Telomerase reverse transcriptase promoter mutation– and O6-methylguanine DNA methyltransferase promoter methylation–mediated sensitivity to temozolomide in isocitrate dehydrogenase–wild-type glioblastoma: is there a link?

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Dorothee Gramatzki - , Universität Zürich (Autor:in)
  • Jörg Felsberg - , Heinrich Heine Universität Düsseldorf (Autor:in)
  • Bettina Hentschel - , Universität Leipzig (Autor:in)
  • Marietta Wolter - , Heinrich Heine Universität Düsseldorf (Autor:in)
  • Gabriele Schackert - , Technische Universität Dresden (Autor:in)
  • Manfred Westphal - , Universität Hamburg (Autor:in)
  • Luca Regli - , Universität Zürich (Autor:in)
  • Niklas Thon - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Marcos Tatagiba - , Eberhard Karls Universität Tübingen (Autor:in)
  • Wolfgang Wick - , Universität Heidelberg, Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)
  • Uwe Schlegel - , Ruhr-Universität Bochum (Autor:in)
  • Dietmar Krex - , Klinik und Poliklinik für Neurochirurgie, Technische Universität Dresden (Autor:in)
  • Jakob Matschke - , Universität Hamburg (Autor:in)
  • Patrick Roth - , Universität Zürich (Autor:in)
  • Marian P. Suresh - , Heinrich Heine Universität Düsseldorf (Autor:in)
  • Marcel A. Kamp - , Heinrich Heine Universität Düsseldorf (Autor:in)
  • Elisabeth J. Rushing - , Universität Zürich (Autor:in)
  • Torsten Pietsch - , Universität Bonn (Autor:in)
  • Andreas von Deimling - , Universität Heidelberg (Autor:in)
  • Michael Sabel - , Heinrich Heine Universität Düsseldorf (Autor:in)
  • Markus Loeffler - , Universität Leipzig (Autor:in)
  • Michael Weller - , Universität Zürich (Autor:in)
  • Guido Reifenberger - , Heinrich Heine Universität Düsseldorf, Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)

Abstract

Aim of the study: Benefit from temozolomide (TMZ) chemotherapy in the treatment of isocitrate dehydrogenase (IDH)–wild-type glioblastoma is essentially limited to patients with O6-methylguanine DNA methyltransferase (MGMT) promoter–methylated tumours. Recent studies suggested that telomerase reverse transcriptase (TERT) promoter hotspot mutations may have an impact on the prognostic role of the MGMT status in patients with glioblastoma. Methods: MGMT promoter methylation and TERT promoter mutation status were retrospectively assessed in a prospective cohort of patients with IDH–wild-type glioblastoma of the German Glioma Network (GGN) (n = 298) and an independent retrospective cohort from Düsseldorf, Germany, and Zurich, Switzerland (n = 302). Results: In the GGN cohort, but not in the Düsseldorf/Zurich cohort, TERT promoter mutation was moderately associated with inferior outcomes in patients with MGMT promoter–unmethylated tumours (hazard ratio 1.74; 95% confidence interval: 1.07–2.82; p = 0.026). TERT promoter mutations were not associated with better outcomes in patients with MGMT promoter–methylated tumours in either cohort. The two different TERT promoter hotspot mutations (C228T and C250T) were not linked to distinct outcomes. Conclusions: Analysis of two independent cohorts of patients with glioblastoma did not confirm previous data, suggesting that TERT promoter mutations confer an enhanced benefit from TMZ in patients with MGMT promoter–methylated glioblastoma. Thus, diagnostic testing for TERT promoter mutations may not be required for prediction of TMZ sensitivity in patients with IDH–wild-type glioblastoma.

Details

OriginalspracheEnglisch
Seiten (von - bis)84-94
Seitenumfang11
FachzeitschriftEuropean journal of cancer
Jahrgang147
PublikationsstatusVeröffentlicht - Apr. 2021
Peer-Review-StatusJa

Externe IDs

PubMed 33631540

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

Schlagwörter

  • Glioblastoma, IDH–, MGMT, Survival, Temozolomide, TERT, wild-type