Table 1.
Biomarker | Standardized Test? | Diagnostic Use? | Prognostic Use? | Predictive Use? | Druggable Target? |
---|---|---|---|---|---|
MGMT promoter methylation | No | No | Yes | Yes | No |
MSP, pyrosequencing, RT-PCR |
Anaplastic glioma | Elderly GBM | |||
IDH1/2 mutation | Yes | Yes | Yes | No | No |
IHC (IDH1-R132H). Sequencing | Can aid in the differential diagnosis of grade II/III glioma from pilocytic astrocytoma, ependymomas and reactive gliosis Can detect the infiltration of tumor cells in normal tissue | Prognostically favourable Indicative of secondary GBM | Mutant IDH1 is considered to be a potentialtherapeutic target; however no treatments are available as yet | ||
TP53mutation | No | Yes | No | No | No |
IHC is commonly used however this is not representative of a mutation | Genetic hallmark in 60-70% of low-grade diffuseastrocytomas, anaplastic astrocytomas and secondary GBMs | Some studies have found a shorter time interval to progression in patients with TP53 mutant low-grade astrocytoma | |||
EGFR amplification | Yes | Limited | No | No | Yes |
IHC does not differentiate between EGFR amplification and overexpression | EGFR amplification indicates primary GBM | Cetuximab Erlotinib Gefitinib Gefitinib EGFRvIII: rhindopepimut |
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VEGF | No | No | No | No | Yes |
IHC, but not used clinically | bevacizumab |