Spatial Distance Correlates With Genetic Distance in Diffuse Glioma

Background: Treatment effectiveness and overall prognosis for glioma patients depend heavily on the genetic and epigenetic factors in each individual tumor. However, intra-tumoral genetic heterogeneity is known to exist and needs to be managed. Currently, evidence for genetic changes varying spatial...

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Main Authors: Evan D. H. Gates, Jie Yang, Kazutaka Fukumura, Jonathan S. Lin, Jeffrey S. Weinberg, Sujit S. Prabhu, Lihong Long, David Fuentes, Erik P. Sulman, Jason T. Huse, Dawid Schellingerhout
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-07-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2019.00676/full
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author Evan D. H. Gates
Evan D. H. Gates
Jie Yang
Jie Yang
Kazutaka Fukumura
Jonathan S. Lin
Jonathan S. Lin
Jonathan S. Lin
Jeffrey S. Weinberg
Sujit S. Prabhu
Lihong Long
David Fuentes
Erik P. Sulman
Jason T. Huse
Jason T. Huse
Dawid Schellingerhout
author_facet Evan D. H. Gates
Evan D. H. Gates
Jie Yang
Jie Yang
Kazutaka Fukumura
Jonathan S. Lin
Jonathan S. Lin
Jonathan S. Lin
Jeffrey S. Weinberg
Sujit S. Prabhu
Lihong Long
David Fuentes
Erik P. Sulman
Jason T. Huse
Jason T. Huse
Dawid Schellingerhout
author_sort Evan D. H. Gates
collection DOAJ
description Background: Treatment effectiveness and overall prognosis for glioma patients depend heavily on the genetic and epigenetic factors in each individual tumor. However, intra-tumoral genetic heterogeneity is known to exist and needs to be managed. Currently, evidence for genetic changes varying spatially within the tumor is qualitative, and quantitative data is lacking. We hypothesized that a greater genetic diversity or “genetic distance” would be observed for distinct tumor samples taken with larger physical distances between them.Methods: Stereotactic biopsies were obtained from untreated primary glioma patients as part of a clinical trial between 2011 and 2016, with at least one biopsy pair collected in each case. The physical (Euclidean) distance between biopsy sites was determined using coordinates from imaging studies. The tissue samples underwent whole exome DNA sequencing and epigenetic methylation profiling and genomic distances were defined in three separate ways derived from differences in number of genes, copy number variations (CNV), and methylation profiles.Results: Of the 31 patients recruited to the trial, 23 were included in DNA methylation analysis, for a total of 71 tissue samples (14 female, 9 male patients, age range 21–80). Samples from an 8 patient subset of the 23 evaluated patients were further included in whole exome and copy number variation analysis. Physical and genomic distances were found to be independently and positively correlated for each of the three genomic distance measures. The correlation coefficients were 0.63, 0.65, and 0.35, respectively for (a) gene level mutations, (b) copy number variation, and (c) methylation status. We also derived quantitative linear relationships between physical and genomic distances.Conclusion: Primary brain tumors are genetically heterogeneous, and the physical distance within a given glioma correlates to genomic distance using multiple orthogonal genomic assessments. These data should be helpful in the clinical diagnostic and therapeutic management of glioma, for example by: managing sampling error, and estimating genetic heterogeneity using simple imaging inputs.
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spelling doaj.art-0e2fdedf54be427fab9129620dff1a0c2022-12-21T17:45:03ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2019-07-01910.3389/fonc.2019.00676468863Spatial Distance Correlates With Genetic Distance in Diffuse GliomaEvan D. H. Gates0Evan D. H. Gates1Jie Yang2Jie Yang3Kazutaka Fukumura4Jonathan S. Lin5Jonathan S. Lin6Jonathan S. Lin7Jeffrey S. Weinberg8Sujit S. Prabhu9Lihong Long10David Fuentes11Erik P. Sulman12Jason T. Huse13Jason T. Huse14Dawid Schellingerhout15Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesGraduate School of Biomedical Sciences, The University of Texas MD Anderson Cancer Center UTHealth, Houston, TX, United StatesGraduate School of Biomedical Sciences, The University of Texas MD Anderson Cancer Center UTHealth, Houston, TX, United StatesDepartment of Radiation Oncology, NYU Langone School of Medicine, New York, NY, United StatesDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesMedical Scientist Training Program, Baylor College of Medicine, Houston, TX, United StatesDepartment of Bioengineering, Rice University, Houston, TX, United StatesDepartment of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Neurosurgery, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Radiation Oncology, NYU Langone School of Medicine, New York, NY, United StatesDepartment of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States0Departments of Neuroradiology and Cancer Systems Imaging, University of Texas MD Anderson Cancer Center, Houston, TX, United StatesBackground: Treatment effectiveness and overall prognosis for glioma patients depend heavily on the genetic and epigenetic factors in each individual tumor. However, intra-tumoral genetic heterogeneity is known to exist and needs to be managed. Currently, evidence for genetic changes varying spatially within the tumor is qualitative, and quantitative data is lacking. We hypothesized that a greater genetic diversity or “genetic distance” would be observed for distinct tumor samples taken with larger physical distances between them.Methods: Stereotactic biopsies were obtained from untreated primary glioma patients as part of a clinical trial between 2011 and 2016, with at least one biopsy pair collected in each case. The physical (Euclidean) distance between biopsy sites was determined using coordinates from imaging studies. The tissue samples underwent whole exome DNA sequencing and epigenetic methylation profiling and genomic distances were defined in three separate ways derived from differences in number of genes, copy number variations (CNV), and methylation profiles.Results: Of the 31 patients recruited to the trial, 23 were included in DNA methylation analysis, for a total of 71 tissue samples (14 female, 9 male patients, age range 21–80). Samples from an 8 patient subset of the 23 evaluated patients were further included in whole exome and copy number variation analysis. Physical and genomic distances were found to be independently and positively correlated for each of the three genomic distance measures. The correlation coefficients were 0.63, 0.65, and 0.35, respectively for (a) gene level mutations, (b) copy number variation, and (c) methylation status. We also derived quantitative linear relationships between physical and genomic distances.Conclusion: Primary brain tumors are genetically heterogeneous, and the physical distance within a given glioma correlates to genomic distance using multiple orthogonal genomic assessments. These data should be helpful in the clinical diagnostic and therapeutic management of glioma, for example by: managing sampling error, and estimating genetic heterogeneity using simple imaging inputs.https://www.frontiersin.org/article/10.3389/fonc.2019.00676/fullgliomagenomicsepigeneticsstereotactic biopsymedical image analysisradiomics
spellingShingle Evan D. H. Gates
Evan D. H. Gates
Jie Yang
Jie Yang
Kazutaka Fukumura
Jonathan S. Lin
Jonathan S. Lin
Jonathan S. Lin
Jeffrey S. Weinberg
Sujit S. Prabhu
Lihong Long
David Fuentes
Erik P. Sulman
Jason T. Huse
Jason T. Huse
Dawid Schellingerhout
Spatial Distance Correlates With Genetic Distance in Diffuse Glioma
Frontiers in Oncology
glioma
genomics
epigenetics
stereotactic biopsy
medical image analysis
radiomics
title Spatial Distance Correlates With Genetic Distance in Diffuse Glioma
title_full Spatial Distance Correlates With Genetic Distance in Diffuse Glioma
title_fullStr Spatial Distance Correlates With Genetic Distance in Diffuse Glioma
title_full_unstemmed Spatial Distance Correlates With Genetic Distance in Diffuse Glioma
title_short Spatial Distance Correlates With Genetic Distance in Diffuse Glioma
title_sort spatial distance correlates with genetic distance in diffuse glioma
topic glioma
genomics
epigenetics
stereotactic biopsy
medical image analysis
radiomics
url https://www.frontiersin.org/article/10.3389/fonc.2019.00676/full
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