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Hypermethylation of CpG island in O^6-methylguanine-DNA methyltransferase gene was associated with K-rasG to A mutation in colorectal tumor 被引量:2
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作者 JianQi You-QingZhu Mei-FangHuang DongYang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第13期2022-2025,共4页
AIM: To investigate the functions of promoter hypermethylation of O6-methylguanine-DNA methyltransferase (MGMT) gene in colorectal tumorigenesis and progression.METHODS: The promoter hypermethylation of MGMT gene was ... AIM: To investigate the functions of promoter hypermethylation of O6-methylguanine-DNA methyltransferase (MGMT) gene in colorectal tumorigenesis and progression.METHODS: The promoter hypermethylation of MGMT gene was detected in 27 sporadic colorectal adenomas,62 sporadic colorectal carcinomas and 20 normal colorectal mucosa tissues by methylation-specific PCR. At the same time, the expression of MGMT protein was carried out in the same samples using immunohistochemistry. Mutantallele-specific amplification was used to detect K-rasG to A point mutation in codon 12.RESULTS: None of the normal colorectal mucosa tissues showed methylated bands. Promoter hypermethylation was detected in 40.7% (11 of 27) of adenomas and 43.5% (27 of 62) of carcinomas. MGMT proteins were expressed in nucleus and cytoplasm of normal colorectal mucosa tissues. Loss of MGMT expression was found in 22.2% (6 of 27) of adenomas and 45.2% (28 of 62) of carcinomas. The difference between them was significant (P = 0.041). In the 6 adenomas and 28 carcinomas losing MGMT expression, 5 and 24 cases presented methylation,respectively (P = 0.027, P<0.001). Thirteen of the 19 colorectal tumors with K-rasG to A point mutation in codon 12 had methylated MGMT(P = 0.011). The frequencies of K-rasG to A point mutation were 35.3% (12 of 34) and 12.7% (7 of 55) in tumors losing MGMT expression and with normal expression, respectively.CONCLUSION: Promoter hypermethylation and loss of expression of MGMT gene were common events in colorectal tumorigenesis, and loss of expression of MGMT occurs more frequently in carcinomas than in adenomas in sporadic patients. Hypermethylation of the CpG island of MGMT gene was associated with loss of MGMT expression and K-ras G to A point mutation in colorectal tumor. The frequency of K-ras G to A point mutation was increased in tumors losing MGMT expression. It suggests that epigenetic inactivation of MGMT plays an important role in colorectal neoplasia. 展开更多
关键词 O6-methylguanine-dna methyltransferase CpG island DNA methylation Epigenetic change K-ras mutation
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O6-methylguanine DNA methyltransferase is upregulated in malignant transformation of gastric epithelial cells via its gene promoter DNA hypomethylation 被引量:2
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作者 Yue-Xia Chen Lu-Lu He +2 位作者 Xue-Ping Xiang Jing Shen Hong-Yan Qi 《World Journal of Gastrointestinal Oncology》 SCIE 2022年第3期664-677,共14页
BACKGROUND O_(6)-methylguanine-DNA methyltransferase(MGMT)is a suicide enzyme that repairs the mispairing base O_(6)-methyl-guanine induced by environmental and experimental carcinogens.It can transfer the alkyl group... BACKGROUND O_(6)-methylguanine-DNA methyltransferase(MGMT)is a suicide enzyme that repairs the mispairing base O_(6)-methyl-guanine induced by environmental and experimental carcinogens.It can transfer the alkyl group to a cysteine residue in its active site and became inactive.The chemical carcinogen N-nitroso compounds(NOCs)can directly bind to the DNA and induce the O_(6)-methylguanine adducts,which is an important cause of gene mutation and tumorigenesis.However,the underlying regulatory mechanism of MGMT involved in NOCs-induced tumorigenesis,especially in the initiation phase,remains largely unclear.AIM To investigate the molecular regulatory mechanism of MGMT in NOCs-induced gastric cell malignant transformation and tumorigenesis.METHODS We established a gastric epithelial cell malignant transformation model induced by N-methyl-N’-nitro-N-nitrosoguanidine(MNNG)or N-methyl-N-nitroso-urea(MNU)treatment.Cell proliferation,colony formation,soft agar,cell migration,and xenograft assays were used to verify the malignant phenotype.By using quantitative real-time polymerase chain reaction(qPCR)and Western blot analysis,we detected the MGMT expression in malignant transformed cells.We also confirmed the MGMT expression in early stage gastric tumor tissues by qPCR and immunohistochemistry.MGMT gene promoter DNA methylation level was analyzed by methylation-specific PCR and bisulfite sequencing PCR.The role of MGMT in cell malignant transformation was analyzed by colony formation and soft agar assays.RESULTS We observed a constant increase in MGMT mRNA and protein expression in gastric epithelial cell malignant transformation induced by MNNG or MNU treatment.Moreover,we found a reduction of MGMT gene promoter methylation level by methylation-specific PCR and bisulfite sequencing PCR in MNNG/MNU-treated cells.Inhibition of the MGMT expression by O_(6)-benzylguanine promoted the MNNG/MNU-induced malignant phenotypes.Overexpression of MGMT partially reversed the cell malignant transformation process induced by MNNG/MNU.Clinical gastric tissue analysis showed that MGMT was upregulated in the precancerous lesions and metaplasia tissues,but downregulated in the gastric cancer tissues.CONCLUSION Our finding indicated that MGMT upregulation is induced via its DNA promoter hypomethylation.The highly expressed MGMT prevents the NOCs-induced cell malignant transformation and tumorigenesis,which suggests a potential novel approach for chemical carcinogenesis intervention by regulating aberrant epigenetic mechanisms. 展开更多
关键词 O6-methylguanine-dna methyltransferase DNA methylation Malignant transformation Gastric carcinogenesis Epigenetic regulation
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Promoter methylation status of hMLH1,MGMT,and CDKN2A/p16 in colorectal adenomas 被引量:14
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作者 Vasiliki Psofaki Chryssoula Kalogera +4 位作者 Nikolaos Tzambouras Dimitrios Stephanou Epameinondas Tsianos Konstantin Seferiadis Georgios Kolios 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第28期3553-3560,共8页
AIM:To investigate aberrant DNA methylation of CpG islands and subsequent low-or high-level DNA microsatellite instability(MSI)which is assumed to drive colon carcinogenesis. METHODS:DNA of healthy individuals,adenoma... AIM:To investigate aberrant DNA methylation of CpG islands and subsequent low-or high-level DNA microsatellite instability(MSI)which is assumed to drive colon carcinogenesis. METHODS:DNA of healthy individuals,adenoma(tu-bular or villous/tubulovillous)patients,and colorectal carcinoma patients who underwent colonoscopy was used for assessing the prevalence of aberrant DNA methylation of human DNA mismatch repair gene mutator L homologue 1(hMLH1),Cyclin-dependent kinase inhibitor 2A(CDKN2A/p16),and O-6-methylguanine DNA methyltransferase(MGMT),as well as their rela- tion to MSI. RESULTS:The frequency of promoter methylation for each locus increased in the sequence healthy tissue/adenoma/carcinoma.MGMT showed the highest frequency in each group.MGMT and CDKN2A/p16 presented a statistically significant increase in promoter methylation between the less and more tumorigenic forms of colorectal adenomas(tubular vs tubullovillous and villous adenomas).All patients with tubulovillous/villous adenomas,as well as all colorectal cancer patients,showed promoter methylation in at least one of the examined loci.These findings suggest a potentially crucial role for methylation in the polyp/adenoma to cancer progres- sion in colorectal carcinogenesis.MSI and methylation seem to be interdependent,as simultaneous hMLH1, CDKN2A/p16,and MGMT promoter methylation was present in 8/9 colorectal cancer patients showing the MSI phenotype. CONCLUSION:Methylation analysis of hMLH1,CD- KN2A/p16,and MGMT revealed specific methylation profiles for tubular adenomas,tubulovillous/villous adenomas,and colorectal cancers,supporting the use of these alterations in assessment of colorectal tumorigenesis. 展开更多
关键词 promoter methylation Microsatellite instability Human DNA mismatch repair gene mutator L homologue 1 O-6-methylguanine DNA methyltransferase Cyclin-dependent kinase inhibitor 2A
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MGMT is down-regulated independently of promoter DNA methylation in rats with all-trans retinoic acidinduced spina bifida aperta 被引量:2
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作者 He-Nan Zhang Yi Guo +3 位作者 Wei Ma Jia Xue Wei-Lin Wang Zheng-Wei Yuan 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第2期361-368,共8页
O6-methylguanine DNA methyltransferase(MGMT), a DNA repair enzyme, has been reported in some congenital malformations, but it is less frequently reported in neural tube defects. This study investigated MGMT mRNA expre... O6-methylguanine DNA methyltransferase(MGMT), a DNA repair enzyme, has been reported in some congenital malformations, but it is less frequently reported in neural tube defects. This study investigated MGMT mRNA expression and methylation levels in the early embryo and in different embryonic stages, as well as the relationship between MGMT and neural tube defects. Spina bifida aperta was induced in rats by a single intragastric administration of all-trans retinoic acid on embryonic day(E) 10, whereas normal control rats received the same amount of olive oil on the same embryonic day. DNA damage was assessed by detecting γ-H2 A.X in spina bifida aperta rats. Real time-polymerase chain reaction was used to examine mRNA expression of MGMT in normal control and spina bifida aperta rats. In normal controls, the MGMT mRNA expression decreased with increasing embryonic days, and was remarkably reduced from E11 to E14, reaching a minimum at E18. In the spina bifida aperta model, γ-H2 A.X protein expression was increased, and mRNA expression of MGMT was markedly decreased on E14, E16, and E18. Bisulfite sequencing polymerase chain reaction for MGMT promoter methylation demonstrated that almost all CpG sites in the MGMT promoter remained unmethylated in both spina bifida aperta rats and normal controls, and there was no significant difference in methylation level between the two groups on either E14 or E18. Our results show that DNA damage occurs in spina bifida aperta rats. The mRNA expression of MGMT is downregulated, and this downregulation is independent of promoter DNA methylation. 展开更多
关键词 nerve REGENERATION NEURAL tube defects spina bifida aperta spinal cord all-trans RETINOIC acid O6-methylguanine DNA methyltransferase gene expression DNA methylation promoter BISULFITE sequencing polymerase chain reaction NEURAL REGENERATION
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Study on the Relationship Between Depletion of O^6-Methylguanine-DNA Methyltransferase and Cancer Chemotherapy 被引量:1
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作者 陈建敏 章扬培 +2 位作者 陈月能 吴英 范国才 《Chinese Science Bulletin》 SCIE EI CAS 1993年第6期501-505,共5页
Drug resistance is still one of the major problems in cancer therapy. However, during the past several years, many efforts have been focused on reversing or depleting the molecular basis of drug resistance along with ... Drug resistance is still one of the major problems in cancer therapy. However, during the past several years, many efforts have been focused on reversing or depleting the molecular basis of drug resistance along with the elucidating of the mechanisms involved.Nitrosourea compounds such as 1-(4-amino-2-methyl-5-pyrimidinyl) methyl-3-(2-chloroethyl)-3-nitrosourea hydrochloride (ACNU) and 1, 3-bis-(2-chloroethyl)-1-nitrosourea (BCNU) are an important class of useful antitumor drugs. They exert their antitumor activity by alkylating the O^6 position of guanine and leading to a DNA interstrand cross-link. Introcellular O^6-methylguanine-DNA methyltransferase (O^6-MT) can repair the mentioned DNA lesions and thus plays an important role in determining the sensitivity of 展开更多
关键词 O^6-methylguanine-dna methyltransferase cancer CHEMOTHERAPY ACNU STREPTOZOTOCIN TUMOR cell lines.
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O^6-METHYLGUANINE-DNA METHYLTRANSFERASE AND HUMAN CANCER CHEMOTHERAPY
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作者 章扬培 王德文 +7 位作者 陈月能 吴英 徐惠英 范国才 白晓彬 王晓明 李洁珣 朱力 《Science China Chemistry》 SCIE EI CAS 1991年第6期675-682,共8页
Two kinds of human tumor cell strains having different activity of O^6-methylguanine-DNA methyltransferase (O^6-MT) were transplanted into nude mice. Then the mice were inject-ed intraperitoneally with bifunctional al... Two kinds of human tumor cell strains having different activity of O^6-methylguanine-DNA methyltransferase (O^6-MT) were transplanted into nude mice. Then the mice were inject-ed intraperitoneally with bifunctional alkylating agent 1--(4--amino--2-methyl--5--pyrimidinyl)methy1-3-(2-chloroethyl)-3-nitrosourea hydrochloride (ACNU). The tumors with low O^6-MTactivity were quickly suppressed or cured. The result suggests that some tumors, if previ-sionally determined with low O^6-MT activity, might be efficiently cured by treatment withACNU. This probably opens a new way for human cancer chemotherapy. 展开更多
关键词 O^6-methylguanine-dna methyltransferase ACNU HeLaS3 CELLS HeLaMR CELLS
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拟南芥2-甲基-6-叶绿基-1,4-苯醌甲基转移酶启动子的分离及表达特性分析 被引量:4
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作者 刘宾 王磊 +2 位作者 杨娇艳 张伟 范云六 《生物工程学报》 CAS CSCD 北大核心 2008年第1期33-39,共7页
维生素E是一类人体必需的脂溶性抗氧化剂,具有重要的生理功能。2-甲基-6-叶绿基-1,4-苯醌甲基转移酶(MPBQMT)是天然维生素E合成途径中的关键酶之一,催化MPBQ甲基化,生成DMPBQ。从拟南芥分离了MPBQ MT基因1018bp的启动子序列,构建了含该... 维生素E是一类人体必需的脂溶性抗氧化剂,具有重要的生理功能。2-甲基-6-叶绿基-1,4-苯醌甲基转移酶(MPBQMT)是天然维生素E合成途径中的关键酶之一,催化MPBQ甲基化,生成DMPBQ。从拟南芥分离了MPBQ MT基因1018bp的启动子序列,构建了含该启动子和GUS报告基因的植物表达载体,通过农杆菌介导转化拟南芥,获得了转基因植株。GUS组织化学染色结果表明,在MPBQ MT启动子驱动下,报告基因GUS在拟南芥的茎、叶、花萼、雄蕊、种荚均有表达,且在茎、叶、种荚中表达量较高,而在根、花瓣和种子中则没有观察到GUS基因的表达,表明MPBQ MT基因可能仅在拟南芥幼嫩茎、叶、种荚等绿色组织中特异性高表达。 展开更多
关键词 拟南芥 维生素E 生育酚 2-甲基-6-叶绿基-1 4-苯醌甲基转移酶(MPBQ MT) 启动子
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MRI影像组学无创预测脑胶质母细胞瘤MGMT启动子甲基化状态的价值
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作者 马千昂 卢俊 +1 位作者 董亚锋 曲金荣 《放射学实践》 CSCD 北大核心 2024年第4期449-454,共6页
目的:探讨MRI影像组学模型术前预测脑胶质母细胞瘤(GBM)O 6-甲基鸟嘌呤-DNA甲基转移酶启动子甲基化(MGMT-PM)状态的价值。方法:回顾性分析2018年1月-2021年10月在本院经病理证实的130例脑GBM患者的临床资料和MRI图像(ADC和对比增强3D-T ... 目的:探讨MRI影像组学模型术前预测脑胶质母细胞瘤(GBM)O 6-甲基鸟嘌呤-DNA甲基转移酶启动子甲基化(MGMT-PM)状态的价值。方法:回顾性分析2018年1月-2021年10月在本院经病理证实的130例脑GBM患者的临床资料和MRI图像(ADC和对比增强3D-T 1WI)。其中,MGMT-PM阳性组(PM率≥8%)58例,MGMT-PM阴性组(PM率<8%)72例。按7:3的比例将所有患者随机分为训练集(91例)和验证集(39例)。由2位放射科医师独立在ADC和CE-3D-T 1WI图像上逐层勾画ROI,获得病灶的全域容积感兴趣区(VOI),分别提取851个组学特征。然后,采用最小绝对收缩和选择算法(LASSO)进行特征降维,将保留下来的特征与其对应的系数进行线性组合,构建影像组学模型并计算每例患者的影像组学评分(Radscore),得到Radscore ADC、Radscore CE-T 1WI和Radscore联合三组评分。采用ROC曲线评估各组学模型的诊断效能,将最优模型的Radscore和临床特征(年龄、性别)纳入logistic回归分析构建预测MGMT-PM状态的临床-组学综合模型,并绘制其诺模图。采用ROC曲线评价综合模型的预测效能,并采用校准曲线和决策曲线分别评估此模型的校准度和临床实用价值。结果:在训练集中,Radscore联合预测MGMT-PM状态的AUC为0.872,优于单一序列(Radscore ADC:AUC=0.798,P<0.05;Radscore CE-T 1WI:AUC=0.840,P<0.05);在验证集中得到了一致的结论。在影像组学模型中加入临床特征后,可提高预测效能,临床-组学综合模型的AUC、敏感度和特异度分别为0.904、92.50%和78.43%。校准曲线显示临床-组学综合预测模型在训练集和验证集中预测概率与实际概率之间的差异均无统计学意义(P=0.051、0.284)。决策曲线分析表明综合预测模型具有一定的临床实用价值。结论:MRI影像组学模型有助于术前无创性预测GBM的MGMT启动子甲基化状态,多序列结合及引入临床特征能提高模型的预测效能。 展开更多
关键词 脑肿瘤 胶质母细胞瘤 MGMT启动子甲基化 磁共振成像 影像组学
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基于T_(1)WI增强的MR纹理分析评价胶质母细胞瘤MGMT启动子甲基化的研究 被引量:1
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作者 王汝佳 马梦华 +3 位作者 王海平 孙静华 杨越清 闫赛克 《影像诊断与介入放射学》 2023年第2期83-88,共6页
目的本研究主要是分析O6-甲基鸟嘌呤-DNA甲基转移酶(MGMT)启动子甲基化状态与胶质母细胞瘤(GBM)磁共振纹理特征的相关性。方法收集经本院病理诊断为GBM的患者128例,所有患者术前均行磁共振平扫及增强检查。利用3D Slicer软件提取4方面... 目的本研究主要是分析O6-甲基鸟嘌呤-DNA甲基转移酶(MGMT)启动子甲基化状态与胶质母细胞瘤(GBM)磁共振纹理特征的相关性。方法收集经本院病理诊断为GBM的患者128例,所有患者术前均行磁共振平扫及增强检查。利用3D Slicer软件提取4方面磁共振纹理特征,包括一阶数据、形态和形状、纹理:灰度共生矩阵、纹理:灰度运行长度矩阵。采用χ^(2)检验分析MGMT启动子甲基化与GBM磁共振特征的关系;采用独立样本t检验以及Mann-Whitney U检验,分析MGMT启动子甲基化与磁共振纹理特征的关系。结果MGMT启动子甲基化GBM与MGMT启动子未甲基化GBM的磁共振纹理特征相比较,有7种磁共振纹理特征差异显著(P<0.05),分别是能量(P=0.033)、熵(P=0.032)、一致性(P=0.030)、自相关(P=0.035)、方差:灰度共生矩阵(P=0.031)、灰度不均匀性(P=0.029)、群集阴影(P=0.032)。结论MGMT启动子甲基化GBM与MGMT启动子未甲基化GBM的磁共振纹理特征相比较,有7种磁共振纹理特征可以作为预测MGMT启动子甲基化GBM预后的独立因素。 展开更多
关键词 胶质母细胞瘤 O^(6)-甲基鸟嘌呤-DNA甲基转移酶启动子甲基化 磁共振成像 纹理分析
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MRI不同影像组学模型预测胶质瘤MGMT启动子甲基化状态的研究 被引量:7
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作者 陈思璇 许悦 +6 位作者 叶梅萍 李扬 于芷轩 青钊 王正阁 张冰 张鑫 《磁共振成像》 CAS CSCD 北大核心 2022年第3期1-5,36,共6页
目的 探讨MRI的不同影像组学模型预测术前脑胶质瘤O^(6)-甲基鸟嘌呤-DNA甲基转移酶(O^(6)-methylguanine-DNA methyltransferase,MGMT)启动子甲基化状态的效能。材料与方法 回顾性分析经手术病理证实的114例大脑胶质瘤患者的MRI影像资料... 目的 探讨MRI的不同影像组学模型预测术前脑胶质瘤O^(6)-甲基鸟嘌呤-DNA甲基转移酶(O^(6)-methylguanine-DNA methyltransferase,MGMT)启动子甲基化状态的效能。材料与方法 回顾性分析经手术病理证实的114例大脑胶质瘤患者的MRI影像资料,包括T1WI、T2WI、ADC及T1WI增强序列。其中MGMT启动子甲基化阳性58例,阴性56例,按8∶2比例分为训练组(91例)与验证组(23例),在T2WI及T1WI增强序列分别对肿瘤加水肿区及肿瘤核心区进行三维手工分割,提取总共688个影像组学特征,采用主成分分析进行特征降维,方差分析用于特征筛选,应用逻辑回归(Logistic regression,LR)算法、Lasso的逻辑回归算法(Logistic regression via Lasso, LR-Lasso)、支持向量机(support vector machine, SVM)、贝叶斯分类器(native Bayes,NB)构建诊断模型,5倍交叉验证方法用于训练模型,验证组数据用于评估模型的预测性能,ROC曲线用于计算模型的准确率、敏感度和特异度,ROC曲线下面积(area under curve,AUC)用于评估模型的预测性能。结果 LR模型的AUC值、准确率为0.90和91%,敏感度和特异度为92%和91%,LR-Lasso模型的AUC值、准确率为0.80和74%,敏感度和特异度为67%和82%,SVM模型的AUC值、准确率为0.89和87%,敏感度和特异度为83%和91%,NB模型的AUC值、准确率为0.69和74%,敏感度和特异度为75%和72%。基于LR模型预测效能最高。结论 MRI影像组学模型对预测术前脑胶质瘤MGMT启动子甲基化的状态具有一定应用价值,4种模型预测效能中LR模型预测效能最高。 展开更多
关键词 胶质瘤 O^(6)-甲基鸟嘌呤-DNA甲基转移酶启动子甲基化 影像组学 磁共振成像
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Expression Silence of DNA Repair Gene hMGMT Induced by RNA Interference
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作者 李秀英 赖延东 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2007年第1期52-55,共4页
Objective: MGMT protein expression has been associated with tumor resistance to alkylating agents. The objective of this paper is to construct the RNA interference vector which can specifically induce the expression ... Objective: MGMT protein expression has been associated with tumor resistance to alkylating agents. The objective of this paper is to construct the RNA interference vector which can specifically induce the expression silence of human DNA repair gene hMGMT. Methods: The hMGMT specific siRNA expression cassette was made by two steps PCR, linked with pUCI 9 to get pU6-MGMTi, co-transfected with pEGFP-CI into 16HBE and screened by G418. The MGMT mRNA and protein levels were detected by RT-PCR and Western Blot respectively. Results: hMGMT specific RNA interfere vector pU6-MGMTi was constructed successfully. In transfected 16HBE cells MGMT mRNA level could hardly be detected and the protein level was only 10% of control. Conclusion: MGMT specific RNAi expression cassette can effectively inhibit MGMT expression. MGMT silence cell line was built by co-transfection technology, which offered condition for studying the gene function of MGMT. 展开更多
关键词 RNA interference O^6-methylguanine-dna methyl transferase (MGMT) 16HBE siRNA expression cassettes
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恶性脑胶质瘤MGMT基因启动子甲基化状态与患者临床预后的相关性 被引量:7
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作者 罗敏捷 张旺明 +3 位作者 王军 郑伟新 姜晓丹 柯以铨 《中华神经医学杂志》 CAS CSCD 北大核心 2012年第6期565-569,共5页
目的探讨恶性脑胶质瘤组织O6-甲基鸟嘌呤-DNA-甲基转移酶(MGMT)基因启动子甲基化状态及MGMT蛋白表达与患者生存预后的关系,评价MS-MLPA技术检测MGMT基因启动子甲基化状态对脑胶质瘤化疗的意义。方法选择自2006至2010年南方医科大学... 目的探讨恶性脑胶质瘤组织O6-甲基鸟嘌呤-DNA-甲基转移酶(MGMT)基因启动子甲基化状态及MGMT蛋白表达与患者生存预后的关系,评价MS-MLPA技术检测MGMT基因启动子甲基化状态对脑胶质瘤化疗的意义。方法选择自2006至2010年南方医科大学珠江医院神经外科手术治疗且病理证实为恶性脑胶质瘤(WHOII级、Ⅳ级)的39例患者为研究对象,应用免疫组化染色法检测肿瘤组织MGMT蛋白表达,应用MS-MLPA技术检测MGMT基因启动子甲基化状态,并观察患者化疗后总生存时间。结果肿瘤组织中MGMT蛋白表达阳性、弱阳性者与表达阴性者生存时间比较差异有统计学意义(P=-O.0031,MGMT蛋白表达阳性者比表达阴性者预后更差。肿瘤组织中MGMT基因启动子未甲基化者、低度过甲基化者、中度过甲基化者、高度过甲基化者生存时间两两比较差异均有统计学意义(P〈0.05),MGMT基因启动子过甲基化率越高者预后越好。MGMT蛋白表达与MGMT基因启动子甲基化状态存在统计学相关性(r==0.697,P=-0.000),基因甲基化程度越高者蛋白表达越低。结论MGMT蛋白表达与MGMT基因启动子甲基化状态均可以作为接受烷化剂化疗的恶性胶质瘤患者生存期的预测指标。MS-MLPA技术是一种可靠的检测MGMT基因启动子甲基化状态的方法。 展开更多
关键词 神经胶质瘤 O6-甲基鸟嘌呤-DNA-甲基转移酶 启动子甲基化 甲基化特 异性-多重连接依赖性探针扩增技术
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Molecular pathology and clinical implications of diffuse glioma 被引量:1
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作者 Ruichao Chai Shengyu Fang +4 位作者 Bo Pang Yuqing Liu Yongzhi Wang Wei Zhang Tao Jiang 《Chinese Medical Journal》 SCIE CAS CSCD 2022年第24期2914-2925,共12页
The prognosis for diffusely infiltrating gliomas at World Health Organization(WHO)grade 2-4 remains dismal due to their heterogeneity.The rapid development of genome-wide molecular-profiling-associated studies has gre... The prognosis for diffusely infiltrating gliomas at World Health Organization(WHO)grade 2-4 remains dismal due to their heterogeneity.The rapid development of genome-wide molecular-profiling-associated studies has greatly promoted the accuracy of glioma classification.Thus,the latest version of the WHO classification of the central nervous system tumors published in 2021 has incorporated more molecular biomarkers together with histological features for the diagnosis of gliomas.Advanced usage of molecular pathology in clinical diagnostic practice provides also new opportunities for the therapy of patients with glioma,including surgery,radiotherapy and chemotherapy,targeted therapy,immunotherapy,and more precision clinical trials.Herein,we highlight the updates in the classification of gliomas according to the latest WHO guidelines and summarize the clinically relevant molecular markers by focusing on their applications in clinical practice.We also review the advances in molecular features of gliomas,which can facilitate the development of glioma therapies,thereby discussing the challenges and future directions of molecular pathology toward precision medicine for patients with glioma. 展开更多
关键词 GLIOMA Molecular pathology tumor classification O^(6)-methylguanine-dna methyltransferase THERAPY
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