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Research ArticleAdult Brain
Open Access

Effect of Piezo1 Overexpression on Peritumoral Brain Edema in Glioblastomas

S. Qu, T. Hu, O. Qiu, Y. Su, J. Gu and Z. Xia
American Journal of Neuroradiology August 2020, 41 (8) 1423-1429; DOI: https://doi.org/10.3174/ajnr.A6638
S. Qu
aFrom the Department of Neurosurgery (S.Q., T.H., O.Q., Y.S., Z.X.), First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
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T. Hu
aFrom the Department of Neurosurgery (S.Q., T.H., O.Q., Y.S., Z.X.), First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
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O. Qiu
aFrom the Department of Neurosurgery (S.Q., T.H., O.Q., Y.S., Z.X.), First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
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Y. Su
aFrom the Department of Neurosurgery (S.Q., T.H., O.Q., Y.S., Z.X.), First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
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J. Gu
bDepartment of Neurosurgery (J.G.), Cancer Center, Sun Yat-sen University, Guangzhou, China.
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Z. Xia
aFrom the Department of Neurosurgery (S.Q., T.H., O.Q., Y.S., Z.X.), First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China
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    Fig 1.

    Piezo1 overexpression in glioma cell lines and human gliomas. A, Piezo1 expression was detected by qRT-PCR and Western blot in 1 normal astrocyte line (HA1800) and 6 glioma cell lines (HS683, SW1783, U373, U251, LN319, and SNB19). B, qRT-PCR analysis of Piezo1 in 8 paired tumor samples and Western blot analysis of Piezo1 in 4 paired tumor samples (WHO grades I–IV). P indicates peritumoral tissues; T, tumor tissues; mRNA, messenger RNA. C, Piezo1 was analyzed in normal brain tissue and glioma tissue (WHO grades I–IV) by IHC.

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    Fig 2.

    A, Relative Piezo1 levels in clinical samples of GBM and paired adjacent normal tissues in a cohort of 64 patients with GBMs with WHO grade IV. B, Piezo1 expression was detected in several representative paired GBM samples. N indicates adjacent normal tissues; T, tumor tissues.

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    Fig 3.

    A–I, MR imaging (T2-weighted scan and T1-enhanced scan) and Piezo1 immunohistochemical staining of tumors with different grades of brain edema (mild edema, moderate edema, and severe edema). J, Piezo1 expression levels in the mild edema group (n = 9), moderate edema group (n = 16), and severe edema group (n = 39) were assessed by IHC. K, The EI was compared between the high Piezo1 expression group (n = 44) and the low Piezo1 expression group (n = 20). L, Scatterplot of Piezo1 expression and its corresponding EI based on linear regression analysis (R2 = 0.47, P < .001). The asterisk indicates P < .05, 4 asterisks, P < .001 using a 2-tailed Student t test.

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    Fig 4.

    A and B, Scatterplot of Piezo1 expression and its corresponding EI based on linear regression analysis in the high- and low-expression subgroups of Ki-67 (R2 = 0.33, P < .001; R2 = 0.75, P < .001; respectively). C and D, In the subgroup analysis of Ki-67, the EI was compared between the high-Piezo1 and low-Piezo1 expression groups. The asterisk indicates P < .05; 4 asterisks, P < .001 using a 2-tailed Student t test.

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    Fig 5.

    ROC curves of the extent of PTBE (red line) for the prediction of high Piezo1 expression in patients with GBMs.

Tables

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  • The correlation between Piezo1 expression and clinicopathologic characteristics in 64 patients with glioblastomas

    CharacteristicsCases (No.)Expression of Piezo1P Value
    Lowa (No.)Highb (No.)
    Cases (No.)2044–
    Age (yr)
     60 or older1248.86
     Younger than 60521636
    Sex
     Male361224.68
     Female28820
    Peritumoral brain edema
     No edema000.00
     Mild edema990
     Moderate edema16511
     Severe edema39633
    Ki-67 index
     ≥40%421032.08
     <40%221012
    IDH1 mutation
     No501634.54
     Yes14410
    p53 status
     Negative27720.43
     Positive371324
    • Note:—–indicates not applicable.

    • ↵a “Low” means low Piezo1 expression.

    • ↵b “High” means high Piezo1 expression.

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American Journal of Neuroradiology: 41 (8)
American Journal of Neuroradiology
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Cite this article
S. Qu, T. Hu, O. Qiu, Y. Su, J. Gu, Z. Xia
Effect of Piezo1 Overexpression on Peritumoral Brain Edema in Glioblastomas
American Journal of Neuroradiology Aug 2020, 41 (8) 1423-1429; DOI: 10.3174/ajnr.A6638

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Effect of Piezo1 Overexpression on Peritumoral Brain Edema in Glioblastomas
S. Qu, T. Hu, O. Qiu, Y. Su, J. Gu, Z. Xia
American Journal of Neuroradiology Aug 2020, 41 (8) 1423-1429; DOI: 10.3174/ajnr.A6638
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