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Impact of rs12917 MGMT Polymorphism on [18F]FDG-PET Response in Pediatric Hodgkin Lymphoma (PHL)

S. Kewitz-Hempel, L. Kurch, M. Cepelova, I. Volkmer, A. Sauerbrey, E. Conrad, S. Knirsch, G. Pöpperl, D. Steinbach, AJ. Beer, CM. Kramm, CO. Sahlmann, B. Erdlenbruch, WD. Reinbold, A. Odparlik, O. Sabri, R. Kluge, MS. Staege,

. 2019 ; 21 (6) : 1182-1191. [pub] -

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc20023430
E-zdroje Online Plný text

NLK ProQuest Central od 2005-01-01 do 2019-01-31
Medline Complete (EBSCOhost) od 2011-02-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest) od 2005-01-01 do 2019-01-31
Health & Medicine (ProQuest) od 2005-01-01 do 2019-01-31

PURPOSE: The enzyme O6-methylguanine-DNA methyltransferase (MGMT) is an important component of the DNA repair machinery. MGMT removes O6-methylguanine from the DNA by transferring the methyl group to a cysteine residue in its active site. Recently, we detected the single nucleotide polymorphism (SNP) rs12917 (C/T) in the MGMT sequence adjacent to the active site in Hodgkin lymphoma (HL) cell line KM-H2. We now investigated whether this SNP is also present in other HL cell lines and patient samples. Furthermore, we asked whether this SNP might have an impact on metabolic response in 2-deoxy-2-[18F]fluoro-D-glucose positron emission tomography ([18F]FDG-PET), and on overall treatment outcome based on follow-up intervals of at least 34 months. PROCEDURES: We determined the frequency of this MGMT polymorphism in 5 HL cell lines and in 29 pediatric HL (PHL) patients. The patient cohort included 17 female and 12 male patients aged between 4 and 18 years. After characterization of the sequence, we tested a possible association between rs12917 and age, gender, Ann Arbor stage, treatment group, metabolic response following two courses of OEPA (vincristine, etoposide, prednisone, and doxorubicin) chemotherapy, radiotherapy indication, and relapse status. RESULTS: We detected the minor T allele in four of five HL cell lines. 11/29 patients carried the minor T allele whereas 18/29 patients showed homozygosity for the major C allele. Interestingly, we observed significantly better metabolic response in PHL patients carrying the rs12917 C allele resulting in a lower frequency of radiotherapy indication. CONCLUSION: MGMT polymorphism rs12917 seems to affect chemotherapy response in PHL. The prognostic value of this polymorphism should be investigated in a larger patient cohort.

Department of Nuclear Medicine Georg August University Göttingen Germany

Department of Nuclear Medicine Helios Hospital Erfurt Erfurt Germany

Department of Nuclear Medicine Klinikum Stuttgart Olgahospital Stuttgart Germany

Department of Nuclear Medicine Martin Luther University Halle Wittenberg Halle Germany

Department of Nuclear Medicine University Hospital of Leipzig 04103 Leipzig Germany

Department of Nuclear Medicine University Hospital Ulm Germany

Department of Pediatric Hematology and Oncology 2nd Faculty of Medicine Charles University Prague and Motol University Hospital Praha Czech Republic

Department of Pediatric Hematology and Oncology University Hospital Ulm Ulm Germany

Department of Pediatrics 1 Martin Luther University Halle Wittenberg Ernst Grube Str 40 06120 Halle Germany

Department of Pediatrics 1 Martin Luther University Halle Wittenberg Ernst Grube Str 40 06120 Halle Germany Department of Pediatric Hematology and Oncology Justus Liebig University Giessen Germany Department of Dermatology and Venereology Martin Luther University Halle Wittenberg Halle Germany

Department of Pediatrics 1 Martin Luther University Halle Wittenberg Ernst Grube Str 40 06120 Halle Germany Division of Pediatric Hematology and Oncology University Medical Center Göttingen Göttingen Germany

Helios Childrens Hospital Erfurt Germany

Pediatrics 5 Klinikum Stuttgart Olgahospital Stuttgart Germany

Universitätsinstitut für Diagnostische Radiologie Neuroradiologie und Nuklearmedizin Johannes Wesling Klinikum Minden Ruhr University Hospital Bochum Germany

University Hospital for Children and Adolescents Johannes Wesling Klinikum Minden Ruhr University Hospital Bochum Germany

Citace poskytuje Crossref.org

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