A potentially effective drug for patients with recurrent glioma: sermorelin

Yuanhao Chang1, Ruoyu Huang1, You Zhai1

  • 1Department of Molecular Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.

Abstract

Insights

Recurrent glioma patients show sensitivity to sermorelin, a drug that inhibits tumor cell proliferation and enhances immune response. This finding offers a new therapeutic avenue for treatment-insensitive gliomas.

Area of Science:

  • Oncology
  • Pharmacology
  • Genomics

Background:

  • Treatment insensitivity is a primary challenge in glioma management.
  • Transcriptomic data analysis is crucial for identifying effective therapies for recurrent gliomas.

Purpose of the Study:

  • To screen for effective drugs for recurrent gliomas using transcriptomic data.
  • To identify patient subgroups most likely to benefit from targeted therapies.

Main Methods:

  • Utilized transcriptome sequencing and clinical data from 1,018 glioma patients.
  • Employed Drug Resistant Scores (DRS) for high-throughput screening of 4,865 drugs.
  • Performed Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) analyses.

Main Results:

  • Sermorelin demonstrated significant sensitivity in recurrent glioma patients.
  • Optimal efficacy observed in high-grade, IDH-wildtype, and 1p/19q non-codeleted recurrent gliomas.
  • Sermorelin inhibits proliferation via cell cycle blockade and modulates immune responses, including immune checkpoints and M0 macrophages.

Conclusions:

  • Recurrent gliomas exhibit sensitivity to sermorelin.
  • Sermorelin's efficacy is linked to inhibiting glioma cell proliferation and enhancing immune responses.
  • Patient benefit from sermorelin is independent of postoperative adjuvant treatment.

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