机构:[1]Capital Med Univ, Beijing Tian Tan Hosp, Dept Neuroradiol, Beijing, Peoples R China;[2]Beijing Neurosurg Inst, Beijing, Peoples R China;研究所北京市神经外科研究所首都医科大学附属天坛医院[3]Beijing Inst Brain Disorders Brain Tumor Ctr, Beijing, Peoples R China
Several molecular markers have been proposed as predictors of outcome in patients with glioblastomas. We investigated the prognostic significance of O-6-methylguanine-DNA methyltransferase (MGMT) promoter methylation and TP53 mutation status dependent on isocitrate dehydrogenase 1 (IDH1) mutation in glioblastoma patients. A cohort of 78 patients with histologically confirmed glioblastomas treated with radiation therapy and chemotherapy were reviewed retrospectively. We evaluated the prognostic value of MGMT promoter methylation and TP53 mutation status with regard to progression-free survival (PFS) and overall survival (OS). It was revealed that mutations in IDH1, promoter methylation of MGMT, TP53 mutation, age, Karnofsky performance status (KFS), and extension of resection were independent prognostic factors. In patients with an IDH1 mutation, those with an MGMT methylation were associated with longer PFS (p=0.016) and OS (p=0.013). Nevertheless, the presence of TP53 mutation could stratify the PFS and OS of patients with IDH1 wild type (p=0.003 and 0.029 respectively, log-rank). The MGMT promoter methylation and TP53 mutation were associated with a favorable outcome of patients with and without mutant IDH1, respectively. The results indicate that glioblastomas with MGMT methylation or TP53 mutations have improved survival that may be influenced by IDH1 mutation status.
基金:
National High Technology Research and Development ProgramNational High Technology Research and Development Program of China [2012AA02A508]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81271541]
第一作者机构:[1]Capital Med Univ, Beijing Tian Tan Hosp, Dept Neuroradiol, Beijing, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tian Tan Hosp, Dept Neuroradiol, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
Wang Kai,Wang Yin-Yan,Ma Jun,et al.Prognostic Value of MGMT Promoter Methylation and TP53 Mutation in Glioblastomas Depends on IDH1 Mutation[J].ASIAN PACIFIC JOURNAL OF CANCER PREVENTION.2014,15(24):10893-10898.doi:10.7314/APJCP.2014.15.24.10893.
APA:
Wang, Kai,Wang, Yin-Yan,Ma, Jun,Wang, Jiang-Fei,Li, Shao-Wu...&Dai, Jian-Ping.(2014).Prognostic Value of MGMT Promoter Methylation and TP53 Mutation in Glioblastomas Depends on IDH1 Mutation.ASIAN PACIFIC JOURNAL OF CANCER PREVENTION,15,(24)
MLA:
Wang, Kai,et al."Prognostic Value of MGMT Promoter Methylation and TP53 Mutation in Glioblastomas Depends on IDH1 Mutation".ASIAN PACIFIC JOURNAL OF CANCER PREVENTION 15..24(2014):10893-10898