PMID- 22157621 OWN - NLM STAT- MEDLINE DCOM- 20120213 LR - 20211021 IS - 1554-6578 (Electronic) IS - 0022-3069 (Print) IS - 0022-3069 (Linking) VI - 71 IP - 1 DP - 2012 Jan TI - Clinical stratification of glioblastoma based on alterations in retinoblastoma tumor suppressor protein (RB1) and association with the proneural subtype. PG - 83-9 LID - 10.1097/NEN.0b013e31823fe8f1 [doi] AB - A recent study of CDK4/6 inhibitors in glioblastoma (GBM) xenografts identified retinoblastoma tumor suppressor protein RB1 status as a determinant of tumor therapeutic efficacy. Because of the need for clinically applicable RB1 testing, we assessed the utility of 2 complementary methods for determining RB1 status in GBM. Using fluorescence in situ hybridization (FISH) and immunohistochemistry (IHC), we analyzed 34 GBMs that had also undergone molecular characterization as part of The Cancer Genome Atlas (TCGA). By IHC, 4 tumors (11.8%) had complete loss of RB protein expression, including 2 with homozygous deletion of RB1 by FISH and 1 with hemizygous deletion of RB1 by FISH combined with a novel nonsense mutation in RB1. Consistent with these results, in an independent set of 51 GBMs tested by IHC, we demonstrated loss of RB1 protein in 5 (9.8%). In GBM molecular subtype analysis of TCGA data, complete loss of RB1 transcript expression was seen in 18 (10.6%) of 170 tumors, and these were highly enriched for, but not exclusive to, the proneural subtype (p < 0.01). These data support the use of IHC for determining RB1 status in clinical GBM specimens and suggest that RB1 alterations may be more common in certain GBM subgroups. FAU - Goldhoff, Patricia AU - Goldhoff P AD - Division of Neuropathology, Department of Pathology, University of California, San Francisco, San Francisco, California 94143, USA. FAU - Clarke, Jennifer AU - Clarke J FAU - Smirnov, Ivan AU - Smirnov I FAU - Berger, Mitchel S AU - Berger MS FAU - Prados, Michael D AU - Prados MD FAU - James, C David AU - James CD FAU - Perry, Arie AU - Perry A FAU - Phillips, Joanna J AU - Phillips JJ LA - eng GR - K08 NS063456/NS/NINDS NIH HHS/United States GR - K08 NS063456-03/NS/NINDS NIH HHS/United States GR - R01 CA159467/CA/NCI NIH HHS/United States GR - P50 CA097257/CA/NCI NIH HHS/United States GR - P50CA097257/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - J Neuropathol Exp Neurol JT - Journal of neuropathology and experimental neurology JID - 2985192R RN - 0 (Retinoblastoma Protein) SB - IM MH - Brain Neoplasms/*genetics/pathology MH - Genetic Association Studies/methods MH - Glioblastoma/*genetics/pathology MH - Humans MH - Neurons/pathology MH - Retinoblastoma/*genetics/pathology MH - Retinoblastoma Protein/*genetics MH - Stem Cells/pathology PMC - PMC3246124 MID - NIHMS342101 EDAT- 2011/12/14 06:00 MHDA- 2012/02/14 06:00 PMCR- 2013/01/01 CRDT- 2011/12/14 06:00 PHST- 2011/12/14 06:00 [entrez] PHST- 2011/12/14 06:00 [pubmed] PHST- 2012/02/14 06:00 [medline] PHST- 2013/01/01 00:00 [pmc-release] AID - 10.1097/NEN.0b013e31823fe8f1 [doi] PST - ppublish SO - J Neuropathol Exp Neurol. 2012 Jan;71(1):83-9. doi: 10.1097/NEN.0b013e31823fe8f1.