Evidence map›Paper›PMID 28150230›Full record

ArticleMolecular neurobiology2018

Melanocortin Receptor-4 Gene Polymorphisms in Glioblastoma Patients Treated with Concomitant Radio-Chemotherapy.

Francesco Pasqualetti, Paola Orlandi, Vittorio Simeon, Martina Cantarella, Daniela Giuliani, Teresa Di Desidero, Alessandra Gonnelli, Durim Delishaj, Giuseppe Lombardi, Andrea Sechi and 6 more

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Molecular neurobiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02458508 (Retrospective Evaluation of Prognostic and/or Predictive Profile of Melanocortin Receptor-4 Gene Polymorphisms in Patient With a Diagnosis of Glioblastoma Treated With Upfront Concomitant Radio-chemotherapy or Chemotherapy), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT02458508 completednot on this map

Retrospective Evaluation of Prognostic and/or Predictive Profile of Melanocortin Receptor-4 Gene Polymorphisms in Patient With a Diagnosis of Glioblastoma Treated With Upfront Concomitant Radio-chemotherapy or Chemotherapy

TypeobservationalSponsorUniversity of PisaRan2015 to 2017Enrolled65ConditionsGlioblastoma
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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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

16 authors.

Francesco PasqualettiRadiation Oncology, Department of Oncology, University of Pisa, Pisa, Italy.
Paola OrlandiDivision of Pharmacology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 55, 56126, Pisa, Italy.
Vittorio SimeonLaboratory of Preclinical and Translational Research IRCCS-CROB Centro di Riferimento Oncologico della Basilicata, Rionero in Vulture, Italy.
Martina CantarellaRadiation Oncology, Department of Oncology, University of Pisa, Pisa, Italy.
Daniela GiulianiSection of Pharmacology and Molecular Medicine, Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Teresa Di DesideroDivision of Pharmacology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 55, 56126, Pisa, Italy.
Alessandra GonnelliRadiation Oncology, Department of Oncology, University of Pisa, Pisa, Italy.
Durim DelishajRadiation Oncology, Department of Oncology, University of Pisa, Pisa, Italy.
Giuseppe LombardiDepartment of Clinical and Experimental Oncology, Medical Oncology I Unit, Veneto Institute of Oncology-IRCCS, Padova, Italy.
Andrea SechiCentre de Recherche de l'Institut du Cerveau et de la Moelle épinière, INSERM U 1127, CNRS, UMR 7225, GH Pitié-Salpêtrièr, GH Pitié-Salpêtrièr, Sorbonne Universités, 75013, Paris, France.
Marc SansonCentre de Recherche de l'Institut du Cerveau et de la Moelle épinière, INSERM U 1127, CNRS, UMR 7225, GH Pitié-Salpêtrièr, GH Pitié-Salpêtrièr, Sorbonne Universités, 75013, Paris, France.
Vittorina ZagonelDepartment of Clinical and Experimental Oncology, Medical Oncology I Unit, Veneto Institute of Oncology-IRCCS, Padova, Italy.
Fabiola PaiarRadiation Oncology, Department of Oncology, University of Pisa, Pisa, Italy.
Romano DanesiDivision of Pharmacology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 55, 56126, Pisa, Italy.
Salvatore GuariniSection of Pharmacology and Molecular Medicine, Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Guido BocciDivision of Pharmacology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma, 55, 56126, Pisa, Italy. guido.bocci@med.unipi.it.

Funding

Fondazione ARPA Progetto Luca GambicortiUniversità di Pisa Fondi di Ateneo
6 · The paper itself

Abstract

Melanocortins are peptides with well-recognized antiinflammatory and neuroprotective activity. No data are currently available on melanocortin receptor-4 (MC4R) gene polymorphisms and tumors, including glioblastomas (GBMs), or their relationship with radiotherapy or chemotherapy. The aim of this study was to evaluate the possible predictive/prognostic role of the MC4R SNPs on GBM patients. Fifty-five patients with a proven diagnosis of GBM, treated with radiotherapy and temozolomide, were consecutively enrolled. MC4R gene SNPs (rs17782313, rs489693, rs8087522, rs17700633) were analyzed by a validated TaqMan® SNP genotyping assays. Univariate and multivariate analyses were performed. A P < 0.0125 (Bonferroni's correction) was considered significant ( Clinicaltrial.gov identifier NCT02458508). The median progression-free survival (PFS) and median overall survival (OS) of these patients were 9.54 (95% CI 5.4-14.3) months and 24.9 (95% CI 17.8-34.6) months, respectively. The MC4R rs489693 AA genotype was significantly associated with a shorter PFS and OS. Indeed, with regard to PFS, patients harboring the rs489693 AA genotype had a median PFS of 2.99 months whereas patients with AC/CC genotypes had a median PFS of 10.82 months (P = 0.009). Interestingly, the rs489693 AA patients also had a lower median OS as compared with the median OS of the AC/CC genotypes (10.75 vs. 29.5 months, respectively, P = 0.0001). This study suggests that the MC4R rs489693 AA genotype is significantly associated with a shorter PFS and OS in patients treated with radiotherapy and temozolomide. These findings represent a relevant effort to identify novel clinical markers for RT-CT therapy in GBM to be validated in future pharmacogenetic clinical trials.

Indexed as

Polymorphism, Single NucleotideAdultAgedAged, 80 and overBrain NeoplasmsChemoradiotherapyFemaleGlioblastomaHumansMaleMiddle AgedPrognosisReceptor, Melanocortin, Type 4Retrospective StudiesSurvival RateTreatment OutcomeReceptor, Melanocortin, Type 4GlioblastomaMelanocortin receptor-4PolymorphismRadiotherapyTemozolomide

Identifiers

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Registered trials

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.