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A Multi-Element Expression Score Is A Prognostic Factor In Glioblastoma Multiforme.

Jun-Qi Li1, Qian-Ting Wang1,2, Ying Nie2

  • 1Department of Cell Biology and Institute of Biomedicine, College of Life Science and Technology, Jinan University, National Engineering Research Center of Genetic Medicine, Guangzhou 510632, People's Republic of China.

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Summary

A new scoring system using tumor-associated antigens (TAAs) and tumor immune microenvironment (TME) genes can predict glioblastoma multiforme (GBM) patient survival. This tool aids in personalized immunotherapy for better GBM patient care.

Keywords:
TAAsTMEgene expression scoreglioblastomaprognosis

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Area of Science:

  • Neuro-oncology
  • Immunotherapy
  • Genomics

Background:

  • Glioblastoma multiforme (GBM) is an aggressive brain tumor with limited prognostic tools.
  • Recurrence is common despite extensive treatment.
  • Adoptive immunotherapy shows promise, but understanding of targetable antigens and immune microenvironment is incomplete.

Purpose of the Study:

  • To develop a predictive tool for glioblastoma patient survival.
  • To analyze expression profiles of tumor-associated antigens (TAAs) and tumor immune microenvironment (TME) genes.
  • To establish a prognostic model for guiding GBM immunotherapy.

Main Methods:

  • Quantitative real-time PCR (qRT-PCR) evaluated 87 TAAs and 8 TME genes in 44 GBM tissues and 10 normal brain tissues.
  • A multi-element expression score was developed using the LASSO algorithm.
  • The score was cross-validated in independent GBM cohorts (TCGA and GEO databases).

Main Results:

  • A predictive formula incorporated 8 TAAs (e.g., CHI3L1, EZH2) and 1 TME gene (FOXP3), along with clinical factors (NLR, basophil count, age, treatment).
  • The developed multi-element expression score significantly differentiated between high-risk and low-risk GBM patient groups.
  • Validation in large GBM cohorts confirmed the score's association with overall survival (OS).

Conclusions:

  • The multi-element expression score is a significant predictor of overall survival in glioblastoma patients.
  • This prognostic tool enhances understanding of TAAs and TMEs in GBM.
  • The validated formula can be applied to personalize immunotherapy strategies for improved GBM patient outcomes.