USP21 positively correlates with FOXD1 protein levels and is associated with the poor prognosis of MES GBM patients. a Representative IHC images of USP21 and FOXD1 expression in MES GBM specimens. b Correlation between USP21 and FOXD1 proteins in 91 MES GBM IHC results. c Kaplan-Meier plots of overall survival and progression-free survival of 91 MES GBM patients stratified by protein expression of USP21 showing that USP21 hi MES GBM patients displayed significantly shorter overall survival and progression-free survival than USP21 low MES GBM patients. **P < 0.01. d Schematic illustration of USP21-mediated FOXD1 stabilization, promoting self-renewal and tumorigenicity of MES GSCs.

USP21 positively correlates with FOXD1 protein levels and is associated with the poor prognosis of MES GBM patients. a Representative IHC images of USP21 and FOXD1 expression in MES GBM specimens. b Correlation between USP21 and FOXD1 proteins in 91 MES GBM IHC results. c Kaplan-Meier plots of overall survival and progression-free survival of 91 MES GBM patients stratified by protein expression of USP21 showing that USP21 hi MES GBM patients displayed significantly shorter overall survival and progression-free survival than USP21 low MES GBM patients. **P < 0.01. d Schematic illustration of USP21-mediated FOXD1 stabilization, promoting self-renewal and tumorigenicity of MES GSCs.

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Recent studies suggest that Forkhead box D1 (FOXD1) plays an indispensable role in maintaining the mesenchymal (MES) properties of glioblastoma (GBM) stem cells (GSCs). Thus, understanding the mechanisms that control FOXD1 protein expression is critical for guiding GBM treatment, particularly in patients with therapy-resistant MES subtypes. In this...

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... To determine the possible clinical relevance between USP21 and FOXD1, we examined the expression levels of USP21 and FOXD1 in four clinical MES GBM tissues. In case 1 and 2, a high expression of USP21 correlated with a high expression of FOXD1. Conversely, in case 3 and 4, a low expression of USP21 correlated with a low expression of FOXD1 (Fig. 6a). In addition, the other 91 IHC results supported the positive correlation between USP21 and FOXD1 (Fig. 6b). Moreover, Kaplan-Meier survival curve analysis of the 91 GBM tissues showed that the survival rate of patients with high USP21 expression was significantly lower than that of patients with low USP21 expression (Fig. 6c). In ...
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... of USP21 and FOXD1 in four clinical MES GBM tissues. In case 1 and 2, a high expression of USP21 correlated with a high expression of FOXD1. Conversely, in case 3 and 4, a low expression of USP21 correlated with a low expression of FOXD1 (Fig. 6a). In addition, the other 91 IHC results supported the positive correlation between USP21 and FOXD1 (Fig. 6b). Moreover, Kaplan-Meier survival curve analysis of the 91 GBM tissues showed that the survival rate of patients with high USP21 expression was significantly lower than that of patients with low USP21 expression (Fig. 6c). In addition, similar results were obtained from the CGGA database ( Supplementary Fig. 6a, b). Overall, our results ...
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... expression of FOXD1 (Fig. 6a). In addition, the other 91 IHC results supported the positive correlation between USP21 and FOXD1 (Fig. 6b). Moreover, Kaplan-Meier survival curve analysis of the 91 GBM tissues showed that the survival rate of patients with high USP21 expression was significantly lower than that of patients with low USP21 expression (Fig. 6c). In addition, similar results were obtained from the CGGA database ( Supplementary Fig. 6a, b). Overall, our results suggest that there is a strong positive clinical relevance between the levels of USP21 and FOXD1 and that high USP21 expression in patients indicates a poor ...
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... Kaplan-Meier survival curve analysis of the 91 GBM tissues showed that the survival rate of patients with high USP21 expression was significantly lower than that of patients with low USP21 expression (Fig. 6c). In addition, similar results were obtained from the CGGA database ( Supplementary Fig. 6a, b). Overall, our results suggest that there is a strong positive clinical relevance between the levels of USP21 and FOXD1 and that high USP21 expression in patients indicates a poor prognosis. ...
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... unclear. In this study, by adopting the unbiased DUB-focused siRNA screen, we identified USP21 as a novel DUB that governs FOXD1 stability. We found that USP21 interacted with FOXD1 and stabilized its protein levels by reducing its K48-linked polyubiquitination, thereby sustaining high FOXD1 expression and activating its downstream signaling (Fig. 6d). Recent studies have shown that USP21 is frequently dysregulated in multiple types of cancer and plays a critical role in cancer development and progression. Indeed, our clinical data showed a strong positive correlation between the expression levels of USP21 and FOXD1 in GBM patients and demonstrated that elevated USP21 expression was ...

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... Several DUBs have been directly implicated in GSC PMT marker deubiquitination. USP21 promotes selfrenewal and tumorigenicity of mesenchymal glioblastoma stem cells by deubiquitinating and stabilizing FOXD1 [49]. We identified USP9X as a bona fide deubiquitinase of ALDH1A3 in MES GSCs [6]. ...
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... These enzymes are also associated with GBM malignancy and poor prognosis. The USP9X inhibitor WP1130 and the USP21 inhibitor disulfiram have shown good therapeutic efficacy in MES-GSC-derived GBM xenograft models [77][78][79][80] . Furthermore, PRL1 promotes GBM progression by activating the USP36-mediated deubiquitination of Snail2 81 . ...
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... The study of Li et al. revealed that USP21 was upregulated in nasopharyngeal carcinoma tissues and cell lines, and it was found to promote cell migration and inhibit invasion by regulating FOXM1 (Li and Li 2023). Similarly, USP21 exerted a pro-oncogenic effect in cholangiocarcinoma and mesenchymal glioblastoma stem cells (Zhang et al. 2022b;Zhou et al. 2021). The function of USP21 in endometriosis has yet to be reported. ...
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