Expression of Methylthioadenosine Phosphorylase (MTAP) in Pilocytic Astrocytomas

毛细胞星形细胞瘤中甲硫腺苷磷酸化酶 (MTAP) 的表达

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作者:Aline Paixão Becker, Cristovam Scapulatempo-Neto, Weder P Menezes, Carlos Clara, Hélio R Machado, Ricardo S Oliveira, Luciano Neder, Rui Manuel Reis

Conclusions

MTAP expression is retained in PAs and is not an outcome predictor for these tumors. Nevertheless, a subset of patients with PAs exhibiting a loss of MTAP could potentially benefit from treatment with specific chemotherapy, especially when lesions are recurrent or surgical resection is not recommended.

Methods

We assessed MTAP expression on immunohistochemistry in 69 pediatric and adult patients with PA in a tissue microarray platform.

Results

Retained expression of MTAP was seen in >85% of the tumors compared to in the nonneoplastic adjacent tissue. Only 3 supratentorial tumors showed a complete loss of MTAP expression. No significant association with clinicopathological features or overall survival of the patients was found. Conclusions: MTAP expression is retained in PAs and is not an outcome predictor for these tumors. Nevertheless, a subset of patients with PAs exhibiting a loss of MTAP could potentially benefit from treatment with specific chemotherapy, especially when lesions are recurrent or surgical resection is not recommended.

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