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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Li, Shouwei Zhang, Wei Chen, Baoshi Jiang, Tao Wang, Zhongcheng |
| Description | Country affiliation: China Author Affiliation: Li S ( Glioma Treatment Center, Beijing Tiantan Hospital, Capital University of Medical Sciences, Beijing, China.) |
| Abstract | OBJECTIVE: To assess the prognostic and predictive significance of p53 protein expression in low O6-methylguanine-DNA methyltransferase (MGMT) expressing glioblastoma multiform (GBM) treated with combined therapy. METHODS: The authors reviewed the clinical outcomes of 46 low MGMT expressing GBM patients who had undergone surgery, conventional local radiotherapy and temozolomide chemotherapy. Correlation between p53 expression level and clinical outcomes were analysed with univariate and multivariate Cox model. RESULTS: Patients with low p53 expression had a significantly improved progression free survival (PFS) (p=0.015) and overall survival (OS) (p=0.047) compared to those with high expression. On both univariate and multivariate analyses, low p53 expression persisted as a significant independent favorable prognostic factor for PFS (p=0.017). Pre-operative Karnofsky performance status score (p=0.029), tumor resection extent (p=0.045) and p53 expression level (p=0.038) were significant independent prognostic factors for OS. CONCLUSION: In these low MGMT expressing GBM patients with combined treatment, low p53 expression was a significant independent favorable prognostic factor for both PFS and OS. In addition to MGMT, p53 may be another stratification variable in the future therapeutic trials. |
| File Format | HTM / HTML |
| ISSN | 01616412 |
| e-ISSN | 17431328 |
| Journal | Neurological Research |
| Issue Number | 7 |
| Volume Number | 32 |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2010-09-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Neurology Brain Neoplasms Metabolism Therapy Dna Modification Methylases Dna Repair Enzymes Dacarbazine Analogs & Derivatives Glioblastoma Tumor Suppressor Protein P53 Tumor Suppressor Proteins Mortality Chemotherapy, Adjuvant Combined Modality Therapy Therapeutic Use Disease-free Survival Immunohistochemistry Kaplan-meier Estimate Predictive Value Of Tests Prognosis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology Neurology (clinical) |
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