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Prognostic value of O‐6‐methylguanine–DNA methyltransferase (MGMT) protein expression in glioblastoma excluding nontumour cells from the analysis

Overview of attention for article published in Neuropathology & Applied Neurobiology, June 2017
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Title
Prognostic value of O‐6‐methylguanine–DNA methyltransferase (MGMT) protein expression in glioblastoma excluding nontumour cells from the analysis
Published in
Neuropathology & Applied Neurobiology, June 2017
DOI 10.1111/nan.12415
Pubmed ID
Authors

R. H. Dahlrot, J. Dowsett, S. Fosmark, A. Malmström, R. Henriksson, H. Boldt, K. de Stricker, M. D. Sørensen, H. S. Poulsen, M. Lysiak, P. Söderkvist, J. Rosell, S. Hansen, B. W. Kristensen

Abstract

It is important to predict response to treatment with temozolomide (TMZ) in glioblastoma (GBM) patients. Both MGMT protein expression and MGMT promoter methylation have been reported to predict the response to TMZ. We investigated the prognostic value of quantified MGMT protein levels in tumour cells and the prognostic importance of combining information of MGMT protein level and MGMT promoter methylations status. MGMT protein expression was quantified in tumour cells in 171 GBMs from the population-based Region of Southern Denmark (RSD)-cohort using a double immunofluorescence approach. Pyrosequencing was performed in 157 patients. For validation we used GBM-patients from a Nordic Study (NS) investigating the effect of radiotherapy and different TMZ schedules. When divided at the median, patients with low expression of MGMT protein (AF-low) had the best prognosis (HR 1.5, P = 0.01). Similar results were observed in the subgroup of patients receiving the Stupp regimen (HR 2.0, P = 0.001). In the NS-cohort a trend towards superior survival (HR 1.6, P = 0.08) was seen in patients with AF-low. Including MGMT promoter methylation status, we found for both cohorts that patients with methylated MGMT promoter and AF-low had the best outcome; median OS 23.1 and 20.0 months, respectively. Our data indicate that MGMT protein expression in tumour cells has an independent prognostic significance. Exclusion of non-tumour cells contributed to a more exact analysis of tumour-specific MGMT protein expression. This should be incorporated in future studies evaluating MGMT status before potential integration into clinical practice. This article is protected by copyright. All rights reserved.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 28 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 5 18%
Student > Bachelor 5 18%
Other 2 7%
Researcher 2 7%
Student > Postgraduate 2 7%
Other 4 14%
Unknown 8 29%
Readers by discipline Count As %
Medicine and Dentistry 10 36%
Biochemistry, Genetics and Molecular Biology 3 11%
Neuroscience 2 7%
Computer Science 1 4%
Agricultural and Biological Sciences 1 4%
Other 0 0%
Unknown 11 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 January 2019.
All research outputs
#14,984,227
of 25,477,125 outputs
Outputs from Neuropathology & Applied Neurobiology
#809
of 1,173 outputs
Outputs of similar age
#167,300
of 328,611 outputs
Outputs of similar age from Neuropathology & Applied Neurobiology
#19
of 26 outputs
Altmetric has tracked 25,477,125 research outputs across all sources so far. This one is in the 40th percentile – i.e., 40% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,173 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.3. This one is in the 29th percentile – i.e., 29% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 328,611 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 26 others from the same source and published within six weeks on either side of this one. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.