1. The DNA methylation landscape of glioblastoma disease progression shows extensive heterogeneity in time and space
- Author
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F. Payer, Peter A Winkler, Stefanie Krassnig, Serge Weis, Patrizia Moser, Christian F. Freyschlag, Waltraud Kleindienst, Johanna Buchroithner, Günther Stockhammer, Donát Alpár, Christoph Bock, Stefan Schweiger, Melitta Kitzwoegerer, Johannes A. Hainfellner, Thomas Hauser, Gord von Campe, Franz Marhold, Johannes Haybaeck, Claudius Thomé, Kariem Madhy Ali, Barbara Kiesel, Nadine Peter, Johanna Klughammer, Georg Langs, Thomas Ströbel, Karl-Heinz Nenning, Julia Furtner, Bernhard Baumann, Christine Marosi, Karin Dieckmann, Martha Nowosielski, Mario Mischkulnig, Matthias Preusser, Georg Widhalm, Thomas Roetzer, Camillo Sherif, Engelbert Knosp, Nathan C. Sheffield, Nikolaus Fortelny, Stefan Oberndorfer, Josef Pichler, Astrid E. Grams, Marco Augustin, Julius Preiser, Franz Wurtz, Adelheid Woehrer, Bekir Ergüner, Johannes Trenkler, Paul Datlinger, Amelie Nemc, Martin Senekowitsch, Johannes Kerschbaumer, Martin Stultschnig, and Tanisa Brandner-Kokalj
- Subjects
Male ,0301 basic medicine ,Tumour heterogeneity ,Bisulfite sequencing ,Computational biology ,Biology ,Article ,General Biochemistry, Genetics and Molecular Biology ,Epigenesis, Genetic ,Genetic Heterogeneity ,03 medical and health sciences ,Humans ,Epigenetics ,Epigenomics ,Genome, Human ,Genetic heterogeneity ,Chromosome Mapping ,High-Throughput Nucleotide Sequencing ,General Medicine ,Epigenome ,DNA Methylation ,Human genetics ,3. Good health ,030104 developmental biology ,DNA methylation ,Disease Progression ,Female ,Neoplasm Recurrence, Local ,Glioblastoma - Abstract
Glioblastoma is characterized by widespread genetic and transcriptional heterogeneity, yet little is known about the role of the epigenome in glioblastoma disease progression. Here, we present genome-scale maps of DNA methylation in matched primary and recurring glioblastoma tumors, using data from a highly annotated clinical cohort that was selected through a national patient registry. We demonstrate the feasibility of DNA methylation mapping in a large set of routinely collected FFPE samples, and we validate bisulfite sequencing as a multipurpose assay that allowed us to infer a range of different genetic, epigenetic, and transcriptional characteristics of the profiled tumor samples. On the basis of these data, we identified subtle differences between primary and recurring tumors, links between DNA methylation and the tumor microenvironment, and an association of epigenetic tumor heterogeneity with patient survival. In summary, this study establishes an open resource for dissecting DNA methylation heterogeneity in a genetically diverse and heterogeneous cancer, and it demonstrates the feasibility of integrating epigenomics, radiology, and digital pathology for a national cohort, thereby leveraging existing samples and data collected as part of routine clinical practice. In-depth methylation analysis of formalin-fixed paraffin-embedded glioblastoma samples demonstrates heterogeneity between primary and recurring tumors and enables prediction of composition of the tumor microenvironment and insights into progression.
- Published
- 2018
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