Evidence map›Paper›PMID 26883115›Full record

ArticleJournal of neuropathology and experimental neurology2016

Assessment of Quantitative and Allelic MGMT Methylation Patterns as a Prognostic Marker in Glioblastoma.

Lasse S Kristensen, Signe R Michaelsen, Henrik Dyrbye, Derya Aslan, Kirsten Grunnet, Ib J Christensen, Hans S Poulsen, Kirsten Grønbæk, Helle Broholm

Open access · hybridAbstract read
In one paragraph

Article in Journal of neuropathology and experimental neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  6. Association betweenCells · 2023
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  15. Review
  16. Article
  17. MGMT: Immunohistochemical Detection in High-Grade Astrocytomas.Journal of neuropathology and experimental neurology · 2019
    Article
  18. Article
  19. Article
  20. The prognostic value of FET PET at radiotherapy planning in newly diagnosed glioblastoma.European journal of nuclear medicine and molecular imaging · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Lasse S KristensenFrom the Department of Hematology (LSK, DA, KG); Department of Radiation Biology (SRM, KG, IJC, HSP); and Department of Pathology, Rigshospitalet, Copenhagen Ø, Denmark (HD, HB). lasse.sommer.kristensen@regionh.dk.
Signe R MichaelsenFrom the Department of Hematology (LSK, DA, KG); Department of Radiation Biology (SRM, KG, IJC, HSP); and Department of Pathology, Rigshospitalet, Copenhagen Ø, Denmark (HD, HB).
Henrik DyrbyeFrom the Department of Hematology (LSK, DA, KG); Department of Radiation Biology (SRM, KG, IJC, HSP); and Department of Pathology, Rigshospitalet, Copenhagen Ø, Denmark (HD, HB).
Derya AslanFrom the Department of Hematology (LSK, DA, KG); Department of Radiation Biology (SRM, KG, IJC, HSP); and Department of Pathology, Rigshospitalet, Copenhagen Ø, Denmark (HD, HB).
Kirsten GrunnetFrom the Department of Hematology (LSK, DA, KG); Department of Radiation Biology (SRM, KG, IJC, HSP); and Department of Pathology, Rigshospitalet, Copenhagen Ø, Denmark (HD, HB).
Ib J ChristensenFrom the Department of Hematology (LSK, DA, KG); Department of Radiation Biology (SRM, KG, IJC, HSP); and Department of Pathology, Rigshospitalet, Copenhagen Ø, Denmark (HD, HB).
Hans S PoulsenFrom the Department of Hematology (LSK, DA, KG); Department of Radiation Biology (SRM, KG, IJC, HSP); and Department of Pathology, Rigshospitalet, Copenhagen Ø, Denmark (HD, HB).
Kirsten GrønbækFrom the Department of Hematology (LSK, DA, KG); Department of Radiation Biology (SRM, KG, IJC, HSP); and Department of Pathology, Rigshospitalet, Copenhagen Ø, Denmark (HD, HB).
Helle BroholmFrom the Department of Hematology (LSK, DA, KG); Department of Radiation Biology (SRM, KG, IJC, HSP); and Department of Pathology, Rigshospitalet, Copenhagen Ø, Denmark (HD, HB).
KPMG (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Methylation of the O(6)-methylguanine-DNA methyltransferase (MGMT) gene is a predictive and prognostic marker in newly diagnosed glioblastoma patients treated with temozolomide but how MGMT methylation should be assessed to ensure optimal detection accuracy is debated. We developed a novel quantitative methylation-specific PCR (qMSP) MGMT assay capable of providing allelic methylation data and analyzed 151 glioblastomas from patients receiving standard of care treatment (Stupp protocol). The samples were also analyzed by immunohistochemistry (IHC), standard bisulfite pyrosequencing, and genotyped for the rs1690252 MGMT promoter single nucleotide polymorphism. Monoallelic methylation was observed more frequently than biallelic methylation, and some cases with monoallelic methylation expressed the MGMT protein whereas others did not. The presence of MGMT methylation was associated with better overall survival (p = 0.006; qMSP and p = 0.002; standard pyrosequencing), and the presence of the protein was associated with worse overall survival (p = 0.009). Combined analyses of qMSP and standard pyrosequencing or IHC identified additional patients who benefited from temozolomide treatment. Finally, low methylation levels were also associated with better overall survival (p = 0.061; qMSP and p = 0.02; standard pyrosequencing). These data support the use of both MGMT methylation and MGMT IHC but not allelic methylation data as prognostic markers in patients with temozolomide-treated glioblastoma.

Indexed as

AdultAgedAntineoplastic Agents, AlkylatingBrain NeoplasmsChi-Square DistributionDacarbazineDNA MethylationDNA Modification MethylasesDNA Repair EnzymesFemaleGenetic Association StudiesGenotypeGlioblastomaHumansMaleMiddle AgedAntineoplastic Agents, AlkylatingDacarbazineDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanTemozolomideTumor Suppressor ProteinsAlkylating agentsAllele-specificGlioblastomaImmunohistochemistryMethylationMGMTTemozolomide.

Identifiers

PMID26883115
PMCPMC4777218
OpenAlexW2288710734

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.