한빛사논문
국립암센터
Kyung-Hee Kim,1,2,23 Simona Migliozzi,3,23 Harim Koo,1,4,5,23 Jun-Hee Hong,1,23 Seung Min Park,1 Sooheon Kim,1 Hyung Joon Kwon,1 Seokjun Ha,1 Luciano Garofano,3 Young Taek Oh,3 Fulvio D’Angelo,3 Chan Il Kim,1 Seongsoo Kim,1 Ji Yoon Lee,4,5 Jiwon Kim,4,5 Jisoo Hong,4,5 Eun-Hae Jang,6 Bertrand Mathon,7 Anna-Luisa Di Stefano,8,9,10,11 Franck Bielle,8,9,10 Alice Laurenge,8,9,10 Alexey I. Nesvizhskii,12 Eun-Mi Hur,6,13 Jinlong Yin,1,14 Bingyang Shi,14 Youngwook Kim,1 Kyung-Sub Moon,15 Jeong Taik Kwon,16 Shin Heon Lee,16 Seung Hoon Lee,17 Ho Shin Gwak,1 Anna Lasorella,3,18 Heon Yoo,1 Marc Sanson,8,9,10,* Jason K. Sa,4,5,* Chul-Kee Park,19,* Do-Hyun Nam,20,* Antonio Iavarone,3,21,* and Jong Bae Park 1,22,24,*
1Department of Cancer Biomedical Science, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Korea
2Proteomics Core Facility, Research Core Center, Research Institute, National Cancer Center, Goyang, Korea
3Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA
4Department of Biomedical Informatics, Korea University College of Medicine, Seoul, Korea
5Department of Biomedical Sciences, Korea University College of Medicine, Seoul, Korea
6Laboratory of Neuroscience, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University, Seoul, Korea
7Service de Neurochirurgie, AP-HP, Hoˆ pitaux Universitaires La Pitie´ Salpeˆtrie`re - Charles Foix, Paris, France
8Institut de Neurologie, AP-HP, Hoˆ pitaux Universitaires La Pitie´ Salpeˆtrie`re - Charles Foix, Paris, France
9Sorbonne Universite´ , Inserm, CNRS, UMR S 1127, Paris Brain Institute (ICM), Equipe labellise´ e LNCC, Paris, France
10Onconeurotek, AP-HP, Hoˆ pital Pitie´-Salpeˆtrie`re, F-75013 Paris, France
11Department of Neurology, Foch Hospital, Suresnes, France
12Department of Pathology, University of Michigan, Ann Arbor, MI, USA
13BK21 Four Future Veterinary Medicine Leading Education & Research Center, College of Veterinary Medicine, Seoul National University, Seoul, Korea
14Henan-Macquarie University Joint Centre for Biomedical Innovation, School of Life Sciences, Henan University, Kaifeng, Henan, China
15Department of Neurosurgery, Chonnam National University Hwasun Hospital and Medical School, Hwasun, Korea
16Department of Neurosurgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea
17Department of Neurosurgery, Eulji University School of Medicine, Daejeon, Korea
18Department of Biochemistry, University of Miami Miller School of Medicine, Miami, FL, USA
19Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea
20Department of Neurosurgery and Samsung Advanced Institute for Health Sciences and Technology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
21Department of Neurological Surgery and Department of Biochemistry, University of Miami Miller School of Medicine, Miami, FL, USA
22Department of Clinical Research, Research Institute and Hospital, National Cancer Center, Goyang, Korea
23These authors contributed equally
24Lead contact
*Corresponding authors: correspondence to Marc Sanson, Jason K. Sa, Chul-Kee Park, Do-Hyun Nam, Antonio Iavarone or Jong Bae Park
Abstract
The evolutionary trajectory of glioblastoma (GBM) is a multifaceted biological process that extends beyond genetic alterations alone. Here, we perform an integrative proteogenomic analysis of 123 longitudinal glioblastoma pairs and identify a highly proliferative cellular state at diagnosis and replacement by activation of neuronal transition and synaptogenic pathways in recurrent tumors. Proteomic and phosphoproteomic analyses reveal that the molecular transition to neuronal state at recurrence is marked by post-translational activation of the wingless-related integration site (WNT)/ planar cell polarity (PCP) signaling pathway and BRAF protein kinase. Consistently, multi-omic analysis of patient-derived xenograft (PDX) models mirror similar patterns of evolutionary trajectory. Inhibition of B-raf proto-oncogene (BRAF) kinase impairs both neuronal transition and migration capability of recurrent tumor cells, phenotypic hallmarks of post-therapy progression. Combinatorial treatment of temozolomide (TMZ) with BRAF inhibitor, vemurafenib, significantly extends the survival of PDX models. This study provides comprehensive insights into the biological mechanisms of glioblastoma evolution and treatment resistance, highlighting promising therapeutic strategies for clinical intervention.
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