Clinicopathologic and genomic characterizations of brain metastases using a comprehensive genomic panel

Central nervous system (CNS) metastasis is the most common brain tumor type in adults. Compared to their primary tumors, these metastases undergo a variety of genetic changes to be able to survive and thrive in the complex tissue microenvironment of the brain. In clinical settings, the majority of t...

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Main Authors: Duna H. Barakeh, Ebtehal Alsolme, Fatimah Alqubaishi, Amal Almutairi, Lamees Alhabeeb, Sally Al Abdulmohsen, Shahd S. Almohsen, Doaa Alayed, Sara Rashid AlAnazi, Malak AlZahrani, Albandari Mohammed Binowayn, Sarah S. AlOtaibi, Fahad A. Alkhureeb, Wafa Al Shakweer, Hindi Al-Hindi, Ali Alassiri, Heather A. Robinson, Malak Abedalthagafi
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.947456/full
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author Duna H. Barakeh
Duna H. Barakeh
Ebtehal Alsolme
Fatimah Alqubaishi
Amal Almutairi
Lamees Alhabeeb
Lamees Alhabeeb
Sally Al Abdulmohsen
Shahd S. Almohsen
Doaa Alayed
Sara Rashid AlAnazi
Malak AlZahrani
Albandari Mohammed Binowayn
Sarah S. AlOtaibi
Fahad A. Alkhureeb
Wafa Al Shakweer
Hindi Al-Hindi
Ali Alassiri
Heather A. Robinson
Malak Abedalthagafi
Malak Abedalthagafi
author_facet Duna H. Barakeh
Duna H. Barakeh
Ebtehal Alsolme
Fatimah Alqubaishi
Amal Almutairi
Lamees Alhabeeb
Lamees Alhabeeb
Sally Al Abdulmohsen
Shahd S. Almohsen
Doaa Alayed
Sara Rashid AlAnazi
Malak AlZahrani
Albandari Mohammed Binowayn
Sarah S. AlOtaibi
Fahad A. Alkhureeb
Wafa Al Shakweer
Hindi Al-Hindi
Ali Alassiri
Heather A. Robinson
Malak Abedalthagafi
Malak Abedalthagafi
author_sort Duna H. Barakeh
collection DOAJ
description Central nervous system (CNS) metastasis is the most common brain tumor type in adults. Compared to their primary tumors, these metastases undergo a variety of genetic changes to be able to survive and thrive in the complex tissue microenvironment of the brain. In clinical settings, the majority of traditional chemotherapies have shown limited efficacy against CNS metastases. However, the discovery of potential driver mutations, and the development of drugs specifically targeting affected signaling pathways, could change the treatment landscape of CNS metastasis. Genetic studies of brain tumors have so far focused mainly on common cancers in western populations. In this study, we performed Next Generation Sequencing (NGS) on 50 pairs of primary tumors, including but not limited to colorectal, breast, renal and thyroid tumors, along with their brain metastatic tumor tissue counterparts, from three different local tertiary centers in Saudi Arabia. We identified potentially clinically relevant mutations in brain metastases that were not detected in corresponding primary tumors, including mutations in the PI3K, CDK, and MAPK pathways. These data highlight the differences between primary cancers and brain metastases and the importance of acquiring and analyzing brain metastatic samples for further clinical management.
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spelling doaj.art-352dcf2738794604b935a1c0357bb48c2022-12-22T03:43:30ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-11-01910.3389/fmed.2022.947456947456Clinicopathologic and genomic characterizations of brain metastases using a comprehensive genomic panelDuna H. Barakeh0Duna H. Barakeh1Ebtehal Alsolme2Fatimah Alqubaishi3Amal Almutairi4Lamees Alhabeeb5Lamees Alhabeeb6Sally Al Abdulmohsen7Shahd S. Almohsen8Doaa Alayed9Sara Rashid AlAnazi10Malak AlZahrani11Albandari Mohammed Binowayn12Sarah S. AlOtaibi13Fahad A. Alkhureeb14Wafa Al Shakweer15Hindi Al-Hindi16Ali Alassiri17Heather A. Robinson18Malak Abedalthagafi19Malak Abedalthagafi20Department of Pathology, King Khalid University Hospital, King Saud University, Riyadh, Saudi ArabiaGenomics Research Department, King Fahad Medical City, Riyadh, Saudi ArabiaGenomics Research Department, King Fahad Medical City, Riyadh, Saudi ArabiaGenomics Research Department, King Fahad Medical City, Riyadh, Saudi ArabiaGenomics Research Department, King Fahad Medical City, Riyadh, Saudi ArabiaGenomics Research Department, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Pathology, King Fahad Medical City, Riyadh, Saudi ArabiaGenomics Research Department, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Pathology and Laboratory Medicine, King Abdulaziz Medical City, Riyadh, Saudi ArabiaDepartment of Pathology, King Khalid University Hospital, King Saud University, Riyadh, Saudi ArabiaDepartment of Pathology, Security Forces Hospital, Riyadh, Saudi ArabiaDepartment of Pathology, King Khalid University Hospital, King Saud University, Riyadh, Saudi ArabiaGenomics Research Department, King Fahad Medical City, Riyadh, Saudi ArabiaGenomics Research Department, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Pathology, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Pathology, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Pathology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi ArabiaDepartment of Pathology and Laboratory Medicine, King Abdulaziz Medical City, Riyadh, Saudi ArabiaHealth Research, University of Manchester, Manchester, United KingdomGenomics Research Department, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Pathology and Laboratory Medicine, Emory University Hospital, Atlanta, GA, United StatesCentral nervous system (CNS) metastasis is the most common brain tumor type in adults. Compared to their primary tumors, these metastases undergo a variety of genetic changes to be able to survive and thrive in the complex tissue microenvironment of the brain. In clinical settings, the majority of traditional chemotherapies have shown limited efficacy against CNS metastases. However, the discovery of potential driver mutations, and the development of drugs specifically targeting affected signaling pathways, could change the treatment landscape of CNS metastasis. Genetic studies of brain tumors have so far focused mainly on common cancers in western populations. In this study, we performed Next Generation Sequencing (NGS) on 50 pairs of primary tumors, including but not limited to colorectal, breast, renal and thyroid tumors, along with their brain metastatic tumor tissue counterparts, from three different local tertiary centers in Saudi Arabia. We identified potentially clinically relevant mutations in brain metastases that were not detected in corresponding primary tumors, including mutations in the PI3K, CDK, and MAPK pathways. These data highlight the differences between primary cancers and brain metastases and the importance of acquiring and analyzing brain metastatic samples for further clinical management.https://www.frontiersin.org/articles/10.3389/fmed.2022.947456/fullPI3KCDKbreast cancerbrain metastasiscomprehensive genomic panelcolorectal cancer
spellingShingle Duna H. Barakeh
Duna H. Barakeh
Ebtehal Alsolme
Fatimah Alqubaishi
Amal Almutairi
Lamees Alhabeeb
Lamees Alhabeeb
Sally Al Abdulmohsen
Shahd S. Almohsen
Doaa Alayed
Sara Rashid AlAnazi
Malak AlZahrani
Albandari Mohammed Binowayn
Sarah S. AlOtaibi
Fahad A. Alkhureeb
Wafa Al Shakweer
Hindi Al-Hindi
Ali Alassiri
Heather A. Robinson
Malak Abedalthagafi
Malak Abedalthagafi
Clinicopathologic and genomic characterizations of brain metastases using a comprehensive genomic panel
Frontiers in Medicine
PI3K
CDK
breast cancer
brain metastasis
comprehensive genomic panel
colorectal cancer
title Clinicopathologic and genomic characterizations of brain metastases using a comprehensive genomic panel
title_full Clinicopathologic and genomic characterizations of brain metastases using a comprehensive genomic panel
title_fullStr Clinicopathologic and genomic characterizations of brain metastases using a comprehensive genomic panel
title_full_unstemmed Clinicopathologic and genomic characterizations of brain metastases using a comprehensive genomic panel
title_short Clinicopathologic and genomic characterizations of brain metastases using a comprehensive genomic panel
title_sort clinicopathologic and genomic characterizations of brain metastases using a comprehensive genomic panel
topic PI3K
CDK
breast cancer
brain metastasis
comprehensive genomic panel
colorectal cancer
url https://www.frontiersin.org/articles/10.3389/fmed.2022.947456/full
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