O Glavatskyi, I Vasylieva, T Malysheva, N Chopik, O Tsiubko, I Shuba, A Shmelova, O Zemskova, L Yakovenko, E Pedachenko
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引用次数: 0

摘要

目的:通过观察胶质母细胞瘤(GBM)标本中MGMT (o6 -甲基鸟嘌呤- dna甲基转移酶)基因的表达水平和IDH1/2(异柠檬酸脱氢酶)变异的存在,评估MGMT (o6 -甲基鸟嘌呤- dna甲基转移酶)基因的表达水平,以预测替莫唑胺(TMZ)治疗的疗效、复发风险及患者的生存。材料与方法:采用RT-PCR方法对39例组织学证实的GBM或弥漫性星形细胞瘤(4级)患者的肿瘤样本进行MGMT基因表达及IDH1/2变异的检测。基于插入MGMT基因的pMA-RQ质粒,通过校准曲线确定MGMT RNA拷贝数。结果:GMB样本中MGMT RNA拷贝数在每1000个细胞1.7到88,270.2个拷贝之间变化很大。MGMT表达水平低(10000拷贝)的患者。本研究纳入的患者中,36例检测到IDH1/2野生型,3例为IDH1杂合型。结论:MGMT表达水平是影响GMB患者预后生存的重要因素。MGMT表达水平低的患者被认为是烷基化剂有效治疗的候选者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MOLECULAR MARKERS IN PREDICTING THE OUTCOME OF DIFFUSE GLIOMA GRADE 4 TREATMENT.

Aim: To assess the expression of MGMT (O6-methylguanine-DNA methyltransferase) gene by MGMT RNA abundance and the presence of IDH1/2 (isocitrate dehydrogenase) variants in glioblastoma (GBM) samples for predicting the efficacy of temozolomide (TMZ) treatment, recurrence risk, and patients' survival.

Materials and methods: The expression of the MGMT gene and the presence of IDH1/2 variants were assessed by RT-PCR in tumor samples from 39 patients with histologically verified GBM or diffuse astrocytoma, grade 4. The number of MGMT RNA copies was determined by the calibration curves based on the pMA-RQ plasmid with the inserted MGMT gene.

Results: The number of MGMT RNA copies in GMB samples varied broadly from 1.7 to 88,270.2 copies per 1000 cells. The patients with a low level of MGMT expression (<1000 copies) in tumors had a more favorable prognosis for the TMZ treatment compared to the patients with a high level of MGMT RNA abundance (>10,000 copies). Among the patients included in the study, a wild type of IDH1/2 was detected in 36 cases, while 3 cases were IDH1 heterozygous.

Conclusion: The level of MGMT expression is considered a significant factor for prognosing GMB patients' survival. Patients with a low level of MGMT expression are considered candidates for efficient therapy with alkylating agents.

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