Evidence map›Paper›PMID 40427760›Full record

ArticleBiology2025

Predicting Treatment Outcomes in Glioblastoma: A Risk Score Model for TMZ Resistance and Immune Checkpoint Inhibition.

Nazareno Gonzalez, Melanie Perez Küper, Matias Garcia Fallit, Alejandro J Nicola Candia, Jorge A Peña Agudelo, Maicol Suarez Velandia, Ana Clara Romero, Guillermo Agustin Videla-Richardson, Marianela Candolfi

Abstract read
In one paragraph

Article in Biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nazareno GonzalezInstituto de Investigaciones Biomédicas (INBIOMED, CONICET-UBA), Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, 10th floor, Buenos Aires C1121ABG, Argentina.ORCID 0000-0003-4013-3396
Melanie Perez KüperInstituto de Investigaciones Biomédicas (INBIOMED, CONICET-UBA), Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, 10th floor, Buenos Aires C1121ABG, Argentina.ORCID 0009-0007-8155-9613
Matias Garcia FallitInstituto de Investigaciones Biomédicas (INBIOMED, CONICET-UBA), Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, 10th floor, Buenos Aires C1121ABG, Argentina.ORCID 0009-0005-1915-1604
Alejandro J Nicola CandiaInstituto de Investigaciones Biomédicas (INBIOMED, CONICET-UBA), Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, 10th floor, Buenos Aires C1121ABG, Argentina.ORCID 0000-0002-0194-560X
Jorge A Peña AgudeloInstituto de Investigaciones Biomédicas (INBIOMED, CONICET-UBA), Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, 10th floor, Buenos Aires C1121ABG, Argentina.ORCID 0000-0003-3470-7824
Maicol Suarez VelandiaInstituto de Investigaciones Biomédicas (INBIOMED, CONICET-UBA), Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, 10th floor, Buenos Aires C1121ABG, Argentina.ORCID 0009-0009-4519-1166
Ana Clara RomeroInstituto de Investigaciones Biomédicas (INBIOMED, CONICET-UBA), Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, 10th floor, Buenos Aires C1121ABG, Argentina.
Guillermo Agustin Videla-RichardsonFundación Para la Lucha Contra las Enfermedades Neurológicas de la Infancia (FLENI), Buenos Aires C1121A6B, Argentina.
Marianela CandolfiInstituto de Investigaciones Biomédicas (INBIOMED, CONICET-UBA), Facultad de Medicina, Universidad de Buenos Aires, Paraguay 2155, 10th floor, Buenos Aires C1121ABG, Argentina.

Funding

Agencia Nacional de Promoción Científica y Tecnológica, Argentina PICT-2018-3088, PICT-2019-00117 and PICT-2022-11-00074 to M.C; fellowship to A.J.N.C, M.P.K. and N.GConsejo Interuniversitario Nacional, Argentina Fellowship to M.G.F.Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina Fellowships to A.J.N.C, J.A.P.A. and M.G.F.Fundación Florencio Fiorini, Argentina 2023 Research grant to N.G.; 2023 Cancer Research Award to M.CInstituto Nacional del Cáncer, Argentina Asistencia Financiera a Proyectos de Investigación en Cáncer IV
6 · The paper itself

Abstract

Glioblastoma (GBM) presents significant therapeutic challenges due to its invasive nature and resistance to standard chemotherapy, i.e., temozolomide (TMZ). This study aimed to identify gene signatures that predict poor TMZ response and high PD-L1/PD-1 tumor expression, and explore potential sensitivity to alternative drugs. We analyzed The Cancer Genome Atlas (TCGA) biopsy data to identify differentially expressed genes (DEGs) linked to these characteristics. Among 33 upregulated DEGs, 5 were significantly correlated with overall survival. A risk score model was built using these 5 DEGs, classifying patients into low-, medium-, and high-risk groups. We assessed immune cell infiltration, immunosuppressive mediators, and epithelial-mesenchymal transition (EMT) markers in each group using correlation analysis, Gene Set Enrichment Analysis (GSEA), and machine learning. The model demonstrated strong predictive power, with high-risk patients exhibiting poorer survival and increased immune infiltration. GSEA revealed upregulation of immune and EMT-related pathways in high-risk patients. Our analyses suggest that high-risk patients may exhibit limited response to PD-1 inhibitors, but could show sensitivity to etoposide and paclitaxel. This risk score model provides a valuable tool for guiding therapeutic decisions and identifying alternative chemotherapy options to enable the development of personalized and cost-effective treatments for GBM patients.

Indexed as

differentially expressed genesglioblastomaimmune microenvironmentrisk score modeltemozolomide resistance

Identifiers

PMID40427760
PMCPMC12109283

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.