Abstract
Glioma is well known as the most aggressive and prevalent primary malignant tumor in the central nervous system. Molecular subtypes and prognosis biomarkers remain a promising research area of gliomas. Notably, the aberrant expression of mesenchymal (MES) subtype related long non-coding RNAs (lncRNAs) is significantly associated with the prognosis of glioma patients. In this study, MES-related genes were obtained from The Cancer Genome Atlas (TCGA) and the Ivy Glioblastoma Atlas Project (Ivy GAP) data sets of glioma, and MES-related lncRNAs were acquired by performing co-expression analysis of these genes. Next, Cox regression analysis was used to establish a prognostic model, that integrated ten MES-related lncRNAs. Glioma patients in TCGA were divided into high-risk and low-risk groups based on the median risk score; compared with the low-risk groups, patients in the high-risk group had shorter survival times. Additionally, we measured the specificity and sensitivity of our model with the ROC curve. Univariate and multivariate Cox analyses showed that the prognostic model was an independent prognostic factor for glioma. To verify the predictive power of these candidate lncRNAs, the corresponding RNA-seq data were downloaded from the Chinese Glioma Genome Atlas (CGGA), and similar results were obtained. Next, we performed the immune cell infiltration profile of patients between two risk groups, and gene set enrichment analysis (GSEA) was performed to detect functional annotation. Finally, the protective factors DGCR10 and HAR1B, and risk factor SNHG18 were selected for functional verification. Knockdown of DGCR10 and HAR1B promoted, whereas knockdown of SNHG18 inhibited the migration and invasion of gliomas. Collectively, we successfully constructed a prognostic model based on a ten MES-related lncRNAs signature, which provides a novel target for predicting the prognosis for glioma patients.
Highlights
Glioma accounts for 40% of intracranial tumors, which is the most common primary malignant tumor in the central nervous system (CNS) [1]
Multivariate Cox regression analysis showed that 10 MES-related long non-coding RNAs (lncRNAs) (GDNF-AS1, CRNDE, FAM201A, HAR1B, AGAP2-AS1, RNF219-AS1, DGCR10, SNHG18, LINC00906, HAR1A) were significantly associated with prognosis (Figure S1B), out of MES-gene lncRNA
In the high-risk group, we discovered that a total of six gene sets were significantly enriched in tumor-related pathways, including inflammatory response, interleukin (IL)2/signal transducer and activator of transcription (STAT) 5 signaling and tumor necrosis factor a (TNFa) signaling via nuclear factor-kB (NFkB) were closely associated with tumorigenesis and malignant phenotypes such as migration and invasion of glioma (Figures 7A–C)
Summary
Glioma accounts for 40% of intracranial tumors, which is the most common primary malignant tumor in the central nervous system (CNS) [1]. WHO II and WHO III are classified as lower grade glioma (LGG) and WHO IV as glioblastoma (GBM), which is the most aggressive type of brain tumor; neo-angiogenesis and invasion are the hallmarks of GBM [2, 3]. Based on differences in gene expression, TCGA classifies GBMs into classical, mesenchymal, neural, and proneural subtypes [8]. Approximately 45% of GBM tissues have been classified as the mesenchymal subtype, which is malignant as compared to the other subtypes. The overexpression of mesenchymal subtype (MES) related genes is adequate to induce invasive behavior in tumors and result in poor prognosis in patients [10]
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