Gene amplification is a poor prognostic factor in anaplastic oligodendrogliomas

Neuro Oncol. 2008 Aug;10(4):540-7. doi: 10.1215/15228517-2008-022. Epub 2008 Jun 10.

Abstract

Various gene amplifications have been observed in gliomas. Prognostic-genomic correlations testing simultaneously all these amplified genes have never been conducted in anaplastic oligodendrogliomas. A set of 38 genes that have been reported to be amplified in gliomas and investigated as the main targets of amplicons were studied in a series of 52 anaplastic oligodendrogliomas using bacterial artificial chromosome-array based comparative genomic hybridization and quantitative polymerase chain reaction. Among the 38 target genes, 15 were found to be amplified in at least one tumor. Overall, 27% of anaplastic oligodendrogliomas exhibited at least one gene amplification. The most frequently amplified genes were epidermal growth factor receptor (EGFR) and cyclin-dependent kinase 4/sarcoma amplified sequence (CDK4/SAS) in 17% and 8% of anaplastic oligodendrogliomas, respectively. Gene amplification and codeletion of chromosome arms 1p/19q were perfectly exclusive (p = 0.005). In uni- and multivariate analyses, gene amplification was a negative prognostic factor for progression-free survival and overall survival in anaplastic oligodendrogliomas, providing complementary information to the classic prognostic factors identified in anaplastic oligodendrogliomas (extent of surgery, KPS, and chromosome arms 1p/19q status).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Brain Neoplasms / genetics*
  • Brain Neoplasms / mortality
  • Brain Neoplasms / pathology
  • Chromosomes, Artificial, Bacterial
  • Female
  • Gene Amplification*
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Middle Aged
  • Nucleic Acid Hybridization
  • Oligodendroglioma / genetics*
  • Oligodendroglioma / mortality
  • Oligodendroglioma / pathology
  • Prognosis
  • Reverse Transcriptase Polymerase Chain Reaction