- Wang, Qianghu;
- Hu, Baoli;
- Hu, Xin;
- Kim, Hoon;
- Squatrito, Massimo;
- Scarpace, Lisa;
- deCarvalho, Ana C;
- Lyu, Sali;
- Li, Pengping;
- Li, Yan;
- Barthel, Floris;
- Cho, Hee Jin;
- Lin, Yu-Hsi;
- Satani, Nikunj;
- Martinez-Ledesma, Emmanuel;
- Zheng, Siyuan;
- Chang, Edward;
- Sauvé, Charles-Etienne Gabriel;
- Olar, Adriana;
- Lan, Zheng D;
- Finocchiaro, Gaetano;
- Phillips, Joanna J;
- Berger, Mitchel S;
- Gabrusiewicz, Konrad R;
- Wang, Guocan;
- Eskilsson, Eskil;
- Hu, Jian;
- Mikkelsen, Tom;
- DePinho, Ronald A;
- Muller, Florian;
- Heimberger, Amy B;
- Sulman, Erik P;
- Nam, Do-Hyun;
- Verhaak, Roel GW
We leveraged IDH wild-type glioblastomas, derivative neurospheres, and single-cell gene expression profiles to define three tumor-intrinsic transcriptional subtypes designated as proneural, mesenchymal, and classical. Transcriptomic subtype multiplicity correlated with increased intratumoral heterogeneity and presence of tumor microenvironment. In silico cell sorting identified macrophages/microglia, CD4+ T lymphocytes, and neutrophils in the glioma microenvironment. NF1 deficiency resulted in increased tumor-associated macrophages/microglia infiltration. Longitudinal transcriptome analysis showed that expression subtype is retained in 55% of cases. Gene signature-based tumor microenvironment inference revealed a decrease in invading monocytes and a subtype-dependent increase in macrophages/microglia cells upon disease recurrence. Hypermutation at diagnosis or at recurrence associated with CD8+ T cell enrichment. Frequency of M2 macrophages detection associated with short-term relapse after radiation therapy.