Temporal change of DNA methylation subclasses between matched newly diagnosed and recurrent glioblastoma
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Temporal change of DNA methylation subclasses between matched newly diagnosed and recurrent glioblastoma. / Drexler, Richard; Khatri, Robin; Schüller, Ulrich; Eckhardt, Alicia; Ryba, Alice; Sauvigny, Thomas; Dührsen, Lasse; Mohme, Malte; Ricklefs, Tammo; Bode, Helena; Hausmann, Fabian; Huber, Tobias B; Bonn, Stefan; Voß, Hannah; Neumann, Julia E; Silverbush, Dana; Hovestadt, Volker; Suvà, Mario L; Lamszus, Katrin; Gempt, Jens; Westphal, Manfred; Heiland, Dieter H; Hänzelmann, Sonja; Ricklefs, Franz L.
In: ACTA NEUROPATHOL, Vol. 147, No. 1, 20.01.2024, p. 21.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Temporal change of DNA methylation subclasses between matched newly diagnosed and recurrent glioblastoma
AU - Drexler, Richard
AU - Khatri, Robin
AU - Schüller, Ulrich
AU - Eckhardt, Alicia
AU - Ryba, Alice
AU - Sauvigny, Thomas
AU - Dührsen, Lasse
AU - Mohme, Malte
AU - Ricklefs, Tammo
AU - Bode, Helena
AU - Hausmann, Fabian
AU - Huber, Tobias B
AU - Bonn, Stefan
AU - Voß, Hannah
AU - Neumann, Julia E
AU - Silverbush, Dana
AU - Hovestadt, Volker
AU - Suvà, Mario L
AU - Lamszus, Katrin
AU - Gempt, Jens
AU - Westphal, Manfred
AU - Heiland, Dieter H
AU - Hänzelmann, Sonja
AU - Ricklefs, Franz L
N1 - © 2024. The Author(s).
PY - 2024/1/20
Y1 - 2024/1/20
N2 - The longitudinal transition of phenotypes is pivotal in glioblastoma treatment resistance and DNA methylation emerged as an important tool for classifying glioblastoma phenotypes. We aimed to characterize DNA methylation subclass heterogeneity during progression and assess its clinical impact. Matched tissues from 47 glioblastoma patients were subjected to DNA methylation profiling, including CpG-site alterations, tissue and serum deconvolution, mass spectrometry, and immunoassay. Effects of clinical characteristics on temporal changes and outcomes were studied. Among 47 patients, 8 (17.0%) had non-matching classifications at recurrence. In the remaining 39 cases, 28.2% showed dominant DNA methylation subclass transitions, with 72.7% being a mesenchymal subclass. In general, glioblastomas with a subclass transition showed upregulated metabolic processes. Newly diagnosed glioblastomas with mesenchymal transition displayed increased stem cell-like states and decreased immune components at diagnosis and exhibited elevated immune signatures and cytokine levels in serum. In contrast, tissue of recurrent glioblastomas with mesenchymal transition showed increased immune components but decreased stem cell-like states. Survival analyses revealed comparable outcomes for patients with and without subclass transitions. This study demonstrates a temporal heterogeneity of DNA methylation subclasses in 28.2% of glioblastomas, not impacting patient survival. Changes in cell state composition associated with subclass transition may be crucial for recurrent glioblastoma targeted therapies.
AB - The longitudinal transition of phenotypes is pivotal in glioblastoma treatment resistance and DNA methylation emerged as an important tool for classifying glioblastoma phenotypes. We aimed to characterize DNA methylation subclass heterogeneity during progression and assess its clinical impact. Matched tissues from 47 glioblastoma patients were subjected to DNA methylation profiling, including CpG-site alterations, tissue and serum deconvolution, mass spectrometry, and immunoassay. Effects of clinical characteristics on temporal changes and outcomes were studied. Among 47 patients, 8 (17.0%) had non-matching classifications at recurrence. In the remaining 39 cases, 28.2% showed dominant DNA methylation subclass transitions, with 72.7% being a mesenchymal subclass. In general, glioblastomas with a subclass transition showed upregulated metabolic processes. Newly diagnosed glioblastomas with mesenchymal transition displayed increased stem cell-like states and decreased immune components at diagnosis and exhibited elevated immune signatures and cytokine levels in serum. In contrast, tissue of recurrent glioblastomas with mesenchymal transition showed increased immune components but decreased stem cell-like states. Survival analyses revealed comparable outcomes for patients with and without subclass transitions. This study demonstrates a temporal heterogeneity of DNA methylation subclasses in 28.2% of glioblastomas, not impacting patient survival. Changes in cell state composition associated with subclass transition may be crucial for recurrent glioblastoma targeted therapies.
KW - Humans
KW - Glioblastoma/genetics
KW - DNA Methylation
KW - Neoplasm Recurrence, Local/genetics
KW - Survival Analysis
KW - Brain Neoplasms
U2 - 10.1007/s00401-023-02677-8
DO - 10.1007/s00401-023-02677-8
M3 - SCORING: Journal article
C2 - 38244080
VL - 147
SP - 21
JO - ACTA NEUROPATHOL
JF - ACTA NEUROPATHOL
SN - 0001-6322
IS - 1
ER -