Transcriptome analysis reveals tumor microenvironment changes in glioblastoma

Y. Hoogstrate*, K. Draaisma, S.A. Ghisai, L.V. Hijfte, N. Barin, I.D. Heer, W. Coppieters, T.P.P.V. Bosch, A. Bolleboom, Z.Y. Gao, A.J.P.E. Vincent, L. Karim, M. Deckers, M.J.B. Taphoorn, M. Kerkhof, A. Weyerbrock, M. Sanson, A. Hoeben, S. Lukacova, G. LombardiS. Leenstra, M. Hanse, R.E.M. Fleischeuer, C. Watts, N. Angelopoulos, T. Gorlia, V. Golfinopoulos, V. Bours, M.J.V. Bent, P.A. Robe, P.J. French*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

A better understanding of transcriptional evolution of IDH-wild-type glioblastoma may be crucial for treatment optimization. Here, we perform RNA sequencing (RNA-seq) (n = 322 test, n = 245 validation) on paired primary-recurrent glioblastoma resections of patients treated with the current standard of care. Transcriptional subtypes form an interconnected continuum in a two-dimensional space. Recur-rent tumors show preferential mesenchymal progression. Over time, hallmark glioblastoma genes are not significantly altered. Instead, tumor purity decreases over time and is accompanied by co -in-creases in neuron and oligodendrocyte marker genes and, independently, tumor-associated macro-phages. A decrease is observed in endothelial marker genes. These composition changes are confirmed by single-cell RNA-seq and immunohistochemistry. An extracellular matrix-associated gene set increases at recurrence and bulk, single-cell RNA, and immunohistochemistry indicate it is expressed mainly by pericytes. This signature is associated with significantly worse survival at recur-rence. Our data demonstrate that glioblastomas evolve mainly by microenvironment (re-)organization rather than molecular evolution of tumor cells.
Original languageEnglish
Pages (from-to)678-692.e7
Number of pages23
JournalCancer Cell
Volume41
Issue number4
DOIs
Publication statusPublished - 10 Apr 2023

Keywords

  • TEMOZOLOMIDE
  • EVOLUTION
  • IMAGE
  • CELLS

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