Immunohistochemical characterisation and histopathology of astrocytic neoplasms at a tertiary Nigerian hospital

Aim To describe histological features and pattern of expression of selected markers including epithelial growth factor receptor (EGFR), mutant p53 and mutant isocitrate dehydrogenase‐1 (IDH‐1R132H) among astrocytic neoplasms at the University College Hospital, Ibadan, Nigeria. Design A retrospective...

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Veröffentlicht in:International journal of clinical practice (Esher) 2021-06, Vol.75 (6), p.e14094-n/a
Hauptverfasser: Nweke, Michael, Ogun, Gabriel, Adeleye, Amos, Okolo, Clement A., Adesina, Adekunle
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creator Nweke, Michael
Ogun, Gabriel
Adeleye, Amos
Okolo, Clement A.
Adesina, Adekunle
description Aim To describe histological features and pattern of expression of selected markers including epithelial growth factor receptor (EGFR), mutant p53 and mutant isocitrate dehydrogenase‐1 (IDH‐1R132H) among astrocytic neoplasms at the University College Hospital, Ibadan, Nigeria. Design A retrospective cross‐sectional study involving histologically diagnosed Central Nervous System (CNS) neoplasms between January 2004 and December 2015. Haematoxylin and Eosin Slides of 81 cases of astrocytomas were retrieved, re‐cut and reviewed. Ethical clearance was obtained from the ethical board of the hospital. Immunohistochemistry using the Biotin‐Streptavidin system was performed with IDH‐1 R132H, p53 and EGFR mouse monoclonal antibodies (MOABs) specific against all the cases of astrocytomas under review. All cases were graded and classified using the World Health Organisation (WHO) Classification of Central Nervous System tumours (2016). Membranous and cytoplasmic staining of EGFR and IDH‐1R132H mouse monoclonal antibodies, respectively, were regarded as positive while nuclear staining of p53 mouse monoclonal antibody was regarded as positive. The data obtained were analysed with the level of statistical significance set at P 
doi_str_mv 10.1111/ijcp.14094
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Design A retrospective cross‐sectional study involving histologically diagnosed Central Nervous System (CNS) neoplasms between January 2004 and December 2015. Haematoxylin and Eosin Slides of 81 cases of astrocytomas were retrieved, re‐cut and reviewed. Ethical clearance was obtained from the ethical board of the hospital. Immunohistochemistry using the Biotin‐Streptavidin system was performed with IDH‐1 R132H, p53 and EGFR mouse monoclonal antibodies (MOABs) specific against all the cases of astrocytomas under review. All cases were graded and classified using the World Health Organisation (WHO) Classification of Central Nervous System tumours (2016). Membranous and cytoplasmic staining of EGFR and IDH‐1R132H mouse monoclonal antibodies, respectively, were regarded as positive while nuclear staining of p53 mouse monoclonal antibody was regarded as positive. The data obtained were analysed with the level of statistical significance set at P &lt; .05. Results Males constituted a majority of cases, 50 (61.7%). Male‐Female ratio was 1.6:1. Mean age was 30.6 years. Tumours were of a higher WHO grade with increasing age, albeit glioblastoma cases tended to present at younger ages. The higher WHO grades were more likely to be located supratentorially. Glioblastomas accounted for most of the diagnosis 39 (48.1%), followed by pilocytic astrocytomas at 23 (28.4%). There was a low positive cytoplasmic expression of IDH‐1 with only three (3.7%) being positive, eight (9.9%) showed a positive nuclear expression for mutant p53 while 17 (21%) showed membranous positivity for EGFR expression. Conclusion There are similar epidemiological trends between our cohort of patients and as described in most instances worldwide. Optimal stratification for astrocytomas can be achieved using a combination of IDH‐1/EGFR immunohistochemistry.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.14094</identifier><identifier>PMID: 33619805</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Animals ; Astrocytoma ; Astrocytomas ; Biotin ; Brain Neoplasms ; Central nervous system ; Cross-Sectional Studies ; EGFR monoclonal antibody ; Epidemiology ; Epidermal growth factor receptors ; Ethics ; Female ; Fibroblast growth factor 2 ; Glioblastoma ; Hospitals ; Humans ; IDH R132H monoclonal antibody ; Immunohistochemistry ; Isocitrate dehydrogenase ; Male ; Mice ; Monoclonal antibodies ; Mutants ; Mutation ; Neoplasia ; Nervous system ; Nigeria ; p53 monoclonal antibody ; Retrospective Studies ; Streptavidin ; Tumors</subject><ispartof>International journal of clinical practice (Esher), 2021-06, Vol.75 (6), p.e14094-n/a</ispartof><rights>2021 John Wiley &amp; Sons Ltd</rights><rights>2021 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2021 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3524-f6fc139e7f4120c08b034924e93c906c904568b2ba6d2cdd2ca629dc23d794843</cites><orcidid>0000-0001-7563-8533</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.14094$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.14094$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33619805$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nweke, Michael</creatorcontrib><creatorcontrib>Ogun, Gabriel</creatorcontrib><creatorcontrib>Adeleye, Amos</creatorcontrib><creatorcontrib>Okolo, Clement A.</creatorcontrib><creatorcontrib>Adesina, Adekunle</creatorcontrib><title>Immunohistochemical characterisation and histopathology of astrocytic neoplasms at a tertiary Nigerian hospital</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Aim To describe histological features and pattern of expression of selected markers including epithelial growth factor receptor (EGFR), mutant p53 and mutant isocitrate dehydrogenase‐1 (IDH‐1R132H) among astrocytic neoplasms at the University College Hospital, Ibadan, Nigeria. Design A retrospective cross‐sectional study involving histologically diagnosed Central Nervous System (CNS) neoplasms between January 2004 and December 2015. Haematoxylin and Eosin Slides of 81 cases of astrocytomas were retrieved, re‐cut and reviewed. Ethical clearance was obtained from the ethical board of the hospital. Immunohistochemistry using the Biotin‐Streptavidin system was performed with IDH‐1 R132H, p53 and EGFR mouse monoclonal antibodies (MOABs) specific against all the cases of astrocytomas under review. All cases were graded and classified using the World Health Organisation (WHO) Classification of Central Nervous System tumours (2016). Membranous and cytoplasmic staining of EGFR and IDH‐1R132H mouse monoclonal antibodies, respectively, were regarded as positive while nuclear staining of p53 mouse monoclonal antibody was regarded as positive. The data obtained were analysed with the level of statistical significance set at P &lt; .05. Results Males constituted a majority of cases, 50 (61.7%). Male‐Female ratio was 1.6:1. Mean age was 30.6 years. Tumours were of a higher WHO grade with increasing age, albeit glioblastoma cases tended to present at younger ages. The higher WHO grades were more likely to be located supratentorially. Glioblastomas accounted for most of the diagnosis 39 (48.1%), followed by pilocytic astrocytomas at 23 (28.4%). There was a low positive cytoplasmic expression of IDH‐1 with only three (3.7%) being positive, eight (9.9%) showed a positive nuclear expression for mutant p53 while 17 (21%) showed membranous positivity for EGFR expression. Conclusion There are similar epidemiological trends between our cohort of patients and as described in most instances worldwide. Optimal stratification for astrocytomas can be achieved using a combination of IDH‐1/EGFR immunohistochemistry.</description><subject>Animals</subject><subject>Astrocytoma</subject><subject>Astrocytomas</subject><subject>Biotin</subject><subject>Brain Neoplasms</subject><subject>Central nervous system</subject><subject>Cross-Sectional Studies</subject><subject>EGFR monoclonal antibody</subject><subject>Epidemiology</subject><subject>Epidermal growth factor receptors</subject><subject>Ethics</subject><subject>Female</subject><subject>Fibroblast growth factor 2</subject><subject>Glioblastoma</subject><subject>Hospitals</subject><subject>Humans</subject><subject>IDH R132H monoclonal antibody</subject><subject>Immunohistochemistry</subject><subject>Isocitrate dehydrogenase</subject><subject>Male</subject><subject>Mice</subject><subject>Monoclonal antibodies</subject><subject>Mutants</subject><subject>Mutation</subject><subject>Neoplasia</subject><subject>Nervous system</subject><subject>Nigeria</subject><subject>p53 monoclonal antibody</subject><subject>Retrospective Studies</subject><subject>Streptavidin</subject><subject>Tumors</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtP3DAURq0KVB7thh-ALLFBSKF-xWMv0YjHIARdtGvrjuMQj5I42I6q-fcYhnbRBZau7MXx0b33Q-iEkktazg-_sdMlFUSLL-iQLgSrKBN0r7y5VFVNOD1ARyltCGF1rchXdMC5pFqR-hCF1TDMY-h8ysF2bvAWemw7iGCziz5B9mHEMDb4HZkgd6EPz1scWgwpx2C32Vs8ujD1kIaEIWPA5Wv2ELf40T8XC4y4C2nyGfpvaL-FPrnvH_cx-n1z_Wt5Vz083a6WVw-V5TUTVStbS7l2i1ZQRixRa8KFZsJpbjWRpUQt1ZqtQTbMNqVAMt1YxpuFFkrwY3S-804xvMwuZTP4ZF3fQ2l1ToYVmyxLkKqgZ_-hmzDHsXRnWM0UUUxTWqiLHWVjSCm61kzRD2VGQ4l5i8G8xWDeYyjw6YdyXg-u-Yf-3XsB6A7443u3_URlVvfLnzvpKzy6k_w</recordid><startdate>202106</startdate><enddate>202106</enddate><creator>Nweke, Michael</creator><creator>Ogun, Gabriel</creator><creator>Adeleye, Amos</creator><creator>Okolo, Clement A.</creator><creator>Adesina, Adekunle</creator><general>Hindawi Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7563-8533</orcidid></search><sort><creationdate>202106</creationdate><title>Immunohistochemical characterisation and histopathology of astrocytic neoplasms at a tertiary Nigerian hospital</title><author>Nweke, Michael ; Ogun, Gabriel ; Adeleye, Amos ; Okolo, Clement A. ; Adesina, Adekunle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3524-f6fc139e7f4120c08b034924e93c906c904568b2ba6d2cdd2ca629dc23d794843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Animals</topic><topic>Astrocytoma</topic><topic>Astrocytomas</topic><topic>Biotin</topic><topic>Brain Neoplasms</topic><topic>Central nervous system</topic><topic>Cross-Sectional Studies</topic><topic>EGFR monoclonal antibody</topic><topic>Epidemiology</topic><topic>Epidermal growth factor receptors</topic><topic>Ethics</topic><topic>Female</topic><topic>Fibroblast growth factor 2</topic><topic>Glioblastoma</topic><topic>Hospitals</topic><topic>Humans</topic><topic>IDH R132H monoclonal antibody</topic><topic>Immunohistochemistry</topic><topic>Isocitrate dehydrogenase</topic><topic>Male</topic><topic>Mice</topic><topic>Monoclonal antibodies</topic><topic>Mutants</topic><topic>Mutation</topic><topic>Neoplasia</topic><topic>Nervous system</topic><topic>Nigeria</topic><topic>p53 monoclonal antibody</topic><topic>Retrospective Studies</topic><topic>Streptavidin</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nweke, Michael</creatorcontrib><creatorcontrib>Ogun, Gabriel</creatorcontrib><creatorcontrib>Adeleye, Amos</creatorcontrib><creatorcontrib>Okolo, Clement A.</creatorcontrib><creatorcontrib>Adesina, Adekunle</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nweke, Michael</au><au>Ogun, Gabriel</au><au>Adeleye, Amos</au><au>Okolo, Clement A.</au><au>Adesina, Adekunle</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immunohistochemical characterisation and histopathology of astrocytic neoplasms at a tertiary Nigerian hospital</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2021-06</date><risdate>2021</risdate><volume>75</volume><issue>6</issue><spage>e14094</spage><epage>n/a</epage><pages>e14094-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Aim To describe histological features and pattern of expression of selected markers including epithelial growth factor receptor (EGFR), mutant p53 and mutant isocitrate dehydrogenase‐1 (IDH‐1R132H) among astrocytic neoplasms at the University College Hospital, Ibadan, Nigeria. Design A retrospective cross‐sectional study involving histologically diagnosed Central Nervous System (CNS) neoplasms between January 2004 and December 2015. Haematoxylin and Eosin Slides of 81 cases of astrocytomas were retrieved, re‐cut and reviewed. Ethical clearance was obtained from the ethical board of the hospital. Immunohistochemistry using the Biotin‐Streptavidin system was performed with IDH‐1 R132H, p53 and EGFR mouse monoclonal antibodies (MOABs) specific against all the cases of astrocytomas under review. All cases were graded and classified using the World Health Organisation (WHO) Classification of Central Nervous System tumours (2016). Membranous and cytoplasmic staining of EGFR and IDH‐1R132H mouse monoclonal antibodies, respectively, were regarded as positive while nuclear staining of p53 mouse monoclonal antibody was regarded as positive. The data obtained were analysed with the level of statistical significance set at P &lt; .05. Results Males constituted a majority of cases, 50 (61.7%). Male‐Female ratio was 1.6:1. Mean age was 30.6 years. Tumours were of a higher WHO grade with increasing age, albeit glioblastoma cases tended to present at younger ages. The higher WHO grades were more likely to be located supratentorially. Glioblastomas accounted for most of the diagnosis 39 (48.1%), followed by pilocytic astrocytomas at 23 (28.4%). There was a low positive cytoplasmic expression of IDH‐1 with only three (3.7%) being positive, eight (9.9%) showed a positive nuclear expression for mutant p53 while 17 (21%) showed membranous positivity for EGFR expression. Conclusion There are similar epidemiological trends between our cohort of patients and as described in most instances worldwide. Optimal stratification for astrocytomas can be achieved using a combination of IDH‐1/EGFR immunohistochemistry.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>33619805</pmid><doi>10.1111/ijcp.14094</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0001-7563-8533</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Journals
subjects Animals
Astrocytoma
Astrocytomas
Biotin
Brain Neoplasms
Central nervous system
Cross-Sectional Studies
EGFR monoclonal antibody
Epidemiology
Epidermal growth factor receptors
Ethics
Female
Fibroblast growth factor 2
Glioblastoma
Hospitals
Humans
IDH R132H monoclonal antibody
Immunohistochemistry
Isocitrate dehydrogenase
Male
Mice
Monoclonal antibodies
Mutants
Mutation
Neoplasia
Nervous system
Nigeria
p53 monoclonal antibody
Retrospective Studies
Streptavidin
Tumors
title Immunohistochemical characterisation and histopathology of astrocytic neoplasms at a tertiary Nigerian hospital
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