1. Tumour cell dormancy as a contributor to the reduced survival of GBM patients who received standard therapy
- Author
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Haiwen Ma, Peidong Liu, Tao Li, Feng Yuan, Jiabo Li, Zhennan Tao, Iruni Roshanie Abeysekera, Long Hai, Xuejun Yang, Luqing Tong, Yubao Huang, Li Yi, Yang Xie, and Shengping Yu
- Subjects
Adult ,Male ,0301 basic medicine ,Cancer Research ,Adolescent ,Angiogenesis ,Cell ,Disease-Free Survival ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Cell Movement ,Temozolomide ,medicine ,Humans ,Antineoplastic Agents, Alkylating ,Aged ,Cell Proliferation ,Neovascularization, Pathologic ,Oncogene ,business.industry ,Cancer ,General Medicine ,Middle Aged ,Cell cycle ,medicine.disease ,Combined Modality Therapy ,Molecular medicine ,Dacarbazine ,Gene Expression Regulation, Neoplastic ,030104 developmental biology ,medicine.anatomical_structure ,Oncology ,030220 oncology & carcinogenesis ,Ferritins ,Cancer research ,Female ,Stem cell ,Glioblastoma ,Oxidoreductases ,business ,Transcription Factor CHOP ,medicine.drug - Abstract
Glioblastoma multiforme (GBM) is a fatal cancer with varying life expectancy, even for patients undergoing the same standard therapy. Identification of differentially expressed genes in GBM patients with different survival rates may benefit the development of effective therapeutic strategies. In the present study, key pathways and genes correlated with survival in GBM patients were screened with bioinformatic analysis. Included in the study were 136 eligible patients who had undertaken surgical resection of GBM followed by temozolomide (TMZ) chemoradiation and long-term therapy with TMZ. A total of 383 differentially expressed genes (DEGs) related to GBM survival were identified. Gene Ontology and pathway enrichment analysis as well as hub gene screening and module analysis were performed. As expected, angiogenesis and migration of GBM cells were closely correlated with a poor prognosis. Importantly, the results also indicated that cell dormancy was an essential contributor to the reduced survival of GBM patients. Given the lack of specific targeted genes and pathways known to be involved in tumour cell dormancy, we proposed enriched candidate genes related to the negative regulation of cell proliferation, signalling pathways regulating pluripotency of stem cells and neuroactive ligand-receptor interaction, and 3 hub genes (FTH1, GRM1 and DDIT3). Maintaining persistent cell dormancy or preventing tumour cells from entering dormancy during chemoradiation should be a promising therapeutic strategy.
- Published
- 2018
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