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A three-gene signature for prognosis in patients with MGMT promoter-methylated glioblastoma

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机构: [1]Department of Neurosurgery, The Second Affiliated Hospital of Soochow University, Suzhou, China [2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [3]Department of Molecular Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China [4]Brain Tumor Center, Beijing Institute for Brain Disorders, Beijing, China [5]Department of Ophthalmology, School of Medicine, Shandong University, Jinan, China [6]Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China [7]Chinese Glioma Cooperative Group (CGCG), Beijing, China [8]China National Clinical Research Center for Neurological Diseases, Beijing, China
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关键词: signature MGMT prognosis glioblastoma RNA-Seq

摘要:
Glioblastoma is the most malignant tumor and has high mortality rate. The methylated prompter of MGMT results in chemotherapy sensitivity for these patients. However, there are still other factors that affected the prognosis for the glioblastoma patients with similar MGMT methylation status. We developed a signature with three genes screened from the whole genome mRNA expression profile from Chinese Glioma Genome Atlas (CGGA) and RNAseq data from The Cancer Genome Atlas (TCGA). Patients with MGMT methylation in low risk group had longer survival than those in high risk group (median overall survival 1074 vs. 372 days; P = 0.0033). Moreover, the prognostic value of the signature was significant difference in cohorts stratified by MGMT methylation and chemotherapy (P= 0.0473), while there is no significant difference between low and high risk group or unmethylated MGMT patients without chemotherapy. Multivariate analysis indicated that the risk score was an independent prognosis factor (P = 0.004). In conclusion, our results showed that the signature has prognostic value for patients with MGMT promoter-methylated glioblastomas based on bioinformatics analysis.

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出版当年[2015]版:
大类 | 1 区 医学
小类 | 2 区 肿瘤学 3 区 细胞生物学
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Q1 ONCOLOGY Q1 CELL BIOLOGY
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第一作者机构: [1]Department of Neurosurgery, The Second Affiliated Hospital of Soochow University, Suzhou, China [2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [3]Department of Molecular Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China [7]Chinese Glioma Cooperative Group (CGCG), Beijing, China
通讯作者:
通讯机构: [1]Department of Neurosurgery, The Second Affiliated Hospital of Soochow University, Suzhou, China [2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China [8]China National Clinical Research Center for Neurological Diseases, Beijing, China
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