Genomic and Immune Landscape of Non-Small Cell Lung Cancer Brain Metastases.

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Tác giả: Andrew M Baschnagel, S Carson Callahan, Gopal Iyer, Justin C Jagodinsky, D Bryan Johnson, Manlu Liu, Rachel L Minne, Scott A Tomlins

Ngôn ngữ: eng

Ký hiệu phân loại: 691.99 Adhesives and sealants

Thông tin xuất bản: United States : JCO precision oncology , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 473796

PURPOSE: Metastatic spread of non-small cell lung cancer (NSCLC) to the brain is a commonly occurring and challenging clinical problem, often resulting in patient mortality. Systemic therapies including immunotherapy have modest efficacy in treating brain metastases. Moreover, the local immune environment of brain metastases remains poorly described. This study aims to understand the genomic and immune landscape of NSCLC brain metastases. METHODS: A total of 3,060 patients with NSCLC sequenced with the Strata Select assay on the Strata Oncology Platform were analyzed. Genomic alterations, tumor mutation burden (TMB), RESULTS: A significant increase in TMB was observed in the brain metastasis samples compared with nonbrain metastasis samples. Mutations in CONCLUSION: The overall TMB is increased within brain metastases compared with primary lung and other metastasis sites and is associated with a markedly diminished overall immune landscape. The identification of an immune-enriched brain metastasis subgroup suggests potential heterogeneity within the brain metastasis patient cohort, which might have implications for the development of targeted therapies.
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