OMRT-9. Effect of Pre-Operative Stereotactic Radiosurgery on Brain Metastasis: Analysis of DNA and RNA Genomic Profiles from Phase-II Clinical Trial NCT03398694
Autor: | Gordon A. Watson, Wei X. Huff, Namita Agrawal, Jack Shireman, Gina N. Monaco, Mahua Dey |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Oncology
medicine.medical_specialty business.industry medicine.medical_treatment Phases of clinical research Cancer RNA medicine.disease Radiosurgery Supplement Abstracts Clinical trial chemistry.chemical_compound Final Category: Omics of Response to Therapy chemistry Internal medicine parasitic diseases Medicine AcademicSubjects/MED00300 AcademicSubjects/MED00310 business Gene DNA Brain metastasis |
Zdroj: | Neuro-oncology Advances |
ISSN: | 2632-2498 |
Popis: | Background With improved systemic therapy that has limited impact on the intracranial compartment, the incidence of brain metastasis (BM) from solid cancers is rising and negatively impacting patient’s overall survival (OS). Treatment varies based on presentation, however, for patients with Methods Post-SRS resected tumor specimens were divided into two groups: ‘center’ and ‘periphery’ with respect to the center of SRS treatment with periphery within 50% isodose line. Previously resected untreated BMs were used as control. DNA and RNA were isolated from all samples for sequencing. Conclusions Our initial analyses show that pre-treatment with SRS, results in significant genomic changes at DNA and RNA levels throughout the tumor, in both center as well as periphery. Furthermore, significant transcriptomic differences were noted among matched samples between the central and peripheral SRS locations implicating differential effect of SRS dosing within a tumor. Initial gene ontological analysis on non-small cell lung cancer samples demonstrated an overexpression of WNT and BMP signaling pathways (p |
Databáze: | OpenAIRE |
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