eprintid: 22044 rev_number: 15 eprint_status: archive userid: 1589 dir: disk0/00/02/20/44 datestamp: 2016-10-26 13:15:06 lastmod: 2016-11-07 12:35:40 status_changed: 2016-10-26 13:15:06 type: article metadata_visibility: show creators_name: Jungk, Christine creators_name: Mock, Andreas creators_name: Exner, Janina creators_name: Geisenberger, Christoph creators_name: Warta, Rolf creators_name: Capper, David creators_name: Abdollahi, Amir creators_name: Friauf, Sara creators_name: Lahrmann, Bernd creators_name: Grabe, Niels creators_name: Beckhove, Philipp creators_name: von Deimling, Andreas creators_name: Unterberg, Andreas creators_name: Herold-Mende, Christel title: Spatial transcriptome analysis reveals Notch pathway-associated prognostic markers in IDH1 wild-type glioblastoma involving the subventricular zone subjects: 610 divisions: 716000 divisions: 850300 divisions: 911200 divisions: 911400 divisions: 911800 divisions: 912000 abstract: Background: The spatial relationship of glioblastoma (GBM) to the subventricular zone (SVZ) is associated with inferior patient survival. However, the underlying molecular phenotype is largely unknown. We interrogated an SVZ-dependent transcriptome and potential location-specific prognostic markers. Methods: mRNA microarray data of a discovery set (n = 36 GBMs) were analyzed for SVZ-dependent gene expression and process networks using the MetaCore™ workflow. Differential gene expression was confirmed by qPCR in a validation set of 142 IDH1 wild-type GBMs that was also used for survival analysis. Results: Microarray analysis revealed a transcriptome distinctive of SVZ+ GBM that was enriched for genes associated with Notch signaling. No overlap was found to The Cancer Genome Atlas’s molecular subtypes. Independent validation of SVZ-dependent expression confirmed four genes with simultaneous prognostic impact: overexpression of HES4 (p = 0.034; HR 1.55) and DLL3 (p = 0.017; HR 1.61) predicted inferior, and overexpression of NTRK2 (p = 0.049; HR 0.66) and PIR (p = 0.025; HR 0.62) superior overall survival (OS). Additionally, overexpression of DLL3 was predictive of shorter progression-free survival (PFS) (p = 0.043; HR 1.64). Multivariate analysis revealed overexpression of HES4 to be independently associated with inferior OS (p = 0.033; HR 2.03), and overexpression of DLL3 with inferior PFS (p = 0.046; HR 1.65). Conclusions: We identified four genes with SVZ-dependent expression and prognostic significance, among those HES4 and DLL3 as part of Notch signaling, suggesting further evaluation of location-tailored targeted therapies. date: 2016 publisher: BioMed Central; Springer id_scheme: DOI id_number: http://dx.doi.org/10.1186/s12916-016-0710-7 ppn_swb: 1653741988 own_urn: urn:nbn:de:bsz:16-heidok-220444 language: eng bibsort: JUNGKCHRISSPATIALTRA2016 full_text_status: public publication: BMC Medicine volume: 14 number: 170 place_of_pub: London; Berlin; Heidelberg pagerange: 1-16 issn: 1741-7015 citation: Jungk, Christine ; Mock, Andreas ; Exner, Janina ; Geisenberger, Christoph ; Warta, Rolf ; Capper, David ; Abdollahi, Amir ; Friauf, Sara ; Lahrmann, Bernd ; Grabe, Niels ; Beckhove, Philipp ; von Deimling, Andreas ; Unterberg, Andreas ; Herold-Mende, Christel (2016) Spatial transcriptome analysis reveals Notch pathway-associated prognostic markers in IDH1 wild-type glioblastoma involving the subventricular zone. BMC Medicine, 14 (170). pp. 1-16. ISSN 1741-7015 document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/22044/1/12916_2016_Article_710.pdf