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Abstract
The prognostic and therapeutic relevance of molecular subtypes for the most aggressive isocitrate dehydrogenase 1/2 (IDH) wild-type glioblastoma (GBM) is currently limited due to high molecular heterogeneity of the tumors that impedes patient stratification. Here, we describe a distinct binary classification of IDH wild-type GBM tumors derived from a quantitative proteomic analysis of 39 IDH wild-type GBMs as well as IDH mutant and low-grade glioma controls. Specifically, GBM proteomic cluster 1 (GPC1) tumors exhibit Warburg-like features, neural stem-cell markers, immune checkpoint ligands, and a poor prognostic biomarker, FKBP prolyl isomerase 9 (FKBP9). Meanwhile, GPC2 tumors show elevated oxidative phosphorylation-related proteins, differentiated oligodendrocyte and astrocyte markers, and a favorable prognostic biomarker, phosphoglycerate dehydrogenase (PHGDH). Integrating these proteomic features with the pharmacological profiles of matched patient-derived cells (PDCs) reveals that the mTORC1/2 dual inhibitor AZD2014 is cytotoxic to the poor prognostic PDCs. Our analyses will guide GBM prognosis and precision treatment strategies.
The heterogeneity of IDH1/2 wild-type glioblastoma limits its prognosis and therapy. Here, the authors show a binary stratification, based on quantitative proteomic analysis of samples from patients with glioblastoma, with different prognosis and therapeutic vulnerabilities.
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1 Yonsei University College of Medicine, Severance Biomedical Science Institute, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454); Yonsei University College of Medicine, Brain Korea 21 PLUS Project for Medical Science, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
2 Center for Theragnosis, Korea Institute of Science and Technology, Seoul, Korea (GRID:grid.35541.36) (ISNI:0000000121053345); Korea University of Science and Technology, Division of Bio-Medical Science & Technology, KIST School, Seoul, Korea (GRID:grid.412786.e) (ISNI:0000 0004 1791 8264); Convergence Medicine Research Center, Asan Institute for Life Sciences, Seoul, Korea (GRID:grid.413967.e) (ISNI:0000 0001 0842 2126)
3 Institute for Refractory Cancer Research, Samsung Medical Center, Seoul, Korea (GRID:grid.414964.a) (ISNI:0000 0001 0640 5613); Precision Medicine Research Institute, Samsung Medical Center, Seoul, Korea (GRID:grid.414964.a) (ISNI:0000 0001 0640 5613)
4 Yonsei University, Graduate Program for Nanomedical Science, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
5 Yonsei University College of Medicine, Brain Korea 21 PLUS Project for Medical Science, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454); Yonsei University College of Medicine, Department of Biochemistry and Molecular Biology, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
6 Yonsei University College of Medicine, Brain Korea 21 PLUS Project for Medical Science, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
7 Korea University College of Medicine, Department of Biomedical Sciences, Seoul, Korea (GRID:grid.222754.4) (ISNI:0000 0001 0840 2678)
8 Center for Theragnosis, Korea Institute of Science and Technology, Seoul, Korea (GRID:grid.35541.36) (ISNI:0000000121053345); Hanyang University, Department of Life Science and Research Institute for Natural Sciences, Seoul, Korea (GRID:grid.49606.3d) (ISNI:0000 0001 1364 9317)
9 Yonsei University College of Medicine, Brain Korea 21 PLUS Project for Medical Science, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454); Yonsei University, Department of Systems Biology, College of Life Science and Biotechnology, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
10 Yonsei University College of Medicine, Severance Biomedical Science Institute, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
11 Hanyang University, Department of Computer Science, Seoul, Korea (GRID:grid.49606.3d) (ISNI:0000 0001 1364 9317)
12 Hanyang University, Department of Computer Science, Seoul, Korea (GRID:grid.49606.3d) (ISNI:0000 0001 1364 9317); Soongsil University, School of Computer Science and Engineering, Seoul, Korea (GRID:grid.263765.3) (ISNI:0000 0004 0533 3568)
13 Yonsei University College of Medicine, Severance Biomedical Science Institute, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454); Yonsei University Graduate School, Department of Medical Science, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
14 Yonsei University College of Medicine, Department of Neurosurgery, Brain Tumor Center, Severance Hospital, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
15 Institute for Refractory Cancer Research, Samsung Medical Center, Seoul, Korea (GRID:grid.414964.a) (ISNI:0000 0001 0640 5613); Sungkyunkwan University School of Medicine, Department of Neurosurgery, Samsung Medical Center, Seoul, Korea (GRID:grid.264381.a) (ISNI:0000 0001 2181 989X)
16 Institute for Refractory Cancer Research, Samsung Medical Center, Seoul, Korea (GRID:grid.414964.a) (ISNI:0000 0001 0640 5613)
17 Yonsei University College of Medicine, Department of Pathology, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
18 Yonsei University Graduate School, Department of Medical Science, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454); Yonsei University College of Medicine, Department of Neurosurgery, Brain Tumor Center, Severance Hospital, Seoul, Korea (GRID:grid.15444.30) (ISNI:0000 0004 0470 5454)
19 Institute for Refractory Cancer Research, Samsung Medical Center, Seoul, Korea (GRID:grid.414964.a) (ISNI:0000 0001 0640 5613); Sungkyunkwan University School of Medicine, Department of Neurosurgery, Samsung Medical Center, Seoul, Korea (GRID:grid.264381.a) (ISNI:0000 0001 2181 989X); SAIHST, Sungkyunkwan University, Department of Health Sciences and Technology, Seoul, Korea (GRID:grid.264381.a) (ISNI:0000 0001 2181 989X)
20 Center for Theragnosis, Korea Institute of Science and Technology, Seoul, Korea (GRID:grid.35541.36) (ISNI:0000000121053345); Korea University of Science and Technology, Division of Bio-Medical Science & Technology, KIST School, Seoul, Korea (GRID:grid.412786.e) (ISNI:0000 0004 1791 8264); KHU-KIST, Kyung Hee University, Department of Converging Science and Technology, Seoul, Korea (GRID:grid.289247.2) (ISNI:0000 0001 2171 7818)