Chung Suhmi, Kim Choonghyo
Department of Neurosurgery, Kangwon National University Hospital, Chuncheon, Korea.
College of Medicine, Kangwon National University, Chuncheon, Korea.
J Korean Neurosurg Soc. 2025 Mar;68(2):202-212. doi: 10.3340/jkns.2024.0149. Epub 2024 Oct 24.
Glioblastoma multiforme (GBM) is characterized by substantial heterogeneity and limited therapeutic options. As molecular approaches to central nervous system tumors have gained prominence, this study examined the roles of three genes, TWIST2, GATA3, and HES5, known to be involved in oncogenesis, developmental processes, and maintenance of cancer stem cell properties, which have not yet been extensively studied in GBM. This study is the first to present gene expression data for TWIST2, GATA3, and HES5 specifically within the context of GBM patient survival.
Gene expression data for TWIST2, GATA3, and HES5 were collected from GBM and normal brain tissues using datasets from The Cancer Genome Atlas via the Genomic Data Commons portal and the Genotype-Tissue Expression database. These data were rigorously analyzed using in silico methods.
All three genes were significantly more expressed in GBM tissues than in normal tissues. TWIST2 and GATA3 were linked to lower survival rates in GBM patients. Interestingly, higher HES5 levels were associated with better survival rates, suggesting a complex role that needs more investigation.
This study shows that TWIST2, GATA3, and HES5 could help predict outcomes in GBM patients. Our multigene model offers a better understanding of GBM and points to new treatment options, bringing hope for improved therapies and patient outcomes. This research advances our knowledge of GBM and highlights the potential of molecular diagnostics in oncology.
多形性胶质母细胞瘤(GBM)具有显著的异质性且治疗选择有限。随着中枢神经系统肿瘤的分子研究方法日益突出,本研究考察了三个基因TWIST2、GATA3和HES5的作用,这些基因已知参与肿瘤发生、发育过程以及癌症干细胞特性的维持,而在GBM中尚未得到广泛研究。本研究首次呈现了TWIST2、GATA3和HES5在GBM患者生存背景下的基因表达数据。
通过基因组数据共享门户和基因型-组织表达数据库,利用来自癌症基因组图谱的数据集,收集GBM和正常脑组织中TWIST2、GATA3和HES5的基因表达数据。使用计算机方法对这些数据进行严格分析。
所有这三个基因在GBM组织中的表达均显著高于正常组织。TWIST2和GATA3与GBM患者较低的生存率相关。有趣的是,较高的HES5水平与较好的生存率相关,这表明其作用复杂,需要更多研究。
本研究表明,TWIST2、GATA3和HES5有助于预测GBM患者的预后。我们的多基因模型能更好地理解GBM,并指向新的治疗选择,为改进治疗方法和患者预后带来希望。这项研究推进了我们对GBM的认识,并突出了分子诊断在肿瘤学中的潜力。