Table 5.
Prognostic factors in IDH-wildtype glioblastoma.
Factor | Details | Reference |
---|---|---|
IDH1/2 mutation | Incompatible with diagnosis | [4,5,7] |
1p/19q co-deletion | Incompatible with diagnosis | [4] |
MGMT | Promoter methylation predicts improved response to temozolomide, especially in the presence of TERTp mutation | [122,123,143,144,145,148] |
Chromosomes 19 & 20 | Co-gain correlates with better clinical outcome | [129,142] |
Chromosomes 1 & 19 | Isolated gain of either chromosome, in the absence of CDK4/MDM2 co- amplification correlates with better clinical outcome | [139] |
BRAF (V600E) | Mutation is correlated with better outcome | [152,153] |
EGFR amplification, 7+/10−, TERTp mutation | Alteration of any of these factors correlates with worse clinical outcome; GBM-C0 status correlates with better clinical outcome | [129] |
Total copy number variation (CNV) | Elevated CNV correlates with worse clinical outcome than IDH-mutant lower- grade gliomas, however, no in-group effects | [52,129] |
CDK4/MDM2 | Co-amplification is correlated with worse clinical outcome | [120,121,139] |
EGFR/PTEN/CDKN2A | Co-alterations of these three genes is correlated with worse clinical outcome | [141] |
PIK3CA | Mutations are correlated with worse clinical outcome | [140] |
H3K27M | Mutation in midline glioma correlates with worse clinical outcome; grade IV equivalent (cIMPACT-NOW update 2) | [169,173,174,175,177] |
NOTE: Molecular alterations in white: Definitional; green: Overall positive effect on prognosis; red: Overall negative effect on prognosis.