Shi Jian
Department of Neurology, San Francisco Veterans Affairs Health Care System and University of California, San Francisco, CA 94121, USA.
Cancers (Basel). 2024 Jul 14;16(14):2536. doi: 10.3390/cancers16142536.
The early 2-factor (E2F) family of transcription factors, including E2F1 through 8, plays a critical role in apoptosis, metabolism, proliferation, and angiogenesis within glioblastoma (GBM). However, the specific functions of E2F transcription factors (E2Fs) and their impact on the malignancy of Bevacizumab (BVZ)-responsive GBM subtypes remain unclear. This study used data from The Cancer Genome Atlas (TCGA), Chinese Glioma Genome Atlas (CGGA), European Molecular Biology Laboratory's European Bioinformatics Institute (EMBL-EBI), and Gene Expression Omnibus (GEO) to explore the impact of eight E2F family members on the clinical characteristics of BVZ-responsive GBM subtypes and possible mechanisms of recurrence after BVZ treatment. Using machine learning algorithms, including TreeBagger and deep neural networks, we systematically predicted and validated GBM patient survival terms based on the expression profiles of E2Fs across BVZ-responsive GBM subtypes. Our bioinformatics analyses suggested that a significant increase in E2F8 post-BVZ treatment may enhance the function of angiogenesis and stem cell proliferation, implicating this factor as a candidate mechanism of GBM recurrence after treatment. In addition, BVZ treatment in unresponsive GBM patients may potentially worsen disease progression. These insights underscore that E2F family members play important roles in GBM malignancy and BVZ treatment response, highlighting their potential as prognostic biomarkers, therapeutic targets, and recommending precision BVZ treatment to individual GBM patients.
早期双因子(E2F)转录因子家族,包括E2F1至E2F8,在胶质母细胞瘤(GBM)的细胞凋亡、代谢、增殖和血管生成中起关键作用。然而,E2F转录因子(E2Fs)的具体功能及其对贝伐单抗(BVZ)敏感的GBM亚型恶性程度的影响仍不清楚。本研究使用来自癌症基因组图谱(TCGA)、中国胶质瘤基因组图谱(CGGA)、欧洲分子生物学实验室的欧洲生物信息学研究所(EMBL-EBI)和基因表达综合数据库(GEO)的数据,探讨八个E2F家族成员对BVZ敏感的GBM亚型临床特征的影响以及BVZ治疗后复发的可能机制。我们使用包括TreeBagger和深度神经网络在内的机器学习算法,基于E2Fs在BVZ敏感的GBM亚型中的表达谱,系统地预测并验证了GBM患者的生存情况。我们的生物信息学分析表明,BVZ治疗后E2F8显著增加可能会增强血管生成和干细胞增殖功能,这意味着该因子是GBM治疗后复发的一种潜在机制。此外,BVZ对不敏感的GBM患者进行治疗可能会使疾病进展恶化。这些见解强调,E2F家族成员在GBM恶性程度和BVZ治疗反应中起重要作用,突出了它们作为预后生物标志物、治疗靶点的潜力,并建议对个体GBM患者进行精准BVZ治疗。