Personalized treatment strategies in glioblastoma: MGMT promoter methylation status.

作者: Niklas Thon , Simone Kreth , Friedrich Wilhelm Kreth

DOI: 10.2147/OTT.S50208

关键词: DNA methylationBioinformaticsPromoterTemozolomideMethyltransferaseBlastomaEpigeneticsCancer researchBrain tumorGliomaMedicine

摘要: The identification of molecular genetic biomarkers considerably increased our cur - rent understanding glioma genesis, prognostic evaluation, and treatment planning. In glio- blastoma, the most malignant intrinsic brain tumor entity in adults, promoter methylation status gene encoding for repair enzyme O6-methylguanine-DNA methyltransferase (MGMT) indicates efficacy current standard care, which is concomitant adjuvant chemoradiotherapy with alkylating agent temozolomide. elderly, MGMT has recently been introduced to be a predictive biomarker that can used stratification regimes. This review gives short summery epide miological, clinical, diagnostic, aspects patients who are currently diagnosed glioblastoma. important markers epigenetic alterations glioblastoma summarized. Special focus given physiological function DNA particular, promoter, its clinical relevance, technical assessment, correlation mRNA protein expressions, place within management cascade patients.

参考文章(140)
Ilya Levner, Sylvia Drabycz, Gloria Roldan, Paula De Robles, J. Gregory Cairncross, Ross Mitchell, Predicting MGMT Methylation Status of Glioblastomas from MRI Texture medical image computing and computer assisted intervention. ,vol. 12, pp. 522- 530 ,(2009) , 10.1007/978-3-642-04271-3_64
Ági Oszvald, Erdem Güresir, Matthias Setzer, Hartmut Vatter, Christian Senft, Volker Seifert, Kea Franz, Glioblastoma therapy in the elderly and the importance of the extent of resection regardless of age. Journal of Neurosurgery. ,vol. 116, pp. 357- 364 ,(2012) , 10.3171/2011.8.JNS102114
Niklas Thon, Sabina Eigenbrod, Simone Kreth, Juergen Lutz, Joerg‐Christian Tonn, Hans Kretzschmar, Aurelia Peraud, Friedrich‐Wilhelm Kreth, None, IDH1 mutations in grade II astrocytomas are associated with unfavorable progression-free survival and prolonged postrecurrence survival Cancer. ,vol. 118, pp. 452- 460 ,(2012) , 10.1002/CNCR.26298
David N. Louis, WHO classification of tumours of the central nervous system International Agency for Research on Cancer. ,(2007)
Manel Esteller, Manel Esteller, Stephen B. Baylin, James G. Herman, Paul G. Corn, A Gene Hypermethylation Profile of Human Cancer Cancer Research. ,vol. 61, pp. 3225- 3229 ,(2001)
Nader Sanai, Mei-Yin Polley, Michael W. McDermott, Andrew T. Parsa, Mitchel S. Berger, An extent of resection threshold for newly diagnosed glioblastomas. Journal of Neurosurgery. ,vol. 115, pp. 3- 8 ,(2011) , 10.3171/2011.2.JNS10998
M. Niyazi, S.B. Schwarz, B. Suchorska, C. Belka, Radiotherapy with and without temozolomide in elderly patients with glioblastoma Strahlentherapie Und Onkologie. ,vol. 188, pp. 154- 159 ,(2012) , 10.1007/S00066-011-0026-7
Ghazaleh Tabatabai, Roger Stupp, Martin J. van den Bent, Monika E. Hegi, Jörg C. Tonn, Wolfgang Wick, Michael Weller, Molecular diagnostics of gliomas: the clinical perspective Acta Neuropathologica. ,vol. 120, pp. 585- 592 ,(2010) , 10.1007/S00401-010-0750-6
Kent E. Wallner, Joseph H. Galicich, George Krol, Ehud Arbit, Mark G. Malkin, Patterns of Failure Following Treatment for Glioblastoma Multiforme and Anaplastic Astrocytoma International Journal of Radiation Oncology Biology Physics. ,vol. 16, pp. 1405- 1409 ,(1989) , 10.1016/0360-3016(89)90941-3