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Prediction of clinical outcome in glioblastoma using a biologically relevant nine-microRNA signature.


ABSTRACT:

Background

Glioblastoma is the most aggressive primary brain tumor, and is associated with a very poor prognosis. In this study we investigated the potential of microRNA expression profiles to predict survival in this challenging disease.

Methods

MicroRNA and mRNA expression data from glioblastoma (n = 475) and grade II and III glioma (n = 178) were accessed from The Cancer Genome Atlas. LASSO regression models were used to identify a prognostic microRNA signature. Functionally relevant targets of microRNAs were determined using microRNA target prediction, experimental validation and correlation of microRNA and mRNA expression data.

Results

A 9-microRNA prognostic signature was identified which stratified patients into risk groups strongly associated with survival (p = 2.26e-09), significant in all glioblastoma subtypes except the non-G-CIMP proneural group. The statistical significance of the microRNA signature was higher than MGMT methylation in temozolomide treated tumors. The 9-microRNA risk score was validated in an independent dataset (p = 4.50e-02) and also stratified patients into high- and low-risk groups in lower grade glioma (p = 5.20e-03). The majority of the 9 microRNAs have been previously linked to glioblastoma biology or treatment response. Integration of the expression patterns of predicted microRNA targets revealed a number of relevant microRNA/target pairs, which were validated in cell lines.

Conclusions

We have identified a novel, biologically relevant microRNA signature that stratifies high- and low-risk patients in glioblastoma. MicroRNA/mRNA interactions identified within the signature point to novel regulatory networks. This is the first study to formulate a survival risk score for glioblastoma which consists of microRNAs associated with glioblastoma biology and/or treatment response, indicating a functionally relevant signature.

SUBMITTER: Hayes J 

PROVIDER: S-EPMC5528696 | biostudies-literature | 2015 Mar

REPOSITORIES: biostudies-literature

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Publications

Prediction of clinical outcome in glioblastoma using a biologically relevant nine-microRNA signature.

Hayes Josie J   Thygesen Helene H   Tumilson Charlotte C   Droop Alastair A   Boissinot Marjorie M   Hughes Thomas A TA   Westhead David D   Alder Jane E JE   Shaw Lisa L   Short Susan C SC   Lawler Sean E SE  

Molecular oncology 20141128 3


<h4>Background</h4>Glioblastoma is the most aggressive primary brain tumor, and is associated with a very poor prognosis. In this study we investigated the potential of microRNA expression profiles to predict survival in this challenging disease.<h4>Methods</h4>MicroRNA and mRNA expression data from glioblastoma (n = 475) and grade II and III glioma (n = 178) were accessed from The Cancer Genome Atlas. LASSO regression models were used to identify a prognostic microRNA signature. Functionally re  ...[more]

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