Breast Cancer with Brain Metastasis: Molecular Insights and Clinical Management DOI Open Access
Mariia Ivanova, Francesca Porta, Federica Giugliano

et al.

Genes, Journal Year: 2023, Volume and Issue: 14(6), P. 1160 - 1160

Published: May 26, 2023

Breast cancer is the most frequently diagnosed malignancy worldwide and leading cause of cancer-related death among women. Brain metastases are a primary contributor to mortality, as they often go undetected until late stages due their dormant nature. Moreover, clinical management brain complicated by relevant issue blood-brain barrier penetration. The molecular pathways involved in formation, progression, colonization breast tumors subsequent diverse, posing significant hurdles heterogeneous nature subtypes. Despite advancements treatments, prognosis for patients with remains poor. In this review, we aim highlight biological mechanisms evaluating multi-step genetic discuss currently available emerging treatment strategies propose prospective overview complex disease.

Language: Английский

Radiation Therapy for Brain Metastases: An ASTRO Clinical Practice Guideline DOI Open Access

Vinai Gondi,

Glenn Bauman, Lisa Bradfield

et al.

Practical Radiation Oncology, Journal Year: 2022, Volume and Issue: 12(4), P. 265 - 282

Published: May 6, 2022

Language: Английский

Citations

202

Interrogation of endothelial and mural cells in brain metastasis reveals key immune-regulatory mechanisms DOI Creative Commons
Leire Bejarano,

Annamaria Kauzlaric,

Eleni Lamprou

et al.

Cancer Cell, Journal Year: 2024, Volume and Issue: 42(3), P. 378 - 395.e10

Published: Jan. 21, 2024

Brain metastasis (BrM) is a common malignancy, predominantly originating from lung, melanoma, and breast cancers. The vasculature key component of the BrM tumor microenvironment with critical roles in regulating metastatic seeding progression. However, heterogeneity major vascular components, namely endothelial mural cells, still poorly understood. We perform single-cell bulk RNA-sequencing sorted cell types detect multiple subtypes enriched specifically compared to non-tumor brain, including previously unrecognized immune regulatory subtypes. integrate human data mouse models, creating platform interrogate targets for treatment BrM. find that CD276 checkpoint molecule significantly upregulated vasculature, anti-CD276 blocking antibodies prolonged survival preclinical trials. This study provides important insights into complex interactions between cancer translational relevance designing therapeutic interventions.

Language: Английский

Citations

28

The study of primary and acquired resistance to first-line osimertinib to improve the outcome of EGFR-mutated advanced Non-small cell lung cancer patients: the challenge is open for new therapeutic strategies DOI Creative Commons
Alessandra Ferro,

G.M. Marinato,

C. Mulargiu

et al.

Critical Reviews in Oncology/Hematology, Journal Year: 2024, Volume and Issue: 196, P. 104295 - 104295

Published: Feb. 20, 2024

The development of targeted therapy in epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC) patients has radically changed their clinical perspectives. Current first-line standard treatment for advanced disease is commonly considered third-generation tyrosine kinase inhibitors (TKI), osimertinib. study primary and acquired resistance to front-line osimertinib one the main burning issues further improve patients' outcome. Great heterogeneity been depicted terms duration benefit pattern progression this might be related molecular factors including subtypes EGFR mutations concomitant genetic alterations. Acquired can categorized into two classes: EGFR-dependent EGFR-independent mechanisms specific have demonstrated. purpose manuscript provide a comprehensive overview literature about osimertinib, from perspective therefore relationship emerging therapeutic approaches.

Language: Английский

Citations

22

Evolution of Surgical Robot Systems Enhanced by Artificial Intelligence: A Review DOI
Yanzhen Liu, Xinbao Wu, Yudi Sang

et al.

Advanced Intelligent Systems, Journal Year: 2024, Volume and Issue: 6(5)

Published: April 21, 2024

Surgical robot systems (SRS) represent an innovative cross‐disciplinary research field using robotic technology to assist surgeons in operations. Current bottlenecks SRS, such as the limited ability process complex information and make surgical decisions, have not been effectively solved. Artificial intelligence (AI) is a valuable technique for simulating extending human intelligence. AI offers new direction impetus SRS by enhancing performance areas perception, navigation, planning, control strategies. This review introduces developmental history of AI‐aided summarizes basic architecture, analyzes how can improve performance. Classical cases impact evidence clinical settings, associated ethical legal considerations are explored. Finally, challenges discussed, including algorithm development, data science, human–robot coordination, trust building between humans robots.

Language: Английский

Citations

17

Brain metastasis detection using machine learning: a systematic review and meta-analysis DOI Creative Commons
Se Jin Cho, Leonard Sunwoo, Sung Hyun Baik

et al.

Neuro-Oncology, Journal Year: 2020, Volume and Issue: 23(2), P. 214 - 225

Published: Oct. 13, 2020

Accurate detection of brain metastasis (BM) is important for cancer patients. We aimed to systematically review the performance and quality machine-learning-based BM on MRI in relevant literature.

Language: Английский

Citations

88

Compensatory CSF2-driven macrophage activation promotes adaptive resistance to CSF1R inhibition in breast-to-brain metastasis DOI
Florian Klemm,

Aylin Möckl,

Anna Salamero‐Boix

et al.

Nature Cancer, Journal Year: 2021, Volume and Issue: 2(10), P. 1086 - 1101

Published: Oct. 18, 2021

Language: Английский

Citations

74

Disrupting tumour vasculature and recruitment of aPDL1-loaded platelets control tumour metastasis DOI Creative Commons
Hongjun Li, Zejun Wang, Zhaowei Chen

et al.

Nature Communications, Journal Year: 2021, Volume and Issue: 12(1)

Published: May 13, 2021

Abstract Although therapies of cancer are advancing, it remains challenging for therapeutics to reach the sites metastasis, which accounts majority associated death. In this study, we have developed a strategy that guides an anti-programmed cell death-ligand 1 (aPDL1) antibody accumulate in metastatic lesions promote anti-tumour immune responses. Briefly, combination Vadimezan disrupts tumour blood vessels metastases and facilitates recruitment activation adoptively transferred aPDL1-conjugated platelets. situ activated platelets generate aPDL1-decorated platelet-derived microparticles (PMP) diffuse within elicit The proposed increases 10-fold aPDL1 accumulation lung as compared intravenous administration enhances magnitude responses leading improved antitumour effects.

Language: Английский

Citations

60

Stratification of radiosensitive brain metastases based on an actionable S100A9/RAGE resistance mechanism DOI Creative Commons

Cátia Monteiro,

Lauritz Miarka,

María Perea-García

et al.

Nature Medicine, Journal Year: 2022, Volume and Issue: 28(4), P. 752 - 765

Published: April 1, 2022

Abstract Whole-brain radiotherapy (WBRT) is the treatment backbone for many patients with brain metastasis; however, its efficacy in preventing disease progression and associated toxicity have questioned clinical impact of this approach emphasized need alternative treatments. Given limited therapeutic options available these poor understanding molecular mechanisms underlying resistance metastatic lesions to WBRT, we sought uncover actionable targets biomarkers that could help refine patient selection. Through an unbiased analysis experimental vivo models metastasis resistant identified activation S100A9–RAGE–NF-κB–JunB pathway metastases as a potential mediator organ. Targeting genetically or pharmacologically was sufficient revert WBRT increase benefits at lower doses radiation. In primary melanoma, lung breast adenocarcinoma developing metastasis, endogenous S100A9 levels correlated response underscored blood noninvasive biomarker. Collectively, provide framework personalize improve through combination radiosensitizer balances benefit toxicity.

Language: Английский

Citations

56

The radiomic-clinical model using the SHAP method for assessing the treatment response of whole-brain radiotherapy: a multicentric study DOI

Yixin Wang,

Jinwei Lang,

Joey Zhaoyu Zuo

et al.

European Radiology, Journal Year: 2022, Volume and Issue: 32(12), P. 8737 - 8747

Published: June 9, 2022

Language: Английский

Citations

44

Crosstalk between small-cell lung cancer cells and astrocytes mimics brain development to promote brain metastasis DOI

Fangfei Qu,

Siqi Cao,

Wojciech Michno

et al.

Nature Cell Biology, Journal Year: 2023, Volume and Issue: 25(10), P. 1506 - 1519

Published: Oct. 1, 2023

Language: Английский

Citations

36