Genomic analysis of human brain metastases treated with stereotactic radiosurgery reveals unique signature based on treatment failure

Summary: Stereotactic radiosurgery (SRS) has been shown to be efficacious for the treatment of limited brain metastasis (BM); however, the effects of SRS on human brain metastases have yet to be studied. We performed genomic analysis on resected brain metastases from patients whose resected lesion w...

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Main Authors: Jack M. Shireman, Quinn White, Zijian Ni, Chitrasen Mohanty, Yujia Cai, Lei Zhao, Namita Agrawal, Nikita Gonugunta, Xiaohu Wang, Liam Mccarthy, Varshitha Kasulabada, Akshita Pattnaik, Atique U. Ahmed, James Miller, Charles Kulwin, Aaron Cohen-Gadol, Troy Payner, Chih-Ta Lin, Jesse J. Savage, Brandon Lane, Kevin Shiue, Aaron Kamer, Mitesh Shah, Gopal Iyer, Gordon Watson, Christina Kendziorski, Mahua Dey
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S258900422400823X
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author Jack M. Shireman
Quinn White
Zijian Ni
Chitrasen Mohanty
Yujia Cai
Lei Zhao
Namita Agrawal
Nikita Gonugunta
Xiaohu Wang
Liam Mccarthy
Varshitha Kasulabada
Akshita Pattnaik
Atique U. Ahmed
James Miller
Charles Kulwin
Aaron Cohen-Gadol
Troy Payner
Chih-Ta Lin
Jesse J. Savage
Brandon Lane
Kevin Shiue
Aaron Kamer
Mitesh Shah
Gopal Iyer
Gordon Watson
Christina Kendziorski
Mahua Dey
author_facet Jack M. Shireman
Quinn White
Zijian Ni
Chitrasen Mohanty
Yujia Cai
Lei Zhao
Namita Agrawal
Nikita Gonugunta
Xiaohu Wang
Liam Mccarthy
Varshitha Kasulabada
Akshita Pattnaik
Atique U. Ahmed
James Miller
Charles Kulwin
Aaron Cohen-Gadol
Troy Payner
Chih-Ta Lin
Jesse J. Savage
Brandon Lane
Kevin Shiue
Aaron Kamer
Mitesh Shah
Gopal Iyer
Gordon Watson
Christina Kendziorski
Mahua Dey
author_sort Jack M. Shireman
collection DOAJ
description Summary: Stereotactic radiosurgery (SRS) has been shown to be efficacious for the treatment of limited brain metastasis (BM); however, the effects of SRS on human brain metastases have yet to be studied. We performed genomic analysis on resected brain metastases from patients whose resected lesion was previously treated with SRS. Our analyses demonstrated for the first time that patients possess a distinct genomic signature based on type of treatment failure including local failure, leptomeningeal spread, and radio-necrosis. Examination of the center and peripheral edge of the tumors treated with SRS indicated differential DNA damage distribution and an enrichment for tumor suppressor mutations and DNA damage repair pathways along the peripheral edge. Furthermore, the two clinical modalities used to deliver SRS, LINAC and GK, demonstrated differential effects on the tumor landscape even between controlled primary sites. Our study provides, in human, biological evidence of differential effects of SRS across BM’s.
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spelling doaj.art-828ec409f6884148a8d4d17d849d56c62024-04-10T04:29:22ZengElsevieriScience2589-00422024-04-01274109601Genomic analysis of human brain metastases treated with stereotactic radiosurgery reveals unique signature based on treatment failureJack M. Shireman0Quinn White1Zijian Ni2Chitrasen Mohanty3Yujia Cai4Lei Zhao5Namita Agrawal6Nikita Gonugunta7Xiaohu Wang8Liam Mccarthy9Varshitha Kasulabada10Akshita Pattnaik11Atique U. Ahmed12James Miller13Charles Kulwin14Aaron Cohen-Gadol15Troy Payner16Chih-Ta Lin17Jesse J. Savage18Brandon Lane19Kevin Shiue20Aaron Kamer21Mitesh Shah22Gopal Iyer23Gordon Watson24Christina Kendziorski25Mahua Dey26Department of Neurosurgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Biostatistics and Medical Informatics, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Biostatistics and Medical Informatics, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Biostatistics and Medical Informatics, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Biostatistics and Medical Informatics, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Neurosurgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN, USADepartment of Neurosurgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Neurosurgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Neurosurgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Neurosurgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Neurosurgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Neurological Surgery, Northwestern University, Chicago, IL, USADepartment of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN, USAGoodman Campbell Brain and Spine Neurological Surgery, Indianapolis, IN, USADepartment of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN, USAGoodman Campbell Brain and Spine Neurological Surgery, Indianapolis, IN, USADepartment of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN, USADepartment of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN, USADepartment of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN, USADepartment of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN, USADepartment of Clinical Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, USADepartment of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN, USADepartment of Human Oncology, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN, USADepartment of Biostatistics and Medical Informatics, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USADepartment of Neurosurgery, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, USA; Corresponding authorSummary: Stereotactic radiosurgery (SRS) has been shown to be efficacious for the treatment of limited brain metastasis (BM); however, the effects of SRS on human brain metastases have yet to be studied. We performed genomic analysis on resected brain metastases from patients whose resected lesion was previously treated with SRS. Our analyses demonstrated for the first time that patients possess a distinct genomic signature based on type of treatment failure including local failure, leptomeningeal spread, and radio-necrosis. Examination of the center and peripheral edge of the tumors treated with SRS indicated differential DNA damage distribution and an enrichment for tumor suppressor mutations and DNA damage repair pathways along the peripheral edge. Furthermore, the two clinical modalities used to deliver SRS, LINAC and GK, demonstrated differential effects on the tumor landscape even between controlled primary sites. Our study provides, in human, biological evidence of differential effects of SRS across BM’s.http://www.sciencedirect.com/science/article/pii/S258900422400823XGenomicsGenomic analysisCancer systems biologyCancer
spellingShingle Jack M. Shireman
Quinn White
Zijian Ni
Chitrasen Mohanty
Yujia Cai
Lei Zhao
Namita Agrawal
Nikita Gonugunta
Xiaohu Wang
Liam Mccarthy
Varshitha Kasulabada
Akshita Pattnaik
Atique U. Ahmed
James Miller
Charles Kulwin
Aaron Cohen-Gadol
Troy Payner
Chih-Ta Lin
Jesse J. Savage
Brandon Lane
Kevin Shiue
Aaron Kamer
Mitesh Shah
Gopal Iyer
Gordon Watson
Christina Kendziorski
Mahua Dey
Genomic analysis of human brain metastases treated with stereotactic radiosurgery reveals unique signature based on treatment failure
iScience
Genomics
Genomic analysis
Cancer systems biology
Cancer
title Genomic analysis of human brain metastases treated with stereotactic radiosurgery reveals unique signature based on treatment failure
title_full Genomic analysis of human brain metastases treated with stereotactic radiosurgery reveals unique signature based on treatment failure
title_fullStr Genomic analysis of human brain metastases treated with stereotactic radiosurgery reveals unique signature based on treatment failure
title_full_unstemmed Genomic analysis of human brain metastases treated with stereotactic radiosurgery reveals unique signature based on treatment failure
title_short Genomic analysis of human brain metastases treated with stereotactic radiosurgery reveals unique signature based on treatment failure
title_sort genomic analysis of human brain metastases treated with stereotactic radiosurgery reveals unique signature based on treatment failure
topic Genomics
Genomic analysis
Cancer systems biology
Cancer
url http://www.sciencedirect.com/science/article/pii/S258900422400823X
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