4.3 Article

Analysis of temozolomide resistance in low-grade gliomas using a mechanistic mathematical model

Journal

FUNDAMENTAL & CLINICAL PHARMACOLOGY
Volume 31, Issue 3, Pages 347-358

Publisher

WILEY
DOI: 10.1111/fcp.12259

Keywords

low-grade glioma; mathematical model; resistance; temozolomide; tumor growth inhibition

Funding

  1. LabEx PERSYVAL-Lab - French program Investissement d'avenir [ANR-11-LABX-0025-01]

Ask authors/readers for more resources

Understanding how tumors develop resistance to chemotherapy is a major issue in oncology. When treated with temozolomide (TMZ), an oral alkylating chemotherapy drug, most low-grade gliomas (LGG) show an initial volume decrease but this effect is rarely long lasting. In addition, it has been suggested that TMZ may drive tumor progression in a subset of patients as a result of acquired resistance. Using longitudinal tumor size measurements from 121 patients, the aim of this study was to develop a semi-mechanistic mathematical model to determine whether resistance of LGG to TMZ was more likely to result from primary and/or from chemotherapy-induced acquired resistance that may contribute to tumor progression. We applied the model to a series of patients treated upfront with TMZ (n=109) or PCV (procarbazine, CCNU, vincristine) chemotherapy (n=12) and used a population mixture approach to classify patients according to the mechanism of resistance most likely to explain individual tumor growth dynamics. Our modeling results predicted acquired resistance in 51% of LGG treated with TMZ. In agreement with the different biological effects of nitrosoureas, none of the patients treated with PCV were classified in the acquired resistance group. Consistent with the mutational analysis of recurrent LGG, analysis of growth dynamics using mathematical modeling suggested that in a subset of patients, TMZ might paradoxically contribute to tumor progression as a result of chemotherapy-induced resistance. Identification of patients at risk of developing acquired resistance is warranted to better define the role of TMZ in LGG.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Oncology

Radiotherapy combined with nivolumab or temozolomide for newly diagnosed glioblastoma with unmethylated MGMT promoter: An international randomized phase III trial

Antonio Omuro, Alba A. Brandes, Antoine F. Carpentier, Ahmed Idbaih, David A. Reardon, Timothy Cloughesy, Ashley Sumrall, Joachim Baehring, Martin van den Bent, Oliver Bahr, Giuseppe Lombardi, Paul Mulholland, Ghazaleh Tabatabai, Ulrik Lassen, Juan Manuel Sepulveda, Mustafa Khasraw, Elodie Vauleon, Yoshihiro Muragaki, Anna Maria Di Giacomo, Nicholas Butowski, Patrick Roth, Xiaozhong Qian, Alex Z. Fu, Yanfang Liu, Von Potter, Alexandros-Georgios Chalamandaris, Kay Tatsuoka, Michael Lim, Michael Weller

Summary: This study showed that TMZ + RT had better efficacy than NIVO + RT in newly diagnosed GBM patients with unmethylated MGMT promoter. However, no new safety signals were detected with NIVO in this study.

NEURO-ONCOLOGY (2023)

Article Oncology

Incidence and characteristics of pseudoprogression in IDH-mutant high-grade gliomas: A POLA network study

Antoine Seyve, Caroline Dehais, Olivier Chinot, Apolline Djelad, Elisabeth Cohen-Moyal, Charlotte Bronnimann, Carole Gourmelon, Evelyne Emery, Philippe Colin, Mathieu Boone, Elodie Vauleon, Olivier Langlois, Anna-Luisa Di Stefano, Romuald Seizeur, Francois Ghiringhelli, Anne D'Hombres, Loic Feuvret, Jacques Guyotat, Laurent Capelle, Catherine Carpentier, Louis Garnier, Jerome Honnorat, David Meyronet, Karima Mokhtari, Dominique Figarella-Branger, Francois Ducray

Summary: This study investigates the incidence and characteristics of pseudoprogression in isocitrate dehydrogenase-mutant high-grade gliomas (IDHmt HGG). It suggests that pseudoprogression is not only frequent but also frequently misdiagnosed in IDHmt HGG patients. The study highlights the importance of considering pseudoprogression within the first 2 years after radiotherapy.

NEURO-ONCOLOGY (2023)

Article Oncology

Thrombocytopenia limits the feasibility of salvage lomustine chemotherapy in recurrent glioblastoma: a secondary analysis of EORTC 26101

Emilie Le Rhun, Felix Boakye Oppong, Martin van den Bent, Wolfgang Wick, Alba A. Brandes, Martin J. B. Taphoorn, Michael Platten, Ahmed Idbaih, Paul M. Clement, Matthias Preusser, Vassilis Golfinopoulos, Thierry Gorlia, Michael Weller

Summary: This study retrospectively analyzed the incidence of lomustine-induced thrombocytopenia and its impact on treatment exposure and survival in patients with recurrent glioblastoma. The results showed that thrombocytopenia induced by lomustine is a major limitation to adequate exposure to lomustine chemotherapy and is associated with inferior progression-free survival, particularly in patients with MGMT promoter-methylated tumors.

EUROPEAN JOURNAL OF CANCER (2023)

Article Clinical Neurology

Paraneoplastic neurological syndromes associated with renal or bladder cancer: case series and PRISMA-IPD systematic review

Macarena Villagran-Garcia, Sergio Muniz-Castrillo, Nicolas Lundahl Ciano-Petersen, Alberto Vogrig, Antonio Farina, Marine Villard, Dimitri Psimaras, Agusti Alentorn, David Goncalves, Nicole Fabien, Veronique Rogemond, Bastien Joubert, Jerome Honnorat

Summary: The link between renal cell and bladder cancer and paraneoplastic neurological syndromes (PNS) is rare and uncertain. This study clinically evaluated these associations and found that bladder cancer patients had higher detection rates of high-risk antibodies and higher certainty of PNS diagnosis.

JOURNAL OF NEUROLOGY (2023)

Review Clinical Neurology

CSF biomarkers in primary CNS lymphoma

L. Nguyen-Them, A. Alentorn, G. Ahle, C. Soussain, B. Mathon, M. Le Garff Tavernier, C. Houillier, K. Hoang-Xuan

Summary: PCNSL is a highly aggressive non-Hodgkin lymphoma that affects the brain, spinal cord, eyes, and leptomeninges. Early diagnosis is crucial for effective management, but it can be challenging due to misleading radiological presentations, steroid response bias, and contraindications for brain biopsy. In this review, various CSF biomarkers for diagnosis and prognosis of PCNSL will be discussed, highlighting their advantages and limitations.

REVUE NEUROLOGIQUE (2023)

Article Pathology

Molecular Characterization of Adult Tumors Diagnosed as Cerebellar Glioblastomas Identifies Subgroups Associated With Prognosis

Thiebaud Picart, Delphine Poncet, Marc Barritault, Luc Bauchet, Sonia Zouaoui, Jacques Guyotat, Mathieu Gabut, Frederic Fina, Jerome Honnorat, Dominique Figarella-Branger, Johan Pallud, Francois Ducray, David Meyronet

Summary: The aim of this study was to identify subgroups of cerebellar glioblastoma (cGBM) based on targeted molecular analysis. Eighty-three cGBM cases were included and classified into 6 mutually exclusive subgroups associated with age at diagnosis and prognosis. MAPK pathway-activating alterations were found to be associated with a better outcome.

AMERICAN JOURNAL OF SURGICAL PATHOLOGY (2023)

Article Multidisciplinary Sciences

Cellular senescence in malignant cells promotes tumor progression in mouse and patient Glioblastoma

Rana Salam, Alexa Saliou, Franck Bielle, Mathilde Bertrand, Christophe Antoniewski, Catherine Carpentier, Agusti Alentorn, Laurent Capelle, Marc Sanson, Emmanuelle Huillard, Lea Bellenger, Justine Guegan, Isabelle Le Roux

Summary: NRF2 regulates senescence in malignant cells and contributes to glioblastoma progression. Removal of p16(Ink4a)-expressing malignant senescent cells improves the tumor environment and survival of GBM-bearing mice. NRF2 transcription factor plays a key role in determining the senescent phenotype, and senolytic drug therapy may be beneficial for GBM patients.

NATURE COMMUNICATIONS (2023)

Article Multidisciplinary Sciences

RSL24D1 sustains steady-state ribosome biogenesis and pluripotency translational programs in embryonic stem cells

Sebastien Durand, Marion Bruelle, Fleur Bourdelais, Bigitha Bennychen, Juliana Blin-Gonthier, Caroline Isaac, Aurelia Huyghe, Sylvie Martel, Antoine Seyve, Christophe Vanbelle, Annie Adrait, Yohann Coute, David Meyronet, Frederic Catez, Jean-Jacques Diaz, Fabrice Lavial, Emiliano P. Ricci, Francois Ducray, Mathieu Gabut

Summary: The study reveals that RSL24D1 is highly expressed in both mouse and human pluripotent stem cells and is involved in the biogenesis of 60S subunits. Depletion of RSL24D1 impairs global translation, particularly of pluripotency factors and components from the Polycomb Repressive Complex 2 (PRC2), leading to altered self-renewal and lineage commitment choices in embryonic stem cells.

NATURE COMMUNICATIONS (2023)

Article Oncology

Association between objective neurocognitive functioning and neurocognitive complaints in recurrent high-grade glioma: Longitudinal evidence of cognitive awareness from EORTC brain tumour trials

Ivan Caramanna, Jaap C. Reijneveld, Peter M. van de Ven, Martin van de Bent, Ahmed Idbaih, Wolfgang Wick, Martin J. B. Taphoorn, Linda Dirven, Andrew Bottomley, Martin Klein

Summary: This study evaluated the cognitive awareness of patients with recurrent high-grade glioma (HGG) and found an association between neurocognitive functioning and complaints. The findings suggest that patients' awareness of their neurocognitive limitations should be considered in clinical decision-making and interpretation of patient-reported outcomes (PROs).

EUROPEAN JOURNAL OF CANCER (2023)

Review Oncology

Rare Neuronal, Glial and Glioneuronal Tumours in Adults

Nicolas Crainic, Julia Furtner, Johan Pallud, Franck Bielle, Giuseppe Lombardi, Roberta Ruda, Ahmed Idbaih

Summary: The 2021 WHO classification has improved the diagnostic criteria for rare glial, neuronal, and glioneuronal tumors. These tumors present challenges in terms of diagnosis and therapeutic management, and require multimodal parameters for accurate diagnosis. Complete resection of the tumor is crucial for treatment, and targeting MAPK pathway abnormalities could be a promising approach for novel drugs.

CANCERS (2023)

Review Oncology

Diagnosis and Treatment of Peripheral and Cranial Nerve Tumors with Expert Recommendations: An EUropean Network for RAre CANcers (EURACAN) Initiative

Alessia Pellerino, Robert M. Verdijk, Lucia Nichelli, Nicolaus H. Andratschke, Ahmed Idbaih, Roland Goldbrunner

Summary: The 2021 WHO classification of the CNS Tumors recognizes Peripheral nerve sheath tumors (PNST) as a distinct group with specific characteristics and recommends diagnostic and therapeutic approaches based on limited evidence due to their rarity. Diagnosis is mainly determined by histological analysis and immunohistochemistry, with genetic analysis required for mosaic forms of NF1 and SPS. MRI is the preferred method for assessing tumor extent. Complete resection is the preferred treatment, balancing nerve preservation. Radiotherapy can be omitted in benign and NF-related tumors. Systemic therapy is recommended for incompletely resected plexiform neurofibromas/MPNSTs, with MEK inhibitors and anthracycline-based treatment being potential options. Clinical trials on MEK1-2 inhibitors and mTOR inhibitors are underway for plexiform neurofibromas and MPNST, respectively.

CANCERS (2023)

Review Biochemistry & Molecular Biology

Spatial and Ecological Factors Modulate the Incidence of Anti-NMDAR Encephalitis-A Systematic Review

Agusti Alentorn, Giulia Berzero, Harry Alexopoulos, John Tzartos, German Reyes Botero, Andrea Morales Martinez, Sergio Muniz-Castrillo, Alberto Vogrig, Bastien Joubert, Francisco Garcia A. Jimenez, Dagoberto Cabrera, Jose Vladimir Tobon, Carolina Delgado, Patricio Sandoval, Monica Troncoso, Lorna Galleguillos, Marine Giry, Marion Benazra, Isaias Hernandez Verdin, Maelle Dade, Geraldine Picard, Veronique Rogemond, Nicolas Weiss, Marinos C. Dalakas, Pierre-Yves Boelle, Jean-Yves Delattre, Jerome Honnorat, Dimitri Psimaras

Summary: Anti-NMDAR encephalitis is associated with multiple antigenic triggers and this study aimed to explore if geographic and climatic factors may influence disease risk. Through a systematic review and meta-analysis, they found that the incidence of anti-NMDAR encephalitis varies among countries, with higher rates in Oceania and South America compared to Europe and North America. Regression models confirmed a strong negative correlation with latitude and seasonal analyses showed a peak of cases during warm months. Exposure-lag-response models revealed a positive correlation between extreme hot temperatures and disease incidence in France.

BIOMEDICINES (2023)

Article Oncology

Prognostic Markers of DNA Methylation and Next-Generation Sequencing in Progressive Glioblastoma from the EORTC-26101 Trial

Tobias Kessler, Daniel Schrimpf, Laura Doerner, Ling Hai, Leon D. Kaulen, Jakob Ito, Martin van den Bent, Martin Taphoorn, Alba A. Brandes, Ahmed Idbaih, Julien Domont, Paul M. Clement, Mario Campone, Martin Bendszus, Andreas von Deimling, Felix Sahm, Michael Platten, Wolfgang Wick, Antje Wick

Summary: The EORTC-26101 study investigated the efficacy of combination therapy with bevacizumab and lomustine versus lomustine alone in progressive glioblastoma. Molecular data from DNA methylation arrays and panel sequencing were analyzed to assess prognostic biomarkers. The study found that MGMT promoter methylation and RTK1 classifier assignment were prognostic factors, while NF1 mutation may predict response to bevacizumab treatment.

CLINICAL CANCER RESEARCH (2023)

Article Biochemistry & Molecular Biology

Genomic Exploration of Distinct Molecular Phenotypes Steering Temozolomide Resistance Development in Patient-Derived Glioblastoma Cells

Federica Fabro, Trisha V. Kers, Kate J. Feller, Cecile Beerens, Ioannis Ntafoulis, Ahmed Idbaih, Maite Verreault, Kate Connor, Archita Biswas, Manuela Salvucci, Jochen H. M. Prehn, Annette T. Byrne, Alice C. O'Farrell, Diether Lambrechts, Gonca Dilcan, Francesca Lodi, Ingrid Arijs, Andreas Kremer, Romain Tching Chi Yen, Miao-Ping Chien, Martine L. M. Lamfers, Sieger Leenstra

Summary: Chemotherapy using temozolomide is the standard treatment for glioblastoma, but temozolomide resistance remains a challenge. This study reveals the association between resistance and heterogeneity in glioblastoma, and identifies distinct phenotypic behaviors and gene expressions in response to temozolomide. The adaptability and heterogeneity of glioblastoma cells contribute to their ability to survive and develop resistance mechanisms.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

Review Oncology

Present and Future of Immunotherapy in Patients With Glioblastoma: Limitations and Opportunities

Marta Maccari, Chooyoung Baek, Mario Caccese, Susanna Mandruzzato, Alba Fiorentino, Valeria Interno, Alberto Bosio, Giulia Cerretti, Marta Padovan, Ahmed Idbaih, Giuseppe Lombardi

Summary: Glioblastoma (GBM) is a common and aggressive brain tumor with poor treatment outcomes. Standard therapies have not been effective, leading to a growing interest in immunotherapic approaches. However, GBM is highly immunosuppressive, which may explain the failures of immunotherapy clinical trials. This review examines the current landscape of immunotherapy strategies in GBM, focusing on the challenge of immunoresistance and potential mechanisms to overcome it.

ONCOLOGIST (2023)

No Data Available