TY - INPR A1 - Drexler, Richard A1 - Khatri, Robin A1 - Sauvigny, Thomas A1 - Mohme, Malte Eberhard A1 - Maire, Cecile A1 - Ryba, Alice A1 - Zghaibeh, Yahya A1 - Duhrsen, Lasse A1 - Salviano-Silva, Amanda A1 - Lamszus, Katrin A1 - Westphal, Manfred A1 - Gempt, Jens A1 - Wefers, Annika K. A1 - Neumann, Julia A1 - Bode, Helena A1 - Hausmann, Fabian A1 - Huber, Tobias A1 - Bonn, Stefan A1 - Jütten, Kerstin Maria A1 - Delev, Daniel I. A1 - Weber, Katharina J. A1 - Harter, Patrick Nikolaus A1 - Onken, Julia Sophie A1 - Vajkoczy, Peter A1 - Capper, David A1 - Wiestler, Benedikt A1 - Weller, Michael A1 - Snijder, Berend A1 - Buck, Alicia A1 - Weiss, Tobias A1 - Keough, Michael B. A1 - Ni, Lijun A1 - Monje, Michelle A1 - Silverbush, Dana A1 - Hovestadt, Volker A1 - Suva, Mario L. A1 - Krishna, Saritha A1 - Hervey-Jumper, Shawn A1 - Schüller, Ulrich A1 - Heiland, Henrik Dieter A1 - Hänzelmann, Sonja A1 - Ricklefs, Franz Lennard T1 - Epigenetic neural glioblastoma enhances synaptic integration and predicts therapeutic vulnerability T2 - bioRxiv N2 - Neural-tumor interactions drive glioma growth as evidenced in preclinical models, but clinical validation is nascent. We present an epigenetically defined neural signature of glioblastoma that independently affects patients survival. We use reference signatures of neural cells to deconvolve tumor DNA and classify samples into low- or high-neural tumors. High-neural glioblastomas exhibit hypomethylated CpG sites and upregulation of genes associated with synaptic integration. Single-cell transcriptomic analysis reveals high abundance of stem cell-like malignant cells classified as oligodendrocyte precursor and neural precursor cell-like in high-neural glioblastoma. High-neural glioblastoma cells engender neuron-to-glioma synapse formation in vitro and in vivo and show an unfavorable survival after xenografting. In patients, a high-neural signature associates with decreased survival as well as increased functional connectivity and can be detected via DNA analytes and brain-derived neurotrophic factor in plasma. Our study presents an epigenetically defined malignant neural signature in high-grade gliomas that is prognostically relevant. Y1 - 2023 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/75092 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-750924 IS - 2023.08.04.552017 ER -