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Screening recurrent glioblastoma-related genes and analyzing their gene expressions in association with clinicopathological parameters and prognosis
LIN Yi, WANG Ce, KANG Xun, KANG Zhuang, CHEN Feng, JIANG Bo, LI Wenbin
China Oncology    2022, 32 (1): 13-23.   DOI: 10.19401/j.cnki.1007-3639.2022.01.002
Abstract   (767 HTML782 PDF(pc) (3564KB)(1431)  

Background and purpose: Glioma is the most common and malignant primary brain tumor in the central nervous system (CNS). Glioblastoma is highly malignant and aggressive, and the prognosis of patients with recurrent glioblastoma is very poor. This study aimed to screen the genes related to the recurrent glioblastoma, and analyze the relationship between their expressions, clinicopathological parameters and prognosis in glioma. Methods: By mining the relevant datasets of the primary and recurrent cases of glioblastoma in the GEO database, the differentially expressed gene (DEG) in the samples of primary and recurrent glioblastomas were screened and analyzed. All DEGs analyses were carried out in ontology function and pathway enrichment. Protein-protein interaction (PPI) network was constructed and used for screening Hub gene. Key genes were intersected by PPI network and Venn diagram, and the Gene Expression Profiling Interactive Analysis (GEPIA) and Chinese Glioma Genome Atlas (CGGA) database were analyzed for association of key gene expressions and survival status. Key genes were furtherly analyzed to determine the relationship between their expressions and clinicopathological parameters of glioma. Results: There were 40 DEG screened in the dataset GSE62153, including 34 up-regulated genes and 6 down-regulated genes. There were 19 DEG screened in the dataset GSE58399, including 16 up-regulated genes and 3 down-regulated genes. Go functional analyses showed that the DEG of GSE62153 were mainly involved in 11 physiological processes, such as central nervous system development, myelin sheath, actin binding, central nervous system myelination. The DEG of GSE58399 were mainly enriched in the positive regulation of epithelial cell migration. The Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment showed that the datasets GSE62153 and GSE58399 were both enriched in histidine metabolism. By using the STRING database, the core of PPI network was constructed with 20 protein molecules. A total of 10 hub genes were screened, including MOBP, OPALIN, ERMN, PLP1, MOG, CLDN11, ASPA, TMEM125, KLK6 and NKX6-2 gene. The key genes for recurrent glioblastoma were ERMN, MOG and MOBP gene. Based on analyses using The Cancer Genome Atlas (TCGA) and CGGA databases, the prognosis of patients with high expressions of ERMN, MOG and MOBP was favorable compared with the low expression group. The expression levels of key genes in glioblastoma were lower compared with the control tissues (P<0.001). There were significant differences in the expressions of ERMN, MOG and MOBP gene among different World Health Organization (WHO) grades (WHO Ⅱ, Ⅲ and Ⅳ) (P<0.001). As the grade of glioblastoma increased, the expressions of ERMN, MOG and MOBP were decreased gradually. The expressions of ERMN, MOG and MOBP gene were correlated with WHO classification, isocitrate dehydrogenase (IDH) status and clinicopathological characteristics (P<0.001). The expression of MOBP gene was correlated with age (P<0.001) and MGMT methylation status (P=0.022). Conclusion: ERMN, MOG and MOBP gene may function as tumor suppressor genes and participate in the recurrence of glioblastoma. The histidine metabolism pathway may be related to the sensitivity of methotrexate treatment.


Clinicopathological Features Case ERMN Expression MOG Expression MOBP Expression
Low High P value Low High P value Low High P value
Gender
Male 203 109 94 0.170 104 99 0.620 106 97 0.270
Female 122 56 66 59 63 56 66
Age/year
≤40 143 65 78 0.090 64 79 0.084 61 82 0.022
>40 182 100 82 99 83 101 81
WHO Grade
103 29 74 <0.001 28 75 <0.001 24 79 <0.001
79 37 42 37 42 39 40
139 96 43 95 44 96 43
MGMT methylation status
Un-methylated 149 82 67 0.250 78 71 0.640 85 64 0.029
Methylated 157 76 81 78 79 70 87
IDH mutation status
Wild type 149 97 52 <0.001 96 53 <0.001 99 50 <0.001
Mutant 175 67 108 66 109 62 113
Type of tumorigenesis
Primary 229 116 113 0.900 117 112 0.780 113 116 0.910
Recurrent 62 30 32 29 33 30 32
Secondary 30 16 14 14 16 16 14
Histology
Strocytoma 56 17 39 <0.001 16 40 <0.001 13 43 <0.001
Oligodendroglioma 52 14 38 14 38 14 38
Anaplastic oligodendro 12 5 7 4 8 5 7
Anaplastic astrocytoma 62 30 32 31 31 31 31
Glioblastoma 139 96 43 95 44 96 43
Tab. 5 Association between ERMN, MOG and MOBP genes expressions and the patient's clinicopathological characteristics in patients with glioma (n
Extracts from the Article
通过提取CGGA数据库的临床数据和表达谱数据,进一步分析ERMNMOGMOBP基因的表达情况与胶质瘤临床病理学参数的关系。结果显示,ERMNMOGMOBP基因的表达与WHO分级、异柠檬酸脱氢酶(isocitrate dehydrogenase,IDH)状态和临床病理学参数相关(P<0.001,表5)。MOBP基因的表达与患者年龄(P<0.001)和MGMT基因甲基化状态相关(P=0.022,表5)。
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