Journalartikel

High-mobility group AT-hook protein 2 expression and its prognostic significance in MGMT methylated and unmethylated glioblastoma


AutorenlisteSchwarm, Frank P.; Uhle, Florian; Schaenzer, Anne; Acker, Til; Stein, Marco; Reinges, Marcus H. T.; Weischer, Cornelia; Weigand, Marcus A.; Uhl, Eberhard; Kolodziej, Malgorzata A.

Jahr der Veröffentlichung2016

Seiten1485-1492

ZeitschriftInternational Journal of Oncology

Bandnummer48

Heftnummer4

ISSN1019-6439

eISSN1791-2423

Open Access StatusBronze

DOI Linkhttps://doi.org/10.3892/ijo.2016.3397

VerlagSpandidos Publications


Abstract
High-mobility group AT-hook protein 2 (HMGA 2) is a transcription factor associated with malignancy and poor prognosis in a variety of human cancers. We correlated HMGA 2 expression with clinical parameters, survival, and O-6-methylguanine-DNA methyltransferase methylation status (MGMT) in glioblastoma patients. HMGA 2 expression was determined by performing quantitative real-time polymerase chain reaction (qPCR) and immunohistochemistry (IHC) in 44 glioblastoma patients and 5 non-tumorous brain specimens as controls. Gene expression levels of MGMT methylated vs. unmethylated patients, and gene expression levels between patient groups, both for qPCR and IHC data were compared using the Mann-Whitney U test. The relationship between HMGA 2 expression, progression-free survival and overall survival was analyzed using the Kaplan-Meier method and the log-rank test. P-values of <0.05 were considered statistically significant throughout the analyses. The mean age of patients at diagnosis was 57.4 +/- 15.7 years, and the median survival was 16 months (SE 2.8; 95% CI, 10.6-21.4). HMGA 2 gene expression was significantly higher in glioblastoma compared to normal brain tissue on qPCR (mean, 0.35; SD, 0.27 vs. 0.03, SD, 0.05) and IHC levels (IRS mean, 17.21; SD, 7.43 vs. 3.20; SD, 1.68) (p=0.001). Survival analysis revealed that HMGA 2 overexpression was associated with a shorter progression-free and overall survival time in patients with methylation (n=24). The present study shows a tendency that HMGA 2 overexpression correlates with a poor prognosis of glioblastoma patients independent of MGMT methylation status. The results suggest that HMGA 2 could play an important role in the treatment of glioblastoma and could have a function in prognosis of this type of cancer.



Zitierstile

Harvard-ZitierstilSchwarm, F., Uhle, F., Schaenzer, A., Acker, T., Stein, M., Reinges, M., et al. (2016) High-mobility group AT-hook protein 2 expression and its prognostic significance in MGMT methylated and unmethylated glioblastoma, International Journal of Oncology, 48(4), pp. 1485-1492. https://doi.org/10.3892/ijo.2016.3397

APA-ZitierstilSchwarm, F., Uhle, F., Schaenzer, A., Acker, T., Stein, M., Reinges, M., Weischer, C., Weigand, M., Uhl, E., & Kolodziej, M. (2016). High-mobility group AT-hook protein 2 expression and its prognostic significance in MGMT methylated and unmethylated glioblastoma. International Journal of Oncology. 48(4), 1485-1492. https://doi.org/10.3892/ijo.2016.3397



Schlagwörter


GASTRIC-CANCERGROUP A2high-mobility group 2HMGI-CMGMT methylationMICRORNA LET-7MULTIFORMENEWLY-DIAGNOSED GLIOBLASTOMApatient survivalRADIATION-THERAPYRANDOMIZED PHASE-IIITEMOZOLOMIDE


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