PMID- 8631014 OWN - NLM STAT- MEDLINE DCOM- 19960703 LR - 20220316 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 56 IP - 4 DP - 1996 Feb 15 TI - Retrospective study of the correlation between the DNA repair protein alkyltransferase and survival of brain tumor patients treated with carmustine. PG - 783-8 AB - We tested the hypothesis that the level of the DNA repair protein O6-alkylguanine-DNA alkyltransferase in brain tumors was correlated with resistance to carmustine (BCNU) chemotherapy. Alkyltransferase levels in individual cells in sections from 167 primary brain tumors treated with BCNU were quantitated with an immunofluorescence assay using monoclonal antibodies against human alkyltransferase. Patients with high levels of alkyltransferase had shorter time to treatment failure (P = 0.05) and death (P = 0.004) and a death rate 1.7 times greater than patients with low alkyltransferase levels. Furthermore, the size of the subpopulation of cells with high levels of alkyltransferase was correlated directly with drug resistance. For all tumors the variables most closely correlated with survival, in order of importance, were age, tumor grade, and alkyltransferase levels. For glioblastoma multiforme, survival was more strongly correlated with alkyltransferase levels than with age. These results should encourage prospective studies to evaluate alkyltransferase levels as a method, for identifying brain tumor patients with the best likelihood of response to BCNU chemotherapy. FAU - Belanich, M AU - Belanich M AD - Applied Genetics Inc., Freeport, New York 11520, USA. FAU - Pastor, M AU - Pastor M FAU - Randall, T AU - Randall T FAU - Guerra, D AU - Guerra D FAU - Kibitel, J AU - Kibitel J FAU - Alas, L AU - Alas L FAU - Li, B AU - Li B FAU - Citron, M AU - Citron M FAU - Wasserman, P AU - Wasserman P FAU - White, A AU - White A FAU - Eyre, H AU - Eyre H FAU - Jaeckle, K AU - Jaeckle K FAU - Schulman, S AU - Schulman S FAU - Rector, D AU - Rector D FAU - Prados, M AU - Prados M FAU - Coons, S AU - Coons S FAU - Shapiro, W AU - Shapiro W FAU - Yarosh, D AU - Yarosh D LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Antibodies, Monoclonal) RN - 0 (Antineoplastic Agents, Alkylating) RN - EC 2.1.1.- (Methyltransferases) RN - EC 2.1.1.63 (O(6)-Methylguanine-DNA Methyltransferase) RN - U68WG3173Y (Carmustine) SB - IM MH - Antibodies, Monoclonal MH - Antineoplastic Agents, Alkylating/*therapeutic use MH - Brain Neoplasms/*drug therapy/mortality/*pathology/radiotherapy MH - Carmustine/*therapeutic use MH - Combined Modality Therapy MH - *DNA Repair MH - Female MH - Humans MH - Immunohistochemistry MH - Male MH - Methyltransferases/*analysis MH - Middle Aged MH - O(6)-Methylguanine-DNA Methyltransferase MH - Retrospective Studies MH - Survival Rate MH - Time Factors EDAT- 1996/02/15 00:00 MHDA- 1996/02/15 00:01 CRDT- 1996/02/15 00:00 PHST- 1996/02/15 00:00 [pubmed] PHST- 1996/02/15 00:01 [medline] PHST- 1996/02/15 00:00 [entrez] PST - ppublish SO - Cancer Res. 1996 Feb 15;56(4):783-8.