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Transcriptional Characterization of Glioma Neural Stem Cells Diva ...

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9.1. Digital Pr<strong>of</strong>iling <strong>of</strong> GNS Cell Lines Discussion<br />

ciated with the poorest prognosis. G144, instead, with its high oligodendrocyte<br />

component known to positively correlate with patient survival rates in glioblas-<br />

toma, was assigned to the proneural signature, linked with neural markers and<br />

therefore the best prognosis <strong>of</strong> all. In comparing the GNS line expression pro-<br />

files to the subtype signatures, we found that both G166 and G179 correlated<br />

strongly with the mesenchymal signature with worst prognosis. Mesenchymal<br />

subtype markers with elevated expression in these two lines included MET,<br />

CD44, CD68 and CASP1 [511]. G144 did not correlate significantly with any<br />

<strong>of</strong> the four signatures, but showed a slight positive correlation with the proneu-<br />

ral one. Supporting such classification <strong>of</strong> G144 were several <strong>of</strong> the hallmarks<br />

<strong>of</strong> the proneural subtype emphasised by Verhaak et al 2010 [511]: high expres-<br />

sion <strong>of</strong> oligodendrocytic development genes PDGFRA, NKX2-2 and OLIG2,<br />

as well as ERBB3, DCX and TCF4 genes and low levels <strong>of</strong> tumour suppressor<br />

CDKN1A. These expression signature pr<strong>of</strong>ile studies should be performed on<br />

an always greater number <strong>of</strong> glioblastoma samples in order for them to be able<br />

to capture even finer differences than the ones proposed by the study by Ver-<br />

haak et al, which have already proven the existence <strong>of</strong> different glioblastoma<br />

classes and different prognoses associated with each class. If each class were<br />

to be targeted by a tailored molecular therapy, this class would find it most<br />

beneficial as a treatment and patients would obtain better results.<br />

A Gene Ontology term analysis confirmed that the sets <strong>of</strong> differentially ex-<br />

pressed genes were enriched for genes involved in processes related to brain de-<br />

velopment and cancer biology. We also observed enrichment <strong>of</strong> genes encoding<br />

regulatory and inflammatory proteins, such as signal transduction components,<br />

cytokines, growth factors and DNA binding proteins. In line with these find-<br />

ings, affected pathways from the KEGG database included Cytokine-cytokine<br />

receptor interaction, Neuroactive ligand-receptor interaction, MAPK signaling<br />

and, expectedly, <strong>Glioma</strong>, a collection <strong>of</strong> genes involved in glioma formation.<br />

GSEA analysis revealed a consistent up-regulation <strong>of</strong> inflammatory genes in<br />

the GNS lines belonging especially to the MHC class II family, suggesting an<br />

immune-evasion phenotype that has already been called upon by a small num-<br />

ber <strong>of</strong> early glioma studies [468,484]. The up-regulation in the GNS lines was<br />

seen in several MHC class II genes, as well as related genes involved in antigen<br />

presentation on MHC class I complexes. Several works have already shown<br />

that MHC class I and II molecules are involved in aspects <strong>of</strong> human cancer<br />

pathology such as invasion and migration [327,421,546]. We find an overall<br />

228

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