MGMT promoter methylation in triple negative breast cancer of the GeparSixto trial

Triple-negative breast cancer (TNBC) is typically treated with chemotherapeutic agents, including carboplatin (Cb), an DNA platinating agent. The O6-methylguanine-DNA-methyltransferase gene (MGMT) encodes for the protein O6-alkylguanine-DNA-alkyltransferase (MGMT protein). MGMT protein is involved i...

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Veröffentlicht in:PloS one 2020-08, Vol.15 (8), p.e0238021
Hauptverfasser: Jank, Paul, Gehlhaar, Claire, Bianca, Lederer, Caterina, Fontanella, Andreas, Schneeweiss, Karn, Thomas, Marmé, Frederik, Sinn, Hans-Peter, van Mackelenbergh, Marion, Sinn, Bruno, Zahm, Dirk-Michael, Ingold-Heppner, Barbara, Schem, Christian, Stickeler, Elmar, Fasching, Peter A, Nekljudova, Valentina, Taube, Eliane Tabea, Heppner, Frank, Müller, Volkmar, Denkert, Carsten, Loibl, Sibylle
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container_issue 8
container_start_page e0238021
container_title PloS one
container_volume 15
creator Jank, Paul
Gehlhaar, Claire
Bianca, Lederer
Caterina, Fontanella
Andreas, Schneeweiss
Karn, Thomas
Marmé, Frederik
Sinn, Hans-Peter
van Mackelenbergh, Marion
Sinn, Bruno
Zahm, Dirk-Michael
Ingold-Heppner, Barbara
Schem, Christian
Stickeler, Elmar
Fasching, Peter A
Nekljudova, Valentina
Taube, Eliane Tabea
Heppner, Frank
Müller, Volkmar
Denkert, Carsten
Loibl, Sibylle
description Triple-negative breast cancer (TNBC) is typically treated with chemotherapeutic agents, including carboplatin (Cb), an DNA platinating agent. The O6-methylguanine-DNA-methyltransferase gene (MGMT) encodes for the protein O6-alkylguanine-DNA-alkyltransferase (MGMT protein). MGMT protein is involved in DNA repair mechanisms to remove mutagenic and cytotoxic adducts from O6-guanine in DNA. In glioblastoma multiforme, MGMT methylation status is a predictive biomarker for increased response to temozolomide therapy. It has been suggested, that MGMT protein may have relevance for cellular adaptation and could have an influence on resistance to carboplatin therapy. We investigated the influence of MGMT promoter methylation on pathologic complete response and survival of patients with TNBC treated in the neoadjuvant GeparSixto trial. In 174 of 210 available TNBC tumors a valid MGMT promoter methylation status was determined by pyrosequencing of 5 CpG islands. In 21.8%, we detected a mean MGMT promoter methylation >10%. Overall, MGMT promoter methylation was not significantly associated with pathological complete response (pCR) rate. After stratification for the two therapy arms with and without Cb no statistically significant differences in therapy response rates between the two MGMT promoter methylation groups could be observed. Our results show that different MGMT promoter methylation status is not related to different chemotherapy response rates in the TNBC setting in GeparSixto.
doi_str_mv 10.1371/journal.pone.0238021
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The O6-methylguanine-DNA-methyltransferase gene (MGMT) encodes for the protein O6-alkylguanine-DNA-alkyltransferase (MGMT protein). MGMT protein is involved in DNA repair mechanisms to remove mutagenic and cytotoxic adducts from O6-guanine in DNA. In glioblastoma multiforme, MGMT methylation status is a predictive biomarker for increased response to temozolomide therapy. It has been suggested, that MGMT protein may have relevance for cellular adaptation and could have an influence on resistance to carboplatin therapy. We investigated the influence of MGMT promoter methylation on pathologic complete response and survival of patients with TNBC treated in the neoadjuvant GeparSixto trial. In 174 of 210 available TNBC tumors a valid MGMT promoter methylation status was determined by pyrosequencing of 5 CpG islands. In 21.8%, we detected a mean MGMT promoter methylation &gt;10%. Overall, MGMT promoter methylation was not significantly associated with pathological complete response (pCR) rate. After stratification for the two therapy arms with and without Cb no statistically significant differences in therapy response rates between the two MGMT promoter methylation groups could be observed. 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promoter methylation in triple negative breast cancer of the GeparSixto trial</title><author>Jank, Paul ; Gehlhaar, Claire ; Bianca, Lederer ; Caterina, Fontanella ; Andreas, Schneeweiss ; Karn, Thomas ; Marmé, Frederik ; Sinn, Hans-Peter ; van Mackelenbergh, Marion ; Sinn, Bruno ; Zahm, Dirk-Michael ; Ingold-Heppner, Barbara ; Schem, Christian ; Stickeler, Elmar ; Fasching, Peter A ; Nekljudova, Valentina ; Taube, Eliane Tabea ; Heppner, Frank ; Müller, Volkmar ; Denkert, Carsten ; Loibl, Sibylle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5841-511096f3acd82beb7244557831f6de4686b56fe945929e685d8546b7ba5583433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adducts</topic><topic>Biology and life sciences</topic><topic>Biomarkers</topic><topic>Biopsy</topic><topic>Brain cancer</topic><topic>Breast cancer</topic><topic>Cancer 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Christian</au><au>Stickeler, Elmar</au><au>Fasching, Peter A</au><au>Nekljudova, Valentina</au><au>Taube, Eliane Tabea</au><au>Heppner, Frank</au><au>Müller, Volkmar</au><au>Denkert, Carsten</au><au>Loibl, Sibylle</au><au>Banerjee, Sushanta K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MGMT promoter methylation in triple negative breast cancer of the GeparSixto trial</atitle><jtitle>PloS one</jtitle><date>2020-08-25</date><risdate>2020</risdate><volume>15</volume><issue>8</issue><spage>e0238021</spage><pages>e0238021-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Triple-negative breast cancer (TNBC) is typically treated with chemotherapeutic agents, including carboplatin (Cb), an DNA platinating agent. The O6-methylguanine-DNA-methyltransferase gene (MGMT) encodes for the protein O6-alkylguanine-DNA-alkyltransferase (MGMT protein). MGMT protein is involved in DNA repair mechanisms to remove mutagenic and cytotoxic adducts from O6-guanine in DNA. In glioblastoma multiforme, MGMT methylation status is a predictive biomarker for increased response to temozolomide therapy. It has been suggested, that MGMT protein may have relevance for cellular adaptation and could have an influence on resistance to carboplatin therapy. We investigated the influence of MGMT promoter methylation on pathologic complete response and survival of patients with TNBC treated in the neoadjuvant GeparSixto trial. In 174 of 210 available TNBC tumors a valid MGMT promoter methylation status was determined by pyrosequencing of 5 CpG islands. In 21.8%, we detected a mean MGMT promoter methylation &gt;10%. Overall, MGMT promoter methylation was not significantly associated with pathological complete response (pCR) rate. After stratification for the two therapy arms with and without Cb no statistically significant differences in therapy response rates between the two MGMT promoter methylation groups could be observed. Our results show that different MGMT promoter methylation status is not related to different chemotherapy response rates in the TNBC setting in GeparSixto.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32841306</pmid><doi>10.1371/journal.pone.0238021</doi><tpages>e0238021</tpages><orcidid>https://orcid.org/0000-0002-4512-2226</orcidid><orcidid>https://orcid.org/0000-0001-7076-0476</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adducts
Biology and life sciences
Biomarkers
Biopsy
Brain cancer
Breast cancer
Cancer therapies
Carboplatin
Care and treatment
Chemotherapy
Clinical trials
CpG islands
Cytotoxicity
Deoxyribonucleic acid
Development and progression
DNA
DNA alkyltransferase
DNA methylation
DNA methyltransferase
DNA repair
Epigenetics
Genetic aspects
Glioblastoma
Glioblastoma multiforme
Guanine
Health aspects
Medicine and Health Sciences
Methylation
Methylguanine
O6-methylguanine-DNA methyltransferase
Physical Sciences
Promoters (Genetics)
Proteins
Research and Analysis Methods
Statistical analysis
Temozolomide
Triple negative breast cancer
Tumors
title MGMT promoter methylation in triple negative breast cancer of the GeparSixto trial
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