Department of Clinical Medicine, Fudan University, Shanghai 200032, China.
J Clin Neurosci. 2021 Apr;86:110-115. doi: 10.1016/j.jocn.2021.01.019. Epub 2021 Feb 3.
Bevacizumab (BEV) is an anti-angiogenesis antibody which has shown favorable therapeutic effects on some solid tumors. However, many clinical trials showed that BEV could only improve PFS instead of OS in glioblastoma (GBM) patients. However, some studies indicate that specific molecular subtypes of GBM could still benefit from combination treatment of BEV and Stupp protocol. Through the subgroup analysis of GSE84010 dataset, we found the neural and proneural subgroup can benefit from the administration of BEV in terms of OS, which is statistically significant. The further KEGG pathway enrichment analysis showed cell adhesion molecules (CAMs) pathway was enriched, and the expression of ITGAM has a predictive value for prognosis. These findings can provide some hints for future administration of BEV in newly diagnosed GBM patients.
贝伐珠单抗(BEV)是一种抗血管生成抗体,已显示出对某些实体瘤的有利治疗效果。然而,许多临床试验表明,BEV 只能改善胶质母细胞瘤(GBM)患者的无进展生存期(PFS),而不能改善总生存期(OS)。然而,一些研究表明,GBM 的特定分子亚型仍可从 BEV 联合 Stupp 方案治疗中获益。通过对 GSE84010 数据集的亚组分析,我们发现神经和前体细胞亚组在 OS 方面可以从 BEV 的给药中获益,这在统计学上具有显著性。进一步的 KEGG 通路富集分析表明细胞黏附分子(CAMs)通路被富集,ITGAM 的表达对预后具有预测价值。这些发现可为未来新诊断的 GBM 患者使用 BEV 提供一些启示。