Immunological profiles of human oligodendrogliomas define two distinct molecular subtypes

Chromosome Aberrations 0301 basic medicine Brain Neoplasms Oligodendroglioma Articles Prognosis Isocitrate Dehydrogenase 3. Good health 03 medical and health sciences Chromosomes, Human, Pair 1 Mutation Humans Transcriptome
DOI: 10.1016/j.ebiom.2022.104410 Publication Date: 2022-12-14T10:20:12Z
ABSTRACT
BackgroundHuman oligodendroglioma presents as a heterogeneous disease, primarily characterized by the isocitrate dehydrogenase (IDH) mutation and 1p/19q co-deletion. Therapy development for this tumor is hindered incomplete knowledge of somatic driving alterations suboptimal disease classification. We herein aim to identify intrinsic molecular subtypes through integrated analysis transcriptome, genome methylome.Methods137 patients from Cancer Genome Atlas (TCGA) dataset were collected unsupervised clustering immune gene expression profiles comparative methylome. Two independent datasets containing 218 used validation.FindingsWe identified independently validated two reproducible associated with distinct characteristics clinical outcomes. The proliferative subtype, named Oligo1, was more tumors CNS WHO grade 3, well worse prognosis compared Oligo2 subtype. Besides clinicopathologic features, Oligo1 exhibited enrichment cell proliferation, regulation cycle Wnt signaling pathways, significantly altered genes, such EGFR, NOTCH1 MET. In contrast, Oligo2, favorable outcome, presented increased activation response metabolic process. Higher T cell/APC co-inhibition inhibitory checkpoint levels observed in tumors. Finally, multivariable revealed our classification an prognostic factor oligodendrogliomas, robustness these subgroups verified validation cohorts.InterpretationThis study provides further insights into patient stratification opportunities therapeutic human oligodendrogliomas.FundingThe funders are listed Acknowledgement.
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