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 Jiménez-García, Manuel P A1 Peinado-Serrano, Javier A1 Carnero, Amancio K1 NAMPT K1 cancer initiating cell K1 gene signature K1 glioblastoma K1 glioma 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. YR 2017 FD 2017-08-28 LK https://hdl.handle.net/10668/25140 UL https://hdl.handle.net/10668/25140 LA en DS RISalud RD Apr 8, 2025