Mesenchymal State Drives Stemness and Limits Differentiation in Glioblastoma

Glioblastoma is a highly heterogeneous and lethal brain cancer with limited therapeutic options. Recent single-cell omics studies have emphasized the importance of the proneural-mesenchymal axis and strengthened the link between glioblastoma and neurodevelopment, yet the identity and regulatory drivers of glioblastoma stem cells remain poorly defined. In this work, we combined published single-cell datasets with in vitro models to investigate glioblastoma stemness and the tumor’s response to differentiation cues. Through integrative analysis of single-cell RNA sequencing and single-nucleus ATAC sequencing, we refined the landscape of glioblastoma cellular states. Comparison with human subventricular zone profiles reveals a striking similarity between a mesenchymal-like subpopulation and adult radial glia. We further established a comprehensive differentiation assay incorporating phenotypic, transcriptomic, and proteomic readouts. Using this system, we show that glioblastoma cells exhibit heterogeneous responses to differentiation signals and that mesenchymal-like cells, in particular, display pronounced resistance to lineage commitment. Together, these findings highlight the mesenchymal state as a key barrier to differentiation in glioblastoma and lay the groundwork for targeting its underlying drivers to restore differentiation capacity and potentially improve therapeutic outcomes. Citation Format: Emanuele Filiberto Rosatti, Denise Sighel, Anna Veronese, Toma Tebaldi, Alessandro Quattrone. The mesenchymal state drives stemness and limits differentiation in glioblastoma [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2026; Part 1 (Regular Abstracts); 2026 Apr 17-22; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2026;86(7 Suppl):Abstract nr 2200.