Research Article
Expressions of Endocan in Patients with
Meningiomas and Gliomas
Pinar Atukeren,
1
Ahmad Kunbaz,
1
Okan Turk,
2
Rahsan Kemerdere,
3
Mustafa Onur Ulu,
3
Nursel Turkmen Inanir,
4
and Taner Tanriverdi
3
1
Department of Biochemistry, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
2
Department of Neurosurgery, Samatya Training and Research Hospital, Istanbul, Turkey
3
Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University, Fatih, 34098 Istanbul, Turkey
4
Department of Forensic Medicine, Uludag University, Bursa, Turkey
Correspondence should be addressed to Taner Tanriverdi; tanerato2000@yahoo.com
Received 20 April 2016; Revised 21 June 2016; Accepted 30 June 2016
Academic Editor: Lance A. Liotta
Copyright © 2016 Pinar Atukeren et al. Tis is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective. Endocan has been shown to be a marker for several cancers and may show degree of malignancy. Te aim of this study
is to assess tissue levels of endocan in common brain tumors, namely, meningiomas, low-grade gliomas (LGGs), and high-grade
gliomas (HGGs). Patients and Methods. Endocan was assayed by commercially available enzyme linked immunosorbent assay
(ELISA) kits in a total of 50 brain tumors (20 meningiomas, 19 LGGs, and 20 HGGs) and 15 controls. Te results were compared
to control brain tissues. Results. Each tumor group showed signifcant higher levels of endocan compared to controls ( < 0.05). In
addition, endocan levels showed steady increase from the least (meningiomas) to the most (HGGs) malignant tumors and positive
correlation was noted between the degree of malignancy and endocan level ( = 0.0001). Conclusion. Endocan, a vital molecule
for angiogenesis, is expressed in common brain tumors and results suggest that endocan could be a marker for malignancy.
1. Introduction
Gliomas are the commonest intra-axial brain tumors gen-
erally divided into two groups for practical purposes: low-
grade (grades I and II) and high-grade (grades III and IV)
gliomas [1]. High-grade gliomas (HGGs) are the most feared
brain tumors since they have a high recurrence rate, especially
in case of glioblastoma multiforme (grade IV); the median
survival time is almost 15 months despite the current modern
treatment modalities. Low-grade gliomas (LGGs) are also
common and they can upgrade within 5 to 7 years and fnally
behave as HGGs.
On the other hand, the most common extra-axial tumors
in the intracranial compartment are meningiomas, originated
from the cap cells of arachnoid. Tese tumors were classifed
by the World Health Organization into three grades (grades
from I through III); grade III is the malignant form and
recurrence is very high [1].
Since we do not have still curative treatment with respect
to many solid cancers, identifying a specifc marker or a
target becomes vital or understanding the molecular basis
behind these tumors may lead us to developed curative
treatment. Te rapidly expanding data on endothelial cell-
specifc molecule-1 (ESM-1) or endocan shows that it is a
soluble dermatan sulfate proteoglycan (PG), freely circulating
molecule in the blood, and present primarily on the cell
surface, in the extracellular matrix and body fuids [2]. Recent
studies suggest that this molecule may be used as a target
in the treatment of several cancers or may be a marker for
the some tumors [3–6]. Endocan is produced by endothelial
cells and includes a protein core, dermatan sulfate [7, 8].
Its overexpression in several disorders, such as sepsis [9],
cancers [3–6], or infammatory conditions, suggests that
these molecules may be involved in the pathogenesis. Te
large body of evidence currently indicates that endocan not
only is a biomarker of neoangiogenesis but also shows tumor
Hindawi Publishing Corporation
Disease Markers
Volume 2016, Article ID 7157039, 5 pages
http://dx.doi.org/10.1155/2016/7157039