Molecular analysis of the PTEN, TP53 and CDKN2A tumor suppressor genes in long-term survivors of glioblastoma multiforme

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • J. A. Kraus - , University of Bonn (Author)
  • N. Glesmann - , University of Bonn (Author)
  • Martina Beck - , University of Bonn (Author)
  • D. Krex - , Department of Neurosurgery (Author)
  • T. Klockgether - , University of Bonn (Author)
  • G. Schackert - , TUD Dresden University of Technology (Author)
  • U. Schlegel - , University of Bonn (Author)

Abstract

Despite multimodal therapy, glioblastoma multiforme (GBM) is associated with a poor prognosis with a median survival of less than 1 year. However, a small number of patients with GBM shows survival times of several years. Although clinical features like age and performance status at diagnosis are well known prognostic parameters, molecular markers for prognosis of overall survival are still lacking. Therefore, we compared 2 age- and gender-matched groups of GBM patients with different post-operative time to tumor progression (TTP), defined as 'short-term' for TTP of less than 6 months (n = 21), and 'long-term' for TTP of more than 24 months (n = 21) for genetic alterations of the PTEN, CDKN2A and TP53 genes as well as overexpression of the EGFR, p53 and Mdm2 proteins. For the GBMs with 'short-term' TTP vs. 'long-term' TTP, the studies revealed PTEN mutations in 4/21 vs. 2/21, TP53 mutations in 5/21 vs. 8/21, homozygous deletion of the CDKN2A gene in 5/21 vs. 6/21, overexpression of EGFR in 7/20 vs. 10/20, accumulation of p53 protein in 9/20 vs. 7/20 and of Mdm2 protein in 0/20 vs. 1/20 cases studied. Taken together, our data indicate that mutations of the PTEN and TP53 tumor suppressor genes, homozygous deletion of the CDKN2A gene as well as overexpression of the EGFR, p53 and Mdm2 proteins lack prognostic significance for overall survival time in patients with GBMs.

Details

Original languageEnglish
Pages (from-to)89-94
Number of pages6
JournalJournal of neuro-oncology
Volume48
Issue number2
Publication statusPublished - 2000
Peer-reviewedYes

External IDs

PubMed 11083071

Keywords

Sustainable Development Goals

Keywords

  • CDKN2A, Glioblastoma multiforme, Long-term survival, PTEN, TP53, Tumor suppressor gene