RT Journal Article T1 NAMPT overexpression induces cancer stemness and defines a novel tumor signature for glioma prognosis A1 Lucena-Cacace, Antonio A1 Otero-Albiol, Daniel A1 Jimenez-Garcia, Manuel P. A1 Peinado-Serrano, Javier A1 Carnero, Amancio K1 NAMPT K1 cancer initiating cell K1 gene signature K1 glioma K1 glioblastoma K1 Nicotinamide phosphoribosyltransferase K1 Heterogeneity implications K1 Glioblastoma-multiforme K1 Anaplastic glioma K1 Target therapies K1 Cell-death K1 Metabolism K1 Biology K1 Nad(+) K1 Subtypes AB Gliomas are the most prevalent primary malignant brain tumors associated with poor prognosis. NAMPT, a rate-limiting enzyme that boosts the nicotinamide adenine dinucleotide (NAD) regeneration in the salvage pathway, is commonly expressed in these tumors. NAD metabolism is required to maintain tissue homeostasis. To maintain metabolism, cancer cells require a stable NAD regeneration circuit. However, high levels of NAD confer resistance to therapy to these tumors, usually treated with Temozolomide (TMZ). We report that NAMPT overexpression in glioma cell lines increases tumorigenic properties controlling stem cell pathways and enriching the cancer-initiating cell (CIC) population. Furthermore, NAMPT expression correlated with high levels of Nanog, CD133 and CIC-like cells in glioblastoma directly extracted from patients. Meta-analysis reveals that NAMPT is also a key factor inducing cancer stem pathways in glioma cells. Furthermore, we report a novel NAMPT-driven signature which stratify prognosis within tumor staging. NAMPT signature also correlates directly with EGFR positive and IDH negative tumors. Finally, NAMPT inhibition increases sensitivity to apoptosis in both NAMPT-expressing cells and tumorspheres. Therefore, NAMPT represents a novel therapeutic target in Glioma progression and relapse. PB Impact journals llc YR 2017 FD 2017-11-21 LK http://hdl.handle.net/10668/19442 UL http://hdl.handle.net/10668/19442 LA en DS RISalud RD Apr 4, 2025