A High MCM6 Proliferative Index in Atypical Meningioma Is Associated with Shorter Progression Free and Overall Survivals.

Fiche publication


Date publication

janvier 2023

Journal

Cancers

Auteurs

Membres identifiés du Cancéropôle Est :
Pr GAUCHOTTE Guillaume, Dr BATTAGLIA-HSU Shyue-Fang, Dr RECH Fabien


Tous les auteurs :
Gauchotte G, Bédel C, Lardenois E, Hergalant S, Cuglietta L, Pflaum R, Lacomme S, Pina H, Treffel M, Rech F, Battaglia-Hsu SF

Résumé

The aim of this study was to evaluate the prognostic value of MCM6, in comparison with Ki-67, in two series of grade 1 and 2 meningiomas, and to evaluate its correlation with methylation classes. The first cohort included 100 benign (grade 1, World Health Organization 2021) meningiomas, and the second 69 atypical meningiomas (grade 2). Immunohistochemical Ki-67 and MCM6 labeling indices (LI) were evaluated independently by two observers. Among the atypical meningiomas, 33 cases were also studied by genome-wide DNA methylation. In grade 2 meningiomas, but not grade 1, both Ki-67 and MCM6 LIs were correlated with PFS ( = 0.004 and = 0.005, respectively; Cox univariate analyses). Additionally, MCM6 was correlated with overall survival only in univariate analysis. In a multivariate model, including mitotic index, Ki-67, MCM6, age, sex, and the quality of surgical resection, only MCM6 was correlated with PFS ( = 0.046). Additionally, we found a significant correlation between PTEN loss and high MCM6 or Ki-67 LIs. Although no correlation was found with the methylation classes and subtypes returned by the meningioma algorithm MNGv2.4., MCM6 LI was significantly correlated with the methylation of 2 MCM6 gene body loci. In conclusion, MCM6 is a relevant prognostic marker in atypical meningiomas. This reproducible and easy-to-use marker allows the identification of a highly aggressive subtype of proliferative meningiomas, characterized notably by frequent PTEN losses, which was previously reported to be sensitive to histone deacetylase inhibitors.

Mots clés

Ki-67, MCM6, PTEN, atypical meningioma, meningioma, proliferation

Référence

Cancers (Basel). 2023 01 16;15(2):