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Investigating chromosomal instability in long-term survivors with glioblastoma and grade 4 astrocytoma

Spoor, JKH; den Braber, M; Dirven, CMF; Pennycuick, A; Bartkova, J; Bartek, J; van Dis, V; ... Venkatesan, S; + view all (2023) Investigating chromosomal instability in long-term survivors with glioblastoma and grade 4 astrocytoma. Frontiers in Oncology , 13 , Article 1218297. 10.3389/fonc.2023.1218297. Green open access

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Abstract

BACKGROUND: Only a small group of patients with glioblastoma multiforme (GBM) survives more than 36 months, so-called long-term survivors. Recent studies have shown that chromosomal instability (CIN) plays a prognostic and predictive role among different cancer types. Here, we compared histological (chromosome missegregation) and bioinformatic metrics (CIN signatures) of CIN in tumors of GBM typical survivors (≤36 months overall survival), GBM long-term survivors and isocitrate dehydrogenase (IDH)-mutant grade 4 astrocytomas. METHODS: Tumor sections of all gliomas were examined for anaphases and chromosome missegregation. Further CIN signature activity analysis in the The Cancer Genome Atlas (TCGA)-GBM cohort was performed. RESULTS: Our data show that chromosome missegregation is pervasive in high grade gliomas and is not different between the 3 groups. We find only limited evidence of altered CIN levels in tumors of GBM long-term survivors relative to the other groups, since a significant depletion in CIN signature 11 relative to GBM typical survivors was the only alteration detected. In contrast, within IDH-mutant grade 4 astrocytomas we detected a significant enrichment of CIN signature 5 and 10 activities and a depletion of CIN signature 1 activity relative to tumors of GBM typical survivors. CONCLUSIONS: Our data suggest that CIN is pervasive in high grade gliomas, however this is unlikely to be a major contributor to the phenomenon of long-term survivorship in GBM. Nevertheless, further evaluation of specific types of CIN (signatures) could have prognostic value in patients suffering from grade 4 gliomas.

Type: Article
Title: Investigating chromosomal instability in long-term survivors with glioblastoma and grade 4 astrocytoma
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fonc.2023.1218297
Publisher version: http://dx.doi.org/10.3389/fonc.2023.1218297
Language: English
Additional information: © 2024 Spoor, den Braber, Dirven, Pennycuick, Bartkova, Bartek, van Dis, van den Bosch, Leenstra and Venkatesan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: high grade glioma, glioblastoma multiforme, astrocytoma, chromosomal instability, genome instability, IDH
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Respiratory Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10186291
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