Evidence map›Paper›PMID 37474746›Full record

Observational studyJournal of neuro-oncology2023

Significance of O6-methyl guanine methyltransferase promoter methylation in high grade glioma patients: optimal cutoff point, CpG locus, and genetic assay.

Murat Buyuktepe, Ibrahim Kaplan, Eyup Bayatli, Haldun Dogan, Hasan Caglar Ugur

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. 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

5 authors at 3 institutions in 2 countries.

Murat BuyuktepeDepartment of Neurosurgery, Unye State Hospital, Ordu, Turkey. muratbuyuktepe@hotmail.com.ORCID http://orcid.org/0000-0002-2599-8087
Ibrahim KaplanDepartment of Medical Genetics, Ankara University School of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0003-4153-4802
Eyup BayatliDepartement of Neurosurgery, Ankara University School of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0001-7885-1823
Haldun DoganINTERGEN Genetic Diagnosis and Research Center, Ankara, Turkey.ORCID http://orcid.org/0000-0003-1667-1987
Hasan Caglar UgurDepartement of Neurosurgery, Ankara University School of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3728-4599
Ankara University · TRIntergen (Turkey) · TRState Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate O6-methyl guanine methyltransferase (MGMT) promoter methylation status in high grade glioma patients and to identify the best cutoff point as well as the most predictive CpG loci for patients survival.

methodConsecutive high grade glioma patients treated with surgical gross total resection followed by concomitant radiochemotherapy and adjuvant chemotherapy were included in this retrospective observational study. Methylation status of MGMT promoter CpG island of resected tumor tissue were evaluated using next generation sequencing assay. The outcomes were grouped as CpG 70-78, CpG 79-83, CpG 84-87, CpG 70-87, and whole promoter. Quantitative analyses were dichotomized as methylated or unmethylated based on the cutoff points set to %10, and methylation was further graded as <%10 unmethylated, %10-30 low-methylated, and %30-100 high-methylated.

resultsTotal of 95 patients with the mean age of 51.50 ± 12.36 years were included in the study. Overall survival (OS) and progression free survival (PFS) were 14.53 ± 1.92 (95% CI 10.77-18.30) and 10.90 ± 2.05 (95% CI 6.89-14.92) months, respectively. MGMT promoter was methylated in 38.2% of cases and high-methylated in 10.5% of cases. Methylation status of MGMT promoter was recognized as a very powerful predictor of OS and PFS. In particular, high-methylation of CpG 79-83 and CpG 84-87 islands at promoter region were strongly associated with better survival outcomes (p < 0.05).

conclusionOur outcomes support the prognostic value of MGMT promoter methylation in patients with high grade glioma. Sequencing of whole promoter CpG islands demonstrated that methylation of particular CpG sites might predict clinical outcomes more precisely.

Indexed as

Brain NeoplasmsGlioblastomaGliomaAdultCpG IslandsDNA MethylationDNA Modification MethylasesDNA Repair EnzymesHumansMethyltransferasesMiddle AgedPromoter Regions, GeneticDNA Modification MethylasesDNA Repair EnzymesMethyltransferasesHigh grade gliomaNext-generation sequencingO6-Methyl guanine methyltransferasePromoter methylationSurvival

Identifiers

PMID37474746
OpenAlexW4384924208

What OpenQuestion holds

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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.