Abstract

Next generation sequencing (NGS) can globally interrogate the genetic composition of biological samples in an unbiased yet sensitive manner. The objective of this study was to utilize the capabilities of NGS to investigate the reported association between glioblastoma multiforme (GBM) and human cytomegalovirus (HCMV). A large-scale comprehensive virome assessment was performed on publicly available sequencing datasets from the Cancer Genome Atlas (TCGA), including RNA-seq datasets from primary GBM (n = 157), recurrent GBM (n = 13), low-grade gliomas (n = 514), recurrent low-grade gliomas (n = 17), and normal brain (n = 5), and whole genome sequencing (WGS) datasets from primary GBM (n = 51), recurrent GBM (n = 10), and normal matched blood samples (n = 20). In addition, RNA-seq datasets from MRI-guided biopsies (n = 92) and glioma stem-like cell cultures (n = 9) were analyzed. Sixty-four DNA-seq datasets from 11 meningiomas and their corresponding blood control samples were also analyzed. Finally, three primary GBM tissue samples were obtained, sequenced using RNA-seq, and analyzed. After in-depth analysis, the most robust virus findings were the detection of papillomavirus (HPV) and hepatitis B reads in the occasional LGG sample (4 samples and 1 sample, respectively). In addition, low numbers of virus reads were detected in several datasets but detailed investigation of these reads suggest that these findings likely represent artifacts or non-pathological infections. For example, all of the sporadic low level HCMV reads were found to map to the immediate early promoter intimating that they likely originated from laboratory expression vector contamination. Despite the detection of low numbers of Epstein-Barr virus reads in some samples, these likely originated from infiltrating B-cells. Finally, human herpesvirus 6 and 7 aligned viral reads were identified in all DNA-seq and a few RNA-seq datasets but detailed analysis demonstrated that these were likely derived from the homologous human telomeric-like repeats. Other low abundance viral reads were detected in some samples but for most viruses, the reads likely represent artifacts or incidental infections. This analysis argues against associations between most known viruses and GBM or mengiomas. Nevertheless, there may be a low percentage association between HPV and/or hepatitis B and LGGs.Electronic supplementary materialThe online version of this article (doi:10.1186/s40478-016-0338-z) contains supplementary material, which is available to authorized users.

Highlights

  • Glioblastoma multiforme (GBM) is the most common malignant primary brain tumor in adults

  • Generation sequencing datasets from The Cancer Genome Atlas (TCGA) initiative were downloaded from the Cancer Genomics Hub (CGHub; https://cghub.ucsc.edu) and included RNA-seq datasets from primary GBM tumors [36,37,38] (n = 157), recurrent GBM tumors (n = 13), low grade gliomas [39] (LGG; n = 514), recurrent low grade gliomas (n = 17), and normal brain (n = 5), and TCGA whole genome sequencing datasets from primary GBM tumors (n = 51), recurrent GBM tumors (n = 10), and normal matched blood samples (n = 20) (Additional file 1: Table S1)

  • We directly aligned all reads from these datasets to an alignment index containing the human genome plus a library of 740 virus genomes using the Spliced Transcripts Alignment to a Reference (STAR) aligner

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Summary

Introduction

Glioblastoma multiforme (GBM) is the most common malignant primary brain tumor in adults. An estimated 77,670 new cases of primary CNS tumors are expected to be diagnosed in the United States in 2016 [1]. The median survival of newly diagnosed patients is only 12–15 months, making it one of the most devastating types of cancers [3]. The five-year survival rate for primary malignant brain and central nervous system tumors is the sixth lowest among all types of cancers after pancreatic, liver & intrahepatic bile duct, lung, esophageal, and stomach [2]. Despite substantial investigations into disease mechanisms and at least some advances in currently available treatment options, the outcomes for GBM patients remain dismal [3]

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