression and function of PRELP, its correlation with the expression of immune modulatory molecules, immune cell infiltration and clinical parameters were determined using standard methods and/or bioinformatics.
    Results: Bioinformatics analysis revealed a heterogeneous, but statistically significant reduced PRELP expression in available datasets of skin cutaneous melanoma when compared to adjacent normal tissues, which was associated with reduced patients' survival, low expression levels of components of the MHC class I antigen processing machinery (APM) and interferon (IFN)-γ signal transduction pathway, but increased expression of the transforming growth factor (TGF)-β isoform 1 (TFGB1) and TGF-β receptor 1 (TGFBR1). In addition, a high frequency of intra-tumoral T cells directly correlated with the expression of MHC class I and PRELP as well as the T cell attractant CCL5 in melanoma lesions. Marginal to low PRELP expression levels were found in the 47/49 human melanoma cell lines analysis. Transfection of PRELP into melanoma cell lines restored MHC class I surface expression due to transcriptional upregulation of major MHC class I APM and IFN-γ pathway components. In addition, PRELP overexpression is accompanied by high CCL5 secretion levels in cell supernatant, an impaired TGF-β signaling as well as a reduced cell proliferation, migration and invasion of melanoma cells.
    Conclusions: Our findings suggest that PRELP induces the expression of MHC class I and CCL5 in melanoma, which might be involved in an enhanced T cell recruitment and immunogenicity associated with an improved patients' outcome. Therefore, PRELP might serve as a marker for predicting disease progression and its recovery could revert the tumorigenic phenotype, which represents a novel therapeutic option for melanoma.
    MeSH term(s) Humans ; Melanoma/genetics ; Tumor Escape ; Skin Neoplasms/genetics ; Carcinogenesis ; Tumor Microenvironment ; Glycoproteins ; Extracellular Matrix Proteins ; Melanoma, Cutaneous Malignant
    Chemical Substances PRELP protein, human ; Glycoproteins ; Extracellular Matrix Proteins
    Language English
    Publishing date 2023-09-20
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2118570-0
    ISSN 1479-5876 ; 1479-5876
    ISSN (online) 1479-5876
    ISSN 1479-5876
    DOI 10.1186/s12967-023-04476-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Online ; Thesis: Role of biglycan on the immunogenicity of tumor cells

    Subbarayan, Karthikeyan [Verfasser] / Seliger, Barbara [Gutachter] / Bachmann, Michael Gutachter] / [Götte, Martin [Gutachter]

    2022  

    Author's details Karthikeyan Subbarayan ; Gutachter: Barbara Seliger, Michael Bachmann, Martin Götte
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language English
    Publisher Universitäts- und Landesbibliothek Sachsen-Anhalt
    Publishing place Halle (Saale)
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  3. Article ; Online: Correlation of the tumor escape phenotype with loss of PRELP expression in melanoma

    Helene Schäfer / Karthikeyan Subbarayan / Chiara Massa / Christoforos Vaxevanis / Anja Mueller / Barbara Seliger

    Journal of Translational Medicine, Vol 21, Iss 1, Pp 1-

    2023  Volume 16

    Abstract: Abstract Background Despite immunotherapies having revolutionized the treatment of advanced cutaneous melanoma, effective and durable responses were only reported in a few patients. A better understanding of the interaction of melanoma cells with the ... ...

    Abstract Abstract Background Despite immunotherapies having revolutionized the treatment of advanced cutaneous melanoma, effective and durable responses were only reported in a few patients. A better understanding of the interaction of melanoma cells with the microenvironment, including extracellular matrix (ECM) components, might provide novel therapeutic options. Although the ECM has been linked to several hallmarks of cancer, little information is available regarding the expression and function of the ECM protein purine-arginine-rich and leucine-rich protein (PRELP) in cancer, including melanoma. Methods The structural integrity, expression and function of PRELP, its correlation with the expression of immune modulatory molecules, immune cell infiltration and clinical parameters were determined using standard methods and/or bioinformatics. Results Bioinformatics analysis revealed a heterogeneous, but statistically significant reduced PRELP expression in available datasets of skin cutaneous melanoma when compared to adjacent normal tissues, which was associated with reduced patients’ survival, low expression levels of components of the MHC class I antigen processing machinery (APM) and interferon (IFN)-γ signal transduction pathway, but increased expression of the transforming growth factor (TGF)-β isoform 1 (TFGB1) and TGF-β receptor 1 (TGFBR1). In addition, a high frequency of intra-tumoral T cells directly correlated with the expression of MHC class I and PRELP as well as the T cell attractant CCL5 in melanoma lesions. Marginal to low PRELP expression levels were found in the 47/49 human melanoma cell lines analysis. Transfection of PRELP into melanoma cell lines restored MHC class I surface expression due to transcriptional upregulation of major MHC class I APM and IFN-γ pathway components. In addition, PRELP overexpression is accompanied by high CCL5 secretion levels in cell supernatant, an impaired TGF-β signaling as well as a reduced cell proliferation, migration and invasion of melanoma cells. Conclusions Our ...
    Keywords PRELP ; Melanoma ; MHC class I ; Antigen processing ; Immunogenicity ; IFN signaling ; Medicine ; R
    Subject code 570
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Tumor-dependent Effects of Proteoglycans and Various Glycosaminoglycan Synthesizing Enzymes and Sulfotransferases on Patients' Outcome.

    Subbarayan, Karthikeyan / Seliger, Barbara

    Current cancer drug targets

    2018  Volume 19, Issue 3, Page(s) 210–221

    Abstract: Background: The small leucine-rich proteoglycans (SLRPs) biglycan (BGN) and decorin (DCN) linked with sulfated glycosaminoglycan (GAG) chains exhibit oncogenic or tumor suppressive potentials depending on the cellular context and association with GAGs.!# ...

    Abstract Background: The small leucine-rich proteoglycans (SLRPs) biglycan (BGN) and decorin (DCN) linked with sulfated glycosaminoglycan (GAG) chains exhibit oncogenic or tumor suppressive potentials depending on the cellular context and association with GAGs.
    Objective: We hypothesized that structural alterations and expression levels of BGN, DCN and their associated chondroitin sulfate (CS) polymerizing enzymes, dermatan sulfate (DS) epimerases and various sulfatases might be correlated with the tumor (sub)type and patients' survival.
    Methods: We acquired breast cancer (BC) and glioma patients' datasets from cBioPortal and R2 Genomics. Structural alterations and the expression pattern of CS polymerizing enzymes, DS epimerases and carbohydrate sulfotransferases (CHST) were compared to that of BGN and DCN and correlated to their clinical relevance.
    Results: In BC, no mutations, but amplifications (0.2 - 2.1 %) and deletions (0.05 - 0.4 %) were found in BGN, DCN and CS/DS enzymes. In contrast, missense and/or truncated mutations (0.1 - 0.5 %), but a reduced amplification rate (0 - 1.5 %) were found in glioma. When compared to BC, the structural abnormalities caused altered mRNA expression levels of BGN, DCN, GAG synthesizing enzymes and CHST. Mutations in SLPRs, CHSY1, CHST4 and CHSY3 were correlated with a poor prognosis in glioma, while lack of mutations and copy number variations in the SLRPs, CHSY3, CHST15 and DSE displayed an increased survival in BC.
    Conclusion: A distinct association of BGN and DCN with CHST, CS polymerizing enzymes and DS epimerases was found in BC and glioma. Thus, a unique pattern of structural alterations and expression, which has clinical relevance, was found for PGs and GAG synthesizing enzymes and CHST in BC and glioma, which might help to identify high-risk patients and to develop personalized therapeutics.
    MeSH term(s) Biglycan/genetics ; Biglycan/metabolism ; Chondroitin Sulfates/metabolism ; DNA Copy Number Variations ; Decorin/genetics ; Decorin/metabolism ; Dermatan Sulfate/analogs & derivatives ; Dermatan Sulfate/metabolism ; Glioma/genetics ; Glioma/metabolism ; Glioma/mortality ; Glycosaminoglycans/metabolism ; Humans ; Mutation ; Prognosis ; Sulfotransferases/genetics ; Sulfotransferases/metabolism ; Survival Rate ; Time Factors
    Chemical Substances BGN protein, human ; Biglycan ; DCN protein, human ; Decorin ; Glycosaminoglycans ; dermatan sulfate chondroitin sulfate ; Dermatan Sulfate (24967-94-0) ; Chondroitin Sulfates (9007-28-7) ; Sulfotransferases (EC 2.8.2.-)
    Language English
    Publishing date 2018-06-25
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2064824-8
    ISSN 1873-5576 ; 1568-0096
    ISSN (online) 1873-5576
    ISSN 1568-0096
    DOI 10.2174/1568009618666180706165845
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Expression and Clinical Significance of SARS-CoV-2 Human Targets in Neoplastic and Non-Neoplastic Lung Tissues.

    Subbarayan, Karthikeyan / Ulagappan, Kamatchi / Wickenhauser, Claudia / Seliger, Barbara

    Current cancer drug targets

    2020  Volume 21, Issue 5, Page(s) 428–442

    Abstract: Background: A higher incidence of COVID-19 infection was demonstrated in cancer patients, including lung cancer patients. This study was conducted to get insights into the enhanced frequency of COVID-19 infection in cancer.: Methods: Using different ... ...

    Abstract Background: A higher incidence of COVID-19 infection was demonstrated in cancer patients, including lung cancer patients. This study was conducted to get insights into the enhanced frequency of COVID-19 infection in cancer.
    Methods: Using different bioinformatics tools, the expression and methylation patterns of ACE2 and TMPRSS2 were analyzed in healthy and malignant tissues, focusing on lung adenocarcinoma and data were correlated to clinical parameters and smoking history.
    Results: ACE2 and TMPRSS2 were heterogeneously expressed across 36 healthy tissues with the highest expression levels in digestive, urinary and reproductive organs, while the overall analysis of 72 paired tissues demonstrated significantly lower expression levels of ACE2 in cancer tissues when compared to normal counterparts. In contrast, ACE2, but not TMPRSS2, was overexpressed in LUAD, which inversely correlated to the promoter methylation. This upregulation of ACE2 was age-dependent in LUAD, but not in normal lung tissues. TMPRSS2 expression in non-neoplastic lung tissues was heterogeneous and dependent on sex and smoking history, while it was downregulated in LUAD of smokers. Cancer progression was associated with a decreased TMPRSS2 but unaltered ACE2. In contrast, ACE2 and TMPRSS2 of lung metastases derived from different cancer subtypes was higher than organ metastases of other sites. TMPRSS2, but not ACE2, was associated with LUAD patients' survival.
    Conclusions: Comprehensive molecular analyses revealed a heterogeneous and distinct expression and/or methylation profile of ACE2 and TMPRSS2 in healthy lung vs. LUAD tissues across sex, age and smoking history and might have implications for COVID-19 disease.
    MeSH term(s) Adenocarcinoma of Lung/epidemiology ; Adenocarcinoma of Lung/genetics ; Adenocarcinoma of Lung/virology ; Angiotensin-Converting Enzyme 2/genetics ; COVID-19/epidemiology ; COVID-19/genetics ; COVID-19/virology ; Down-Regulation/genetics ; Gene Expression Regulation, Neoplastic/genetics ; Humans ; Lung/virology ; Lung Neoplasms/epidemiology ; Lung Neoplasms/genetics ; Lung Neoplasms/virology ; Methylation ; Promoter Regions, Genetic/genetics ; SARS-CoV-2/pathogenicity ; Serine Endopeptidases/genetics ; Smoking/adverse effects ; Up-Regulation/genetics
    Chemical Substances Angiotensin-Converting Enzyme 2 (EC 3.4.17.23) ; Serine Endopeptidases (EC 3.4.21.-)
    Language English
    Publishing date 2020-12-08
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2064824-8
    ISSN 1873-5576 ; 1568-0096
    ISSN (online) 1873-5576
    ISSN 1568-0096
    DOI 10.2174/1568009620666201207145019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Immune Interaction Map of Human SARS-CoV-2 Target Genes: Implications for Therapeutic Avenues.

    Subbarayan, Karthikeyan / Ulagappan, Kamatchi / Wickenhauser, Claudia / Bachmann, Michael / Seliger, Barbara

    Frontiers in immunology

    2021  Volume 12, Page(s) 597399

    Abstract: There exists increasing evidence that people with preceding medical conditions, such as diabetes and cancer, have a higher risk of infection with SARS-CoV-2 and are more vulnerable to severe disease. To get insights into the possible role of the immune ... ...

    Abstract There exists increasing evidence that people with preceding medical conditions, such as diabetes and cancer, have a higher risk of infection with SARS-CoV-2 and are more vulnerable to severe disease. To get insights into the possible role of the immune system upon COVID-19 infection, 2811 genes of the gene ontology term "immune system process GO: 0002376" were selected for coexpression analysis of the human targets of SARS-CoV-2 (HT-SARS-CoV-2) ACE2, TMPRSS2, and FURIN in tissue samples from patients with cancer and diabetes mellitus. The network between HT-SARS-CoV-2 and immune system process genes was analyzed based on functional protein associations using STRING. In addition, STITCH was employed to determine druggable targets. DPP4 was the only immune system process gene, which was coexpressed with the three HT-SARS-CoV-2 genes, while eight other immune genes were at least coexpressed with two HT-SARS-CoV-2 genes. STRING analysis between immune and HT-SARS-CoV-2 genes plotted 19 associations of which there were eight common networking genes in mixed healthy (323) and pan-cancer (11003) tissues in addition to normal (87), cancer (90), and diabetic (128) pancreatic tissues. Using this approach, three commonly applicable druggable connections between HT-SARS-CoV-2 and immune system process genes were identified. These include positive associations of ACE2-DPP4 and TMPRSS2-SRC as well as a negative association of FURIN with ADAM17. Furthermore, 16 drugs were extracted from STITCH (score <0.8) with 32 target genes. Thus, an immunological network associated with HT-SARS-CoV-2 using bioinformatics tools was identified leading to novel therapeutic opportunities for COVID-19.
    MeSH term(s) Angiotensin-Converting Enzyme 2/genetics ; Angiotensin-Converting Enzyme 2/metabolism ; Antiviral Agents/chemistry ; Antiviral Agents/pharmacology ; COVID-19/drug therapy ; COVID-19/genetics ; COVID-19/immunology ; COVID-19/metabolism ; Databases, Genetic ; Diabetes Mellitus/genetics ; Diabetes Mellitus/immunology ; Diabetes Mellitus/metabolism ; Diabetes Mellitus/virology ; Dipeptidyl Peptidase 4/genetics ; Dipeptidyl Peptidase 4/metabolism ; Furin/genetics ; Furin/metabolism ; Gene Expression Regulation/immunology ; Gene Ontology ; Genome-Wide Association Study ; Genomics ; Humans ; Lymphocytes/immunology ; Lymphocytes/metabolism ; Neoplasms/genetics ; Neoplasms/immunology ; Neoplasms/metabolism ; Neoplasms/virology ; Pancreas/immunology ; Pancreas/metabolism ; Pancreas/virology ; Protein Interaction Maps/genetics ; Protein Interaction Maps/immunology ; SARS-CoV-2/drug effects ; SARS-CoV-2/genetics ; SARS-CoV-2/immunology ; SARS-CoV-2/metabolism ; Serine Endopeptidases/genetics ; Serine Endopeptidases/metabolism ; Spike Glycoprotein, Coronavirus/metabolism
    Chemical Substances Antiviral Agents ; Spike Glycoprotein, Coronavirus ; DPP4 protein, human (EC 3.4.14.5) ; Dipeptidyl Peptidase 4 (EC 3.4.14.5) ; ACE2 protein, human (EC 3.4.17.23) ; Angiotensin-Converting Enzyme 2 (EC 3.4.17.23) ; Serine Endopeptidases (EC 3.4.21.-) ; TMPRSS2 protein, human (EC 3.4.21.-) ; Furin (EC 3.4.21.75)
    Language English
    Publishing date 2021-03-16
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2021.597399
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Identification of a novel miR-21-3p/TGF-β signaling-driven immune escape via the MHC class I/biglycan axis in tumor cells.

    Subbarayan, Karthikeyan / Massa, Chiara / Lazaridou, Maria-Filothei / Ulagappan, Kamatchi / Seliger, Barbara

    Clinical and translational medicine

    2021  Volume 11, Issue 3, Page(s) e306

    MeSH term(s) Animals ; Biglycan/genetics ; Biglycan/immunology ; Biglycan/metabolism ; Breast Neoplasms/genetics ; Breast Neoplasms/immunology ; Breast Neoplasms/metabolism ; Disease Models, Animal ; Female ; Gene Expression Regulation, Neoplastic/genetics ; Genes, MHC Class I/genetics ; Genes, MHC Class I/immunology ; Humans ; Mice ; MicroRNAs/genetics ; MicroRNAs/immunology ; MicroRNAs/metabolism ; Signal Transduction/genetics ; Signal Transduction/immunology ; Transforming Growth Factor beta/genetics ; Transforming Growth Factor beta/immunology ; Transforming Growth Factor beta/metabolism
    Chemical Substances BGN protein, human ; Biglycan ; MIRN21 microRNA, human ; MicroRNAs ; Transforming Growth Factor beta
    Language English
    Publishing date 2021-03-30
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 2697013-2
    ISSN 2001-1326 ; 2001-1326
    ISSN (online) 2001-1326
    ISSN 2001-1326
    DOI 10.1002/ctm2.306
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Correlation of the tumor escape phenotype with loss of PRELP expression in melanoma

    Schäfer, Helene / Subbarayan, Karthikeyan / Massa, Chiara / Vaxevanis, Christoforos / Mueller, Anja / Seliger, Barbara

    2023  

    Abstract: Background: Despite immunotherapies having revolutionized the treatment of advanced cutaneous melanoma, effective and durable responses were only reported in a few patients. A better understanding of the interaction of melanoma cells with the ... ...

    Abstract Background: Despite immunotherapies having revolutionized the treatment of advanced cutaneous melanoma, effective and durable responses were only reported in a few patients. A better understanding of the interaction of melanoma cells with the microenvironment, including extracellular matrix (ECM) components, might provide novel therapeutic options. Although the ECM has been linked to several hallmarks of cancer, little information is available regarding the expression and function of the ECM protein purine-arginine-rich and leucine-rich protein (PRELP) in cancer, including melanoma. Methods: The structural integrity, expression and function of PRELP, its correlation with the expression of immune modulatory molecules, immune cell infiltration and clinical parameters were determined using standard methods and/or bioinformatics. Results: Bioinformatics analysis revealed a heterogeneous, but statistically significant reduced PRELP expression in available datasets of skin cutaneous melanoma when compared to adjacent normal tissues, which was associated with reduced patients’ survival, low expression levels of components of the MHC class I antigen processing machinery (APM) and interferon (IFN)-γ signal transduction pathway, but increased expression of the transforming growth factor (TGF)-β isoform 1 (TFGB1) and TGF-β receptor 1 (TGFBR1). In addition, a high frequency of intra-tumoral T cells directly correlated with the expression of MHC class I and PRELP as well as the T cell attractant CCL5 in melanoma lesions. Marginal to low PRELP expression levels were found in the 47/49 human melanoma cell lines analysis. Transfection of PRELP into melanoma cell lines restored MHC class I surface expression due to transcriptional upregulation of major MHC class I APM and IFN-γ pathway components. In addition, PRELP overexpression is accompanied by high CCL5 secretion levels in cell supernatant, an impaired TGF-β signaling as well as a reduced cell proliferation, migration and invasion of melanoma cells. Conclusions: Our ...
    Keywords PRELP ; Melanoma ; MHC class I ; Antigen processing ; Immunogenicity ; IFN signaling
    Subject code 570
    Language English
    Publishing country de
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Biglycan as a potential regulator of tumorgenicity and immunogenicity in K-RAS-transformed cells.

    Subbarayan, Karthikeyan / Massa, Chiara / Leisz, Sandra / Steven, André / Bethmann, Daniel / Biehl, Katharina / Wickenhauser, Claudia / Seliger, Barbara

    Oncoimmunology

    2022  Volume 11, Issue 1, Page(s) 2069214

    Abstract: The extracellular matrix component biglycan (BGN) plays an essential role in various physiological and pathophysiological processes. A deficient BGN expression associated with reduced immunogenicity was found in HER-2/neu-overexpressing cells. To ... ...

    Abstract The extracellular matrix component biglycan (BGN) plays an essential role in various physiological and pathophysiological processes. A deficient BGN expression associated with reduced immunogenicity was found in HER-2/neu-overexpressing cells. To determine whether BGN is suppressed by oncogene-driven regulatory networks, the expression and function of BGN was analyzed in murine and human BGN
    MeSH term(s) Animals ; Biglycan/genetics ; Biglycan/metabolism ; Colorectal Neoplasms/genetics ; Fibroblasts/metabolism ; Histocompatibility Antigens Class I/genetics ; Histocompatibility Antigens Class I/metabolism ; Humans ; Mice ; RNA, Messenger/metabolism ; Transfection
    Chemical Substances Biglycan ; Histocompatibility Antigens Class I ; RNA, Messenger
    Language English
    Publishing date 2022-04-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2645309-5
    ISSN 2162-402X ; 2162-402X
    ISSN (online) 2162-402X
    ISSN 2162-402X
    DOI 10.1080/2162402X.2022.2069214
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Pineal Anaplastic Ependymoma - A Rare Entity.

    Moorthy, Pooja E / Subbarayan, Devi / Raghavan, Vijayashree / Kanna, Rajesh N R / Ramesh, Vengalathur G / Karthikeyan, Kavindapadi V

    Neurology India

    2021  Volume 69, Issue 4, Page(s) 1045–1047

    Abstract: Anaplastic ependymoma in the pineal region is rare. Here, we present a rare case of anaplastic ependymoma of the pineal region on a 42-year-old woman who came to our hospital with headache associated with blurring of vision since one month. MRI brain ... ...

    Abstract Anaplastic ependymoma in the pineal region is rare. Here, we present a rare case of anaplastic ependymoma of the pineal region on a 42-year-old woman who came to our hospital with headache associated with blurring of vision since one month. MRI brain showed a contrast enhancing mass lesion measuring 30 × 30 × 35 mm in the pineal region with obstructive hydrocephalus. Initially, the ventriculoperitoneal (VP) shunt was done, followed by total tumor excision by the infratentorial supracerebellar approach. Histopathological and immunohistochemistry examinations of the tumor showed the features of anaplastic ependymoma (WHO Grade III). Patient made uneventful recovery and underwent radiotherapy. Only 12 cases of pineal ependymoma have been reported so far, of which only three have been anaplastic ependymoma.
    MeSH term(s) Adult ; Ependymoma/diagnostic imaging ; Ependymoma/surgery ; Female ; Humans ; Hydrocephalus ; Magnetic Resonance Imaging ; Pineal Gland/diagnostic imaging ; Pineal Gland/surgery ; Ventriculoperitoneal Shunt
    Language English
    Publishing date 2021-09-09
    Publishing country India
    Document type Case Reports
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.325365
    Database MEDical Literature Analysis and Retrieval System OnLINE

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