Comparative analysis of deeply phenotyped GBM cohorts of 'short-term' and 'long-term' survivors

BACKGROUND: Glioblastoma (GBM) is an aggressive brain cancer that typically results in death in the first 15 months after diagnosis. There have been limited advances in finding new treatments for GBM. In this study, we investigated molecular differences between patients with extremely short (≤ 9 mon...

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Veröffentlicht in:JOURNAL OF NEURO-ONCOLOGY 2023-06, Vol.163 (2), p.327-338
Hauptverfasser: Biswas, Archita, Salvucci, Manuela, Connor, Kate, Dussmann, Heiko, Carberry, Steven, Fichtner, Michael, King, Ellen, Murphy, Brona, O'Farrell, Alice C, Cryan, Jane, Beausang, Alan, Heffernan, Josephine, Cremona, Mattia, Hennessy, Bryan T, Clerkin, James, Sweeney, Kieron J, MacNally, Steve, Brett, Francesca, O'Halloran, Philip, Bacon, Orna, Furney, Simon, Verreault, Maite, Quissac, Emie, Bielle, Franck, Ahmed, Mohammed H, Idbaih, Ahmed, Leenstra, Sieger, Ntafoulis, Ioannis, Fabro, Federica, Lamfers, Martine, Golebiewska, Anna, Hertel, Frank, Niclou, Simone P, Yen, Romain Tching Chi, Kremer, Andreas, Dilcan, Gonca, Lodi, Francesca, Arijs, Ingrid, Lambrechts, Diether, Purushothama, Manasa Kalya, Kel, Alexander, Byrne, Annette T, Prehn, Jochen H.M
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creator Biswas, Archita
Salvucci, Manuela
Connor, Kate
Dussmann, Heiko
Carberry, Steven
Fichtner, Michael
King, Ellen
Murphy, Brona
O'Farrell, Alice C
Cryan, Jane
Beausang, Alan
Heffernan, Josephine
Cremona, Mattia
Hennessy, Bryan T
Clerkin, James
Sweeney, Kieron J
MacNally, Steve
Brett, Francesca
O'Halloran, Philip
Bacon, Orna
Furney, Simon
Verreault, Maite
Quissac, Emie
Bielle, Franck
Ahmed, Mohammed H
Idbaih, Ahmed
Leenstra, Sieger
Ntafoulis, Ioannis
Fabro, Federica
Lamfers, Martine
Golebiewska, Anna
Hertel, Frank
Niclou, Simone P
Yen, Romain Tching Chi
Kremer, Andreas
Dilcan, Gonca
Lodi, Francesca
Arijs, Ingrid
Lambrechts, Diether
Purushothama, Manasa Kalya
Kel, Alexander
Byrne, Annette T
Prehn, Jochen H.M
description BACKGROUND: Glioblastoma (GBM) is an aggressive brain cancer that typically results in death in the first 15 months after diagnosis. There have been limited advances in finding new treatments for GBM. In this study, we investigated molecular differences between patients with extremely short (≤ 9 months, Short term survivors, STS) and long survival (≥ 36 months, Long term survivors, LTS). METHODS: Patients were selected from an in-house cohort (GLIOTRAIN-cohort), using defined inclusion criteria (Karnofsky score > 70; age 
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There have been limited advances in finding new treatments for GBM. In this study, we investigated molecular differences between patients with extremely short (≤ 9 months, Short term survivors, STS) and long survival (≥ 36 months, Long term survivors, LTS). METHODS: Patients were selected from an in-house cohort (GLIOTRAIN-cohort), using defined inclusion criteria (Karnofsky score &gt; 70; age &lt; 70 years old; Stupp protocol as first line treatment, IDH wild type), and a multi-omic analysis of LTS and STS GBM samples was performed. RESULTS: Transcriptomic analysis of tumour samples identified cilium gene signatures as enriched in LTS. Moreover, Immunohistochemical analysis confirmed the presence of cilia in the tumours of LTS. Notably, reverse phase protein array analysis (RPPA) demonstrated increased phosphorylated GAB1 (Y627), SRC (Y527), BCL2 (S70) and RAF (S338) protein expression in STS compared to LTS. Next, we identified 25 unique master regulators (MR) and 13 transcription factors (TFs) belonging to ontologies of integrin signalling and cell cycle to be upregulated in STS. 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There have been limited advances in finding new treatments for GBM. In this study, we investigated molecular differences between patients with extremely short (≤ 9 months, Short term survivors, STS) and long survival (≥ 36 months, Long term survivors, LTS). METHODS: Patients were selected from an in-house cohort (GLIOTRAIN-cohort), using defined inclusion criteria (Karnofsky score &gt; 70; age &lt; 70 years old; Stupp protocol as first line treatment, IDH wild type), and a multi-omic analysis of LTS and STS GBM samples was performed. RESULTS: Transcriptomic analysis of tumour samples identified cilium gene signatures as enriched in LTS. Moreover, Immunohistochemical analysis confirmed the presence of cilia in the tumours of LTS. Notably, reverse phase protein array analysis (RPPA) demonstrated increased phosphorylated GAB1 (Y627), SRC (Y527), BCL2 (S70) and RAF (S338) protein expression in STS compared to LTS. Next, we identified 25 unique master regulators (MR) and 13 transcription factors (TFs) belonging to ontologies of integrin signalling and cell cycle to be upregulated in STS. 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There have been limited advances in finding new treatments for GBM. In this study, we investigated molecular differences between patients with extremely short (≤ 9 months, Short term survivors, STS) and long survival (≥ 36 months, Long term survivors, LTS). METHODS: Patients were selected from an in-house cohort (GLIOTRAIN-cohort), using defined inclusion criteria (Karnofsky score &gt; 70; age &lt; 70 years old; Stupp protocol as first line treatment, IDH wild type), and a multi-omic analysis of LTS and STS GBM samples was performed. RESULTS: Transcriptomic analysis of tumour samples identified cilium gene signatures as enriched in LTS. Moreover, Immunohistochemical analysis confirmed the presence of cilia in the tumours of LTS. Notably, reverse phase protein array analysis (RPPA) demonstrated increased phosphorylated GAB1 (Y627), SRC (Y527), BCL2 (S70) and RAF (S338) protein expression in STS compared to LTS. Next, we identified 25 unique master regulators (MR) and 13 transcription factors (TFs) belonging to ontologies of integrin signalling and cell cycle to be upregulated in STS. CONCLUSION: Overall, comparison of STS and LTS GBM patients, identifies novel biomarkers and potential actionable therapeutic targets for the management of GBM.</abstract><pub>SPRINGER</pub><oa>free_for_read</oa></addata></record>
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title Comparative analysis of deeply phenotyped GBM cohorts of 'short-term' and 'long-term' survivors
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