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胶质母细胞瘤中典型和特殊应答者的比较分子特征分析

Comparative molecular characterization of typical and exceptional responders in glioblastoma.

作者信息

Wipfler Kristin, Cornish Adam S, Guda Chittibabu

机构信息

Department of Genetics, Cell Biology and Anatomy, University of Nebraska Medical Center, Omaha, NE 68198, USA.

Bioinformatics and Systems Biology Core, University of Nebraska Medical Center, Omaha, NE 68198, USA.

出版信息

Oncotarget. 2018 Jun 19;9(47):28421-28433. doi: 10.18632/oncotarget.25420.

Abstract

Glioblastoma (GBM) is the most common and the deadliest type of primary brain tumor, with a median survival time of only 15 months despite aggressive treatment. Although most patients have an extremely poor prognosis, a relatively small number of patients survive far beyond the median survival time. Investigation of these exceptional responders has sparked a great deal of interest and is becoming an important focus in the field of cancer research. To investigate the molecular differences between typical and exceptional responders in GBM, comparative analyses of somatic mutations, copy number, methylation, and gene expression datasets from The Cancer Genome Atlas were performed, and the results of these analyses were integrated via gene ontology and pathway analyses to assess the functional significance of the differential aberrations. Less severe copy number loss of , lower expression of , and mutations are all associated with an exceptional response. Typical responders are characterized by upregulation of NF-κB signaling and of pro-inflammatory cytokines, while exceptional responders are characterized by upregulation of Alzheimer's and Parkinson's disease pathways as well as of genes involved in synaptic transmission. The upregulated pathways and processes in typical responders are consistently associated with more aggressive tumor phenotypes, while those in the exceptional responders suggest a retained ability in tumor cells to undergo cell death in response to treatment. With the upcoming launch of the National Cancer Institute's Exceptional Responders Initiative, similar studies with much larger sample sizes will likely become possible, hopefully providing even more insight into the molecular differences between typical and exceptional responders.

摘要

胶质母细胞瘤(GBM)是最常见且最致命的原发性脑肿瘤类型,尽管进行了积极治疗,其平均生存时间仅为15个月。虽然大多数患者预后极差,但仍有相对少数患者存活时间远超平均生存时间。对这些特殊反应者的研究引发了极大兴趣,并正成为癌症研究领域的一个重要焦点。为了研究GBM中典型反应者与特殊反应者之间的分子差异,我们对来自癌症基因组图谱的体细胞突变、拷贝数、甲基化和基因表达数据集进行了比较分析,并通过基因本体论和通路分析整合了这些分析结果,以评估差异畸变的功能意义。较不严重的 拷贝数缺失、 的低表达以及 突变均与特殊反应相关。典型反应者的特征是NF-κB信号通路和促炎细胞因子上调,而特殊反应者的特征是阿尔茨海默病和帕金森病通路以及参与突触传递的基因上调。典型反应者中上调的通路和过程始终与更具侵袭性的肿瘤表型相关,而特殊反应者中的那些通路和过程表明肿瘤细胞在接受治疗时有保留的细胞死亡能力。随着美国国立癌症研究所特殊反应者倡议的即将启动,可能会开展样本量更大的类似研究,有望更深入地了解典型反应者与特殊反应者之间的分子差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f46a/6033343/abd0063ff776/oncotarget-09-28421-g001.jpg

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