GLASS-OD primary – recurrent oligodendrogliomas
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ABSTRACT: Background: Treatment decisions in IDH-mutant oligodendrogliomas are shaped by tumor aggressiveness, underscoring the need for objective grading of these malignant brain tumors. Material and Methods: We collect 302 primary and recurrent resections from oligodendrogliomas and perform Ki-67 staining, proteomics and DNA methylation profiling. Results & conclusion: During tumor progression, DNA methylation of oligodendrogliomas changes along a continuum. This continuum is linked to increased epigenetic aging, methylation of transcription factors and Ki-67+ cell density, and to large scale DNA demethylation. Demethylation correlates with CpGs flanking sequences preferred by TET enzymes. We confirm these findings in previously profiled astrocytomas, indicating IDH-mutant gliomas progress along a shared epigenetic axis. We develop an objective DNA methylation based prognostic continuous grading coefficient (CGCψ) that capturs these changes and outperformed WHO grading for oligodendrogliomas. Our findings underscore the potential of DNA methylation-based grading to more accurately reflect tumor biology and inform clinical decision-making in IDH-mutant gliomas.
ORGANISM(S): Homo sapiens
PROVIDER: GSE297733 | GEO | 2026/01/19
REPOSITORIES: GEO
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