論文

2021年3月

High-resolution melting effectively pre-screens for TP53 mutations before direct sequencing in patients with diffuse glioma.

Human cell
  • Kiyotaka Saito
  • ,
  • Kiyotaka Yokogami
  • ,
  • Kazunari Maekawa
  • ,
  • Yuichiro Sato
  • ,
  • Shinji Yamashita
  • ,
  • Fumitaka Matsumoto
  • ,
  • Asako Mizuguchi
  • ,
  • Hideo Takeshima

34
2
開始ページ
644
終了ページ
653
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s13577-020-00471-2

TP53 mutations are important molecular markers in diffuse astrocytic tumors and medulloblastomas. We examined the efficacy of a pre-screening method for high-resolution melting (HRM) analysis of TP53 mutation before direct sequencing using samples from patients with diffuse glioma. Surgical samples from 64 diffuse gliomas were classified based on the 2016 World Health Organization (WHO) histopathological grading system and the cIMPACT-NOW (consortium to inform molecular and practical approaches to CNS tumor taxonomy-not official WHO) update. TP53 mutations from exon 5 to exon 8 were assessed by direct sequencing. The results of HRM and p53 immunohistochemistry (IHC) analysis were compared by recording the sensitivity, specificity, and false negative and false positive rates. Direct sequencing detected TP53 mutations in 18 of 64 samples (28.1%): diffuse astrocytoma, IDH-mutant (n = 3); diffuse astrocytoma, IDH-wild type (n = 1); anaplastic astrocytoma, IDH-mutant (n = 3); anaplastic astrocytoma, IDH-wild type (n = 4); and glioblastoma, IDH-wild type (n = 7). A total of 22 mutations was detected in the 18 samples; 4 samples exhibited duplicate missense mutations. Sensitivity and specificity were 0.96 and 0.96, respectively, for HRM analysis; they were 0.89 and 0.52, respectively, for p53 IHC. Overall accuracy was 0.98 for HRM and 0.63 for IHC. HRM analysis is a good pre-screening method for the detection of TP53 mutation before direct sequencing.

リンク情報
DOI
https://doi.org/10.1007/s13577-020-00471-2
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33454902
ID情報
  • DOI : 10.1007/s13577-020-00471-2
  • PubMed ID : 33454902

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