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Volume 11,Issue 2

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26 February 2026

Circadian Clock-Related Genes and Their Impact on Glioma Prognosis: Creation of a Risk Scoring System and Treatment Insights

Lingdi Guo1,2 Ruiguo Li1 Xingyun Mao1 Xueyuan Heng1,3*
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1 Institute of Clinical Medicine College, Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong, China
2 Department of Obstetrics and Gynecology, Linyi People's Hospital, Linyi 276003, Shandong, China
3 Department of Neurosurgery, Linyi People's Hospital, Linyi 276003, Shandong, China
APM 2026 , 11(2), 200–208; https://doi.org/10.18063/APM.v11i2.1414
© 2026 by the Author. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Glioma, a common and aggressive type of brain tumor, poses considerable difficulties in terms of prognosis and treatment. This research seeks to clarify the influence of circadian clock-related genes on glioma prognosis and to establish a reliable risk scoring system. We obtained RNA sequencing data from the TCGA-GBM and GSE15209. A total of 297 circadian clock-related genes were sourced from the MSigDB database. The DESeq2 algorithm was assigned to detect differentially expressed genes, resulting in the discovery of 16 co-expressed genes through Venn diagram analysis. A risk scoring system was developed using LASSO regression analyses, pinpointing eight crucial predictive genes. Their prognostic significance was evaluated through Kaplan-Meier survival analysis and ROC curve validation. A nomogram was created to estimate overall survival probabilities at 1, 3, and 5 years, showing strong predictive accuracy. This study offers a comprehensive framework for understanding the prognostic significance of circadian clock-associated genes in glioma and suggests potential therapeutic strategies.

Keywords
Glioma
Circadian rhythm
Bioinformatics
Prognosis
Funding
This study was supported by a grant from Linyi Key R&D Program (Medical Field)(Project No.: 2024YX0069), and Shandong Second Medical University Affiliated Hospital (Teaching Hospital) Research and Development Fund Project (Project No.: 2025FYM066).
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