MGMT methylation: a marker of response to temozolomide in low-grade gliomas

Ann Neurol. 2006 Dec;60(6):740-3. doi: 10.1002/ana.21044.

Abstract

The methylation status of the O6-methylguanine-methyltransferase promoter (MGMTP) was evaluated in 68 low-grade gliomas treated by neoadjuvant temozolomide. Methylated MGMTP was detected in 63 of 68 (92.6 %) patients and was a favorable predictor of progression-free survival as compared with unmethylated MGMTP tumors (p < 0.0001). Assessment of MGMTP status could help identifying low-grade gliomas patients more likely to respond to chemotherapy or to benefit from MGMT depletion strategies.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Agents, Alkylating / pharmacology
  • Antineoplastic Agents, Alkylating / therapeutic use
  • Biomarkers, Tumor / genetics*
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / drug therapy*
  • Brain Neoplasms / genetics
  • DNA Methylation / drug effects*
  • DNA Modification Methylases
  • DNA Mutational Analysis
  • DNA Repair Enzymes
  • Dacarbazine / analogs & derivatives*
  • Dacarbazine / pharmacology
  • Dacarbazine / therapeutic use
  • Disease Progression
  • Female
  • Genetic Markers / drug effects
  • Genetic Markers / genetics
  • Glioma / diagnosis
  • Glioma / drug therapy*
  • Glioma / genetics
  • Humans
  • Male
  • Middle Aged
  • Neoadjuvant Therapy
  • Predictive Value of Tests
  • Prognosis
  • Promoter Regions, Genetic / drug effects*
  • Promoter Regions, Genetic / genetics
  • Survival Rate
  • Temozolomide
  • Tumor Suppressor Protein p14ARF / genetics*
  • Tumor Suppressor Proteins

Substances

  • Antineoplastic Agents, Alkylating
  • Biomarkers, Tumor
  • Genetic Markers
  • Tumor Suppressor Protein p14ARF
  • Tumor Suppressor Proteins
  • Dacarbazine
  • DNA Modification Methylases
  • MGMT protein, human
  • DNA Repair Enzymes
  • Temozolomide