The First People's Hospital of Taicang City, Taicang Affiliated Hospital of Soochow University, Suzhou, P. R. China.
J Int Med Res. 2020 Jul;48(7):300060520924541. doi: 10.1177/0300060520924541.
There have been no recent improvements in the glioblastoma multiforme (GBM) outcome, with median survival remaining 15 months. Consequently, the need to identify novel biomarkers for GBM diagnosis and prognosis, and to develop targeted therapies is high. This study aimed to establish biomarkers for GBM pathogenesis and prognosis.
In total, 220 overlapping differentially expressed genes (DEGs) were obtained by integrating four microarray datasets from the Gene Expression Omnibus database (GSE4290, GSE12657, GSE15824, and GSE68848). Then a 140-node protein-protein interaction network with 343 interactions was constructed.
The immune response and cell adhesion molecules were the most significantly enriched functions and pathways, respectively, among DEGs. The designated hub genes and , which have a high degree of connectivity, were closely correlated with patient prognosis, and GEPIA database mining further confirmed their differential expression in GBM versus normal tissue. We also determined the 20 most appropriate small molecules that could potentially reverse GBM gene expression, Prestwick-1080 was the most promising and had the highest negative scores.
This study identified and as potential biomarkers for GBM diagnosis and prognosis. Insights into molecular mechanisms governing GBM occurrence and progression will help identify alternative biomarkers for clinical practice.
胶质母细胞瘤(GBM)的预后仍无明显改善,中位生存期仍为 15 个月。因此,需要确定新的 GBM 诊断和预后的生物标志物,并开发靶向治疗方法。本研究旨在确定 GBM 发病机制和预后的生物标志物。
本研究通过整合来自基因表达综合数据库(GSE4290、GSE12657、GSE15824 和 GSE68848)的四个微阵列数据集,获得了 220 个重叠的差异表达基因(DEGs)。然后构建了一个包含 343 个相互作用的 140 个节点蛋白质-蛋白质相互作用网络。
DEGs 中最显著富集的功能和通路分别为免疫反应和细胞黏附分子。指定的枢纽基因和 ,其连接度较高,与患者的预后密切相关,GEPIA 数据库挖掘进一步证实了它们在 GBM 与正常组织中的差异表达。我们还确定了 20 种最适合的小分子,这些小分子可能潜在地逆转 GBM 基因表达,Prestwick-1080 是最有前途的小分子,其负分数最高。
本研究确定了和 作为 GBM 诊断和预后的潜在生物标志物。深入了解调控 GBM 发生和进展的分子机制将有助于确定替代的临床实践生物标志物。