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Japanese Journal of Clinical Oncology 2009 39(10):625-631; doi:10.1093/jjco/hyp094
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© The Author (2009). Published by Oxford University Press. All rights reserved

Expression Pattern and Clinical Prognostic Relevance of Bone Morphogenetic Protein-2 in Human Gliomas

Ce Liu1{dagger}, Gang Tian2,{dagger}, Yanyang Tu3, Jianfang Fu4, Chuan Lan2 and Nan Wu2

1 Department of Neurosurgery, The Second Affiliated Hospital of the General Hospital of the People's Liberation Army, Beijing
2 Department of Neurosurgery, Southwest Hospital, The Third Military Medical University, Chongqing
3 Department of Neurosurgery, 63870 Hospital of the People's Liberation Army
4 Department of Endocrine Secretion, Xijing Hospital of the Fourth Military Medical University, Shanxi, PR China

For reprints and all correspondence: Nan Wu, Department of Neurosurgery, Southwest Hospital, The Third Military Medical University, Chongqing 400038, PR China. E-mail: ctyliu{at}gmail.com

Received April 27, 2009; accepted July 13, 2009

Objective: Bone morphogenetic protein-2 (BMP-2) is normally expressed in the embryo promoting the development of several organs. Aberrant expression of BMP-2 occurs in various tumors. However, a correlation between BMP-2 expression in human gliomas and patients' prognosis has not been reported. To address this question, this study was to investigate the BMP-2 expression pattern in human gliomas and to evaluate its prognostic relevance.

Methods: We analyzed the expression of the BMP-2 antigen in a series of 98 gliomas of various grade and histology by immunohistochemistry on paraffin-embedded sections. Then, the correlation of BMP-2 expression pattern with clinical–pathological features of patients and its prognostic relevance were determined.

Results: Immunohistochemical analysis with anti-BMP-2 antibody revealed dense and spotty staining in the tumor cells and its expression levels became significantly higher as the gliomas' grade advanced (P < 0.001). The median survival of patients with intensively positive BMP-2 expression was significantly shorter than that with negative expression (318 vs. 1197 days, P < 0.0001). The Kaplan–Meier survival curves showed that the BMP-2 expression was not only a significant predictor of survival in high-grade gliomas (grade IV, P = 0.02), but also in lower-grade gliomas (grades II and III, P < 0.001).

Conclusions: These results indicate that BMP-2 is a highly sensitive marker for gliomas prognosis and suggest that the expression level of BMP-2 may be a potent tool for the clinical prognosis of gliomas patients.

Key Words: bone morphogenetic protein-2 • glioma • prognosis


{dagger} Contribute equally to this work.


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