%0 Journal Article %T Temozolomideresistanceinhighgradegliomas#br#<br>Temozolomideresistanceinhighgradegliomas#br# %A WEI Xiang-yu %A XIE Chao-ran %A YOU Chao-guo %A CHEN Zheng %A ZHENG Xue-sheng < %A br> %A WEI Xiang-yu %A XIE Chao-ran %A YOU Chao-guo %A CHEN Zheng %A ZHENG Xue-sheng %J 上海交通大学学报(医学版) %D 2018 %R 10.3969/j.issn.1674-8115.2018.01.022 %X High grade gliomas are always the research focus in the field of neurosurgery due to their poor prognosis despite the current standard therapeutic?regimen?of?surgical?resection?followed?by?radiation?therapy?and?chemotherapy.?Alkylating?agent?temozolomide?has?been?established?as?the? standard?chemotherapy?while?its?resistance?inevitable?during?treatment.?This?phenomenon?seriously?influences?the?prognosis?of?patients?suffering?from? high grade gliomas. This review aims to elucidate temozolomide chemoresistance mechanisms through three chapters including O6-methylguanine-DNA methyltransferase?(MGMT)?methylation,?mismatch?repair?mutation?and?epigenetic?regulation?consisting?of?p21,?chromatin?and?histone,?Y-box?binding? protein-1 and microRNAs.<br>:High grade gliomas are always the research focus in the field of neurosurgery due to their poor prognosis despite the current standard therapeutic?regimen?of?surgical?resection?followed?by?radiation?therapy?and?chemotherapy.?Alkylating?agent?temozolomide?has?been?established?as?the? standard?chemotherapy?while?its?resistance?inevitable?during?treatment.?This?phenomenon?seriously?influences?the?prognosis?of?patients?suffering?from? high grade gliomas. This review aims to elucidate temozolomide chemoresistance mechanisms through three chapters including O6-methylguanine-DNA methyltransferase?(MGMT)?methylation,?mismatch?repair?mutation?and?epigenetic?regulation?consisting?of?p21,?chromatin?and?histone,?Y-box?binding? protein-1 and microRNAs %K &ensp %K high&ensp %K grade&ensp %K glioma %K &ensp %K temozolomide %K &ensp %K resistance %K &ensp %K O6-methylguanine-DNA&ensp %K methyltransferase %K &ensp %K mismatch&ensp %K repair %K < %K br> %K high&ensp %K grade&ensp %K glioma %K &ensp %K temozolomide %K &ensp %K resistance %K &ensp %K O6-methylguanine-DNA&ensp %K methyltransferase %K &ensp %K mismatch&ensp %K repair %U http://xuebao.shsmu.edu.cn/CN/abstract/abstract11796.shtml