Development of a tumor microenvironment-related prognostic signature in glioma to predict immune landscape and potential therapeutic drugs

J Biochem Mol Toxicol. 2023 Oct;37(10):e23448. doi: 10.1002/jbt.23448. Epub 2023 Jun 26.

Abstract

The involvement of the tumor microenvironment (TME) in the biology of gliomas has expanded, while it is yet uncertain its potential of supporting diagnosis and therapy choices. According to immunological characteristics and overall survival, cohorts of glioma patients from public databases were separated into two TME-relevant clusters in this analysis. Based on differentially expressed genes between TME clusters and correlative regression analysis, a 21-gene molecular classifier of TME-related prognostic signature (TPS) was constructed. Afterward, the prognostic efficacy and effectiveness of TPS were assessed in the training and validation groups. The outcome demonstrated that TPS might be utilized alone or in conjunction with other clinical criteria to act as a superior prognostic predictor for glioma. Also, high-risk glioma patients classified by TPS were considered to associate with enhanced immune infiltration, greater tumor mutation, and worse general prognosis. Finally, possible treatment medicines specialized for different risk subgroups of TPS were evaluated in drug databases.

Keywords: drug sensitivity; glioma; prognostic signature; tumor microenvironment.

MeSH terms

  • Glioma* / drug therapy
  • Glioma* / genetics
  • Humans
  • Mutation
  • Prognosis
  • Tumor Microenvironment*