Abstract
Human telomerase reverse transcriptase (hTERT), a ribonucleoprotein, is reported as an important complex, which is required for stability of DNA molecular structure at the rear of the chromosome. Until now, hTERT has been linked to cell immortalization and tumorigenesis. A couple of articles have been published about the telomerase function in the gliomas; however, these results are conflicting in some degree. Thus, it is crucial to perform a meta-analysis to identify their real actions. We included eligible articles, and estimated odds ratios (ORs) with 95 % confidence intervals (95 % CIs). In our meta-analysis, all 15 eligible articles included 932 patients. Results from 10 studies on WHO grade showed that high hTERT gene or protein expression in glioma tissues was obviously related to high WHO grade (III + IV) (OR 2.45, 95 % CI 1.92–3.13; p = 0.000). What is more, hTERT expression was not associated with old age (OR 0.91, 95 % CI 0.72–1.16; p = 0.448) as well as gender (OR 1.06, 95 % CI 0.82–1.37; p = 0.664). Importantly, hTERT expression was significantly associated with 5-year overall survival (OS; n = 3; hazard ratio (HR) 2.25, 95 % CI 1.36–3.70; p = 0.002) of glioma patients. No heterogeneity was found in all studies. In conclusion, this meta-analysis suggests that hTERT is significantly associated with high glioma grade and poor 5-year overall survival, and pathological test of hTERT mRNA and protein in glioma tissues should be suggested as criteria of glioma grade in the clinical practice.
Similar content being viewed by others
References
Woolf EC, Scheck AC (2012) Metabolism and glioma therapy. CNS Oncol 1(1):7–10
Mack F, Schäfer N, Kebir S, Stuplich M, Schaub C, Niessen M, Scheffler B, Herrlinger U et al (2014) Carmustine (BCNU) plus teniposide (VM26) in recurrent malignant glioma. Oncology 86(5-6):369–372
Kleihues P, Louis DN, Scheithauer BW, Rorke LB, Reifenberger G, Burger PC, Cavenee WK (2002) The WHO classification of tumors of the nervous system. J Neuropathol Exp Neurol 61(3):215–225
Wen PY, Kesari S (2008) Malignant gliomas in adults. N Engl J Med 359(8):492–507
Kovalenko NA, Zhdanov DD, Kovalenko TF (2013) Possibilities and effects of telomerase activation. Mol Biol (Mosk) 47(4):544–557
Padhi S, Saha A, Kar M, Ghosh C, Adhya A, Baisakh M, Mohapatra N, Venkatesan S et al (2015) Clinico-pathological correlation of β-catenin and telomere dysfunction in head and neck squamous cell carcinoma patients. J Cancer 6(2):192–202
Chaires JB, Trent JO, Gray RD, Dean WL, Buscaglia R, Thomas SD, Miller DM (2014) An improved model for the hTERT promoter quadruplex. PLoS One 9(12):e115580
Li YH, Jin LF, Du LF, Shi QS, Liu L, Jia X, Wu Y, Li F et al (2013) Enhancing HSP70-ShRNA transfection in 22RV1 prostate cancer cells by combination of sonoporation, liposomes and HTERT/CMV chimeric promoter. Int J Oncol 43(1):151–158
Li J, Cao X, Fang Y, Liao ZE, Liu YY, Huang BD, Han YJ (2013) Overexpression of hTERT in potentially malignant colorectal laterally spreading tumors. Mol Med Rep 7(5):1409–1412
Steels E, Paesmans M, Berghmans T, Branle F, Lemaitre F, Mascaux C, Meert AP, Vallot F et al (2001) Role of p53 as a prognostic factor for survival in lung cancer: a systematic review of the literature with a meta-analysis. Eur Respir J 18(4):705–719
Tierney JF, Stewart LA, Ghersi D, Burdett S, Sydes MR (2007) Practical methods for incorporating summary time-to-event data into meta-analysis. Trials 8(1):16
Parmar MK, Torri V, Stewart L (1998) Extracting summary statistics to perform meta-analyses of the published literature for survival endpoints. Stat Med 17(24):2815–2834
Sterne JA, Egger M (2001) Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis. J Clin Epidemiol 54(10):1046–1055
Chong EYY, Pang JCS, Ko CW, Poon WS, Ng HK (2000) Telomere length and telomerase catalytic subunit expression in non-astrocytic gliomas. Pathol Res Pract 196(10):691–699
Cabuy E, de Ridder L (2001) Telomerase activity and expression of telomerase reverse transcriptase correlated with cell proliferation in meningiomas and malignant brain tumors in vivo. Virchows Arch 439(2):176–184
Tchirkov A, Rolhion C, Kémény JL, Irthum B, Puget S, Khalil T, Chinot O, Kwiatkowski F et al (2003) Clinical implications of quantitative real-time RT-PCR analysis of hTERT gene expression in human gliomas. Br J Cancer 88(4):516–520
Kotoula V, Barbanis S, Nikolakaki E, Koufoyannis D, Papadimitriou CS (2004) Karkavelas G (2004) Relative expression of human telomerase catalytic subunit (hTERT) transcripts in astrocytic gliomas. Acta Neuropathol 107(5):443–451
Boldrini L, Pistolesi S, Gisfredi S, Ursino S, Ali G, Pieracci N, Basolo F, Parenti G et al (2006) Telomerase activity and hTERT mRNA expression in glial tumors. Int J Oncol 28(6):1555–1560
Kotoula V, Cheva A, Barbanis S, Papadimitriou CS, Karkavelas G (2006) hTERT immunopositivity patterns in the normal brain and in astrocytic tumors. Acta Neuropathol 111(6):569–578
Ma Y (2008) Relative expression of hTERT and Ki-67 in human gliomas using microarray test. Chin Neurosurg Forum 1(1):613–618
Yu S, Huang Y, Li L, Guan X, Zhang L, An T (2003) Study on expression of ING1, hTERT and TAP1 gene in human gliomas. Chin J Pathol 32(3):215–219
Li Y (2004) study of telomerase activity and its subunits in brain gliomas. Qingdao Univ 1(1):12–19
Yang W, Wu X, Shi S (2004) A study of hTERT gene expression and tumor proliferation activity as well as their correlation in human gliomas. CMINS 9(1):29–30
Wang D, Shao W, Shi G, Huang H (2006) Expression and significance of hTERT and PCNA in brain glioma. Shandong Med 46(30):6–7
Wang Y, Wang D, Shi G, Huang H (2006) Expression and significance of hTERT, HIF and CD105 in brain glioma. Shandong Med 35(11):681–682
Liu Y, Wang L, Fu X, Wang D (2008) Expression and significance of CXCR4 and hTERT in gliomas. Shandong Med 48(12):15–16
Zhao L, He H, He H (2009) Expression and significance of hTERT and survivin in brain glioma. Chin Trop Med 9(9):1693–1694
Wang Y, Zhang J, Tian W (2013) Expression of CXCR4, hTERT and its correlation with microvascular dense and prognosis in glioma. Acta Univ Med Nanjing 33(8):1110–1115
Ruden M, Puri N (2013) Novel anticancer therapeutics targeting telomerase. Cancer Treat Rev 39(5):444–456
Janknecht R (2004) On the road to immortality: hTERT upregulation in cancer cells. FEBS Lett 564(1-2):9–13
Begg CB, Berlin JA (1988) Publication bias: a problem in interpreting medical data. J R Stat Soc A 81(2):107–115
Acknowledgments
This study was supported by Science and Technology Project of Shandong Province Academy of Medical Sciences (2013015). We greatly thank other members in Yang Lab for valuable suggestions and writing.
Conflict of Interest
The authors state that there are no conflicts of interest to disclose.
Ethical Statement
This study was granted by the Ethical Committee of Shandong Academy of Medical Sciences.
Author information
Authors and Affiliations
Corresponding author
Additional information
This article has been retracted at the request of the Editor-in-Chief and the Publisher per the Committee on Publication Ethics guidelines. There is strong reason to believe that the peer review process was compromised and the authors have plagiarized parts from various articles.
An erratum to this article is available at http://dx.doi.org/10.1007/s12035-017-0603-6.
About this article
Cite this article
Li, J., Li, H., Liu, J. et al. RETRACTED ARTICLE: The Clinical Implications of Human Telomerase Reverse Transcriptase Expression in Grade and Prognosis of Gliomas: a Systematic Review and Meta-analysis. Mol Neurobiol 53, 2887–2893 (2016). https://doi.org/10.1007/s12035-015-9170-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12035-015-9170-x