高级胶质瘤中表观遗传调控基因的生物学和预后相关性。

IF 3.7 Q1 CLINICAL NEUROLOGY Neuro-oncology advances Pub Date : 2024-10-04 eCollection Date: 2024-01-01 DOI:10.1093/noajnl/vdae169
Sonikpreet Aulakh, Joanne Xiu, Andrew Hinton, Sourat Darabi, Michael J Demeure, Soma Sengupta, Santosh Kesari, David M Ashley, Ashley Love Sumrall, Michael J Glantz, David Spetzler
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引用次数: 0

摘要

背景:高级别胶质瘤(HGGs)是胶质瘤中最具侵袭性的类型,其预后也最差。染色质重塑(CR)基因与多种癌症类型中的多种致癌途径有关。在胶质瘤的发生过程中,CR基因与胶质瘤细胞的干性、肿瘤微环境(TME)以及对疗法的耐受性有关:我们对4244例HGG进行了分子图谱分析,评估了CR基因突变与其他癌症相关生物标志物、免疫细胞浸润和免疫基因表达的关联。我们还评估了CR突变与野生型IDH HGG患者生存期的关系:结果:近10%的HGG携带CR基因突变,其中IDH基因突变的HGG发病率更高(15%)。与其他生物标志物的共现分析表明,CR突变的HGG具有有利的基因改变,可能具有预后价值。野生型IDH的CR突变HGG与CR-野生型HGG相比,TME较冷,总体OS较差:我们的研究揭示了CR突变对HGG预后的影响,并指出了一些候选生物标志物,这些生物标志物可提示对新兴治疗策略的敏感性。
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Biological and prognostic relevance of epigenetic regulatory genes in high-grade gliomas.

Background: High-grade gliomas (HGGs) are the most aggressive type of gliomas and have the poorest outcomes. Chromatin remodeling (CR) genes have been implicated in multiple oncogenic pathways in numerous cancer types. In gliomagenesis, CR genes have been implicated in regulating the stemness of glioma cells, the tumor microenvironment (TME), and resistance to therapies.

Methods: We performed molecular profiling of 4244 HGGs and evaluated associations of CR mutations with other cancer-related biomarkers, infiltration by immune cells, and immune gene expression. We also evaluated the association between CR mutations and survival in wild-type IDH HGG patients.

Results: Nearly 10% of HGGs carry mutations in CR genes, with a higher prevalence (15%) in HGGs with IDH mutations. Analysis of cooccurrence with other biomarkers revealed that CR-mutated HGGs possess favorable genetic alterations which may have prognostic value. CR-mutated HGGs with wild-type IDH demonstrated colder TME and worse OS overall compared to the CR-wild-type HGGs.

Conclusions: Our study reveals the prognostic effects of CR mutations in HGG and points to several biomarker candidates that could suggest sensitivity to emerging therapeutic strategies.

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CiteScore
6.20
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