Glioma is one of the most common types of human brain tumor, with high mortality in high-grade gliomas (HGG). Low-grade gliomas (LGG) can progress into HGG, leading to poor prognosis. However, it is unclear what factors affect the progression of LGG to HGG. This study aims to explore the function of the crosstalk genes on the progression and prognosis of LGG using bioinformatics analysis. Integrated transcriptome analysis was used to screen differentially expressed genes (DEGs). Then, gene ontology (GO) function enrichment and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis were performed to investigate the association between DEGs and gene functions and pathways by ClusterProfiler package and ClueGO plug-in. Protein-protein interaction (PPI) network analysis was applied to explore the connection between genes and biological processes. Subsequently, the gene clusters were analyzed using the Centiscape and molecular complex detection (MCODE) plug-in in Cytoscape software, where the crosstalk genes were identified for further study. Ultimately, the UALCAN website and Gene Expression Profiling Interactive Analysis (GEPIA) website were performed to visualize the expression levels and survival curves of genes, respectively. There were 74DEGs identified in glioma, including 55 upregulated genes and 19 downregulated genes, which mainly were enriched in extracellular matrix (ECM)receptor interaction, focal adhesion, PI3K-Akt signaling pathway, and so on. Then, six crosstalk genes were selected, including COL1A1, COL1A2, COL3A1, COL4A1, COL4A2, and COL5A2 genes. Overall survival (OS) analysis of crosstalk genes was conducted on the GEPIA website. High expression levels of crosstalk genes were closely related to the low survival rate of patients withLGG. The overexpressed crosstalk genes, such as COL1A1, COL1A2, COL3A1, COL4A1, COL4A2, and COL5A2 may participate in the progression and poor prognosis of LGG through the ECM-receptor interaction pathway. K E Y W O R D S bioinformatics, crosstalk genes, glioma, prognosis, progression Yongcan Guo and Hualin Tao contributed equally to this study.Glioma is the most common primary tumor of the central nervous system, 1 diagnosed based on pathological grade and molecular subtype. And gliomas are classified into grades I to IV by World Health Organization (WHO), including low-grade (WHO grades I-II) and high-grade (WHO grades III-IV) gliomas. 2 High-grade gliomas (HGG) have a high mortality rate and low five-year survival rate with less than 10%. 3 The effect of radiotherapy and chemotherapy is not obvious for HGG, leading to the median survival time of 14 to 17 months, 4 less than the low-grade glioma (LGG), of which the average survival time is approximately 10 years. By contrast, in case the LGG progress into HGG, the mortality rate will increase. 5 Therefore, it is necessary to explore the factors that have an influence on the progression of LGG to HGG, aiming at slowing down the progression and extending survival time of patients with LGG. In recent years, most ...