Combined 1p/19q loss in oligodendroglial tumors: predictive or prognostic biomarker?
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Combined 1p/19q loss in oligodendroglial tumors: predictive or prognostic biomarker? / Weller, Michael; Berger, Hilmar; Hartmann, Christian; Schramm, Johannes; Westphal, Manfred; Simon, Matthias; Goldbrunner, Roland; Krex, Dietmar; Steinbach, Joachim P; Ostertag, Christoph B; Loeffler, Markus; Pietsch, Torsten; von Deimling, Andreas.
in: CLIN CANCER RES, Jahrgang 13, Nr. 23, 23, 2007, S. 6933-6937.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Combined 1p/19q loss in oligodendroglial tumors: predictive or prognostic biomarker?
AU - Weller, Michael
AU - Berger, Hilmar
AU - Hartmann, Christian
AU - Schramm, Johannes
AU - Westphal, Manfred
AU - Simon, Matthias
AU - Goldbrunner, Roland
AU - Krex, Dietmar
AU - Steinbach, Joachim P
AU - Ostertag, Christoph B
AU - Loeffler, Markus
AU - Pietsch, Torsten
AU - von Deimling, Andreas
PY - 2007
Y1 - 2007
N2 - PURPOSE: The combined loss of genetic material on chromosomes 1p and 19q is strongly associated with favorable outcome in patients with WHO grade 3 anaplastic oligodendroglial tumors. The prognostic value of 1p/19q loss in WHO grade 2 oligodendroglial tumors is less well defined. Importantly, the possible effect of combined 1p/19q loss has not been studied in patients who were not treated with radiotherapy or chemotherapy. EXPERIMENTAL DESIGN: Seventy-six patients with oligodendroglioma (n = 33), oligoastrocytoma (n = 30), anaplastic oligodendroglioma (n = 6), or anaplastic oligoastrocytoma (n = 7) were identified who had not received radiotherapy or chemotherapy after their first operation until the end of follow-up or until the first progression and had tissue for 1p/19q status available. 1p/19q status was assessed by multiplex ligation-dependent probe amplification. RESULTS: After a median follow-up of 3.8 years, progressive disease was documented in 34 patients. The estimated median progression-free survival was 4.6 years. Fifty-eight of the 76 patients had a combined loss of 1p and 19q. The absence or presence of combined 1p/19q loss was not prognostic for progression-free survival using multivariate adjustment for histology, extent of resection, and gender. CONCLUSIONS: Combined 1p/19q loss is not a sensitive prognostic biomarker in patients with oligodendroglial tumors who do not receive radiotherapy or chemotherapy. The gene products lost as a consequence of this codeletion may include mediators of resistance to genotoxic therapies. Alternatively, 1p/19q loss might be an early oncogenic lesion promoting the formation of glial neoplasms, which retain high sensitivity to genotoxic stress.
AB - PURPOSE: The combined loss of genetic material on chromosomes 1p and 19q is strongly associated with favorable outcome in patients with WHO grade 3 anaplastic oligodendroglial tumors. The prognostic value of 1p/19q loss in WHO grade 2 oligodendroglial tumors is less well defined. Importantly, the possible effect of combined 1p/19q loss has not been studied in patients who were not treated with radiotherapy or chemotherapy. EXPERIMENTAL DESIGN: Seventy-six patients with oligodendroglioma (n = 33), oligoastrocytoma (n = 30), anaplastic oligodendroglioma (n = 6), or anaplastic oligoastrocytoma (n = 7) were identified who had not received radiotherapy or chemotherapy after their first operation until the end of follow-up or until the first progression and had tissue for 1p/19q status available. 1p/19q status was assessed by multiplex ligation-dependent probe amplification. RESULTS: After a median follow-up of 3.8 years, progressive disease was documented in 34 patients. The estimated median progression-free survival was 4.6 years. Fifty-eight of the 76 patients had a combined loss of 1p and 19q. The absence or presence of combined 1p/19q loss was not prognostic for progression-free survival using multivariate adjustment for histology, extent of resection, and gender. CONCLUSIONS: Combined 1p/19q loss is not a sensitive prognostic biomarker in patients with oligodendroglial tumors who do not receive radiotherapy or chemotherapy. The gene products lost as a consequence of this codeletion may include mediators of resistance to genotoxic therapies. Alternatively, 1p/19q loss might be an early oncogenic lesion promoting the formation of glial neoplasms, which retain high sensitivity to genotoxic stress.
M3 - SCORING: Zeitschriftenaufsatz
VL - 13
SP - 6933
EP - 6937
JO - CLIN CANCER RES
JF - CLIN CANCER RES
SN - 1078-0432
IS - 23
M1 - 23
ER -