Metastatic brain tumors: from development to cutting‐edge treatment

Abstract Metastatic brain tumors, also called brain metastasis (BM), represent a challenging complication of advanced tumors. Tumors that commonly metastasize to the brain include lung cancer and breast cancer. In recent years, the prognosis for BM patients has improved, and significant advancements...

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Main Authors: Guilong Tanzhu, Liu Chen, Jiaoyang Ning, Wenxiang Xue, Ce Wang, Gang Xiao, Jie Yang, Rongrong Zhou
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:MedComm
Subjects:
Online Access:https://doi.org/10.1002/mco2.70020
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author Guilong Tanzhu
Liu Chen
Jiaoyang Ning
Wenxiang Xue
Ce Wang
Gang Xiao
Jie Yang
Rongrong Zhou
author_facet Guilong Tanzhu
Liu Chen
Jiaoyang Ning
Wenxiang Xue
Ce Wang
Gang Xiao
Jie Yang
Rongrong Zhou
author_sort Guilong Tanzhu
collection DOAJ
description Abstract Metastatic brain tumors, also called brain metastasis (BM), represent a challenging complication of advanced tumors. Tumors that commonly metastasize to the brain include lung cancer and breast cancer. In recent years, the prognosis for BM patients has improved, and significant advancements have been made in both clinical and preclinical research. This review focuses on BM originating from lung cancer and breast cancer. We briefly overview the history and epidemiology of BM, as well as the current diagnostic and treatment paradigms. Additionally, we summarize multiomics evidence on the mechanisms of tumor occurrence and development in the era of artificial intelligence and discuss the role of the tumor microenvironment. Preclinically, we introduce the establishment of BM models, detailed molecular mechanisms, and cutting‐edge treatment methods. BM is primarily treated with a comprehensive approach, including local treatments such as surgery and radiotherapy. For lung cancer, targeted therapy and immunotherapy have shown efficacy, while in breast cancer, monoclonal antibodies, tyrosine kinase inhibitors, and antibody–drug conjugates are effective in BM. Multiomics approaches assist in clinical diagnosis and treatment, revealing the complex mechanisms of BM. Moreover, preclinical agents often need to cross the blood–brain barrier to achieve high intracranial concentrations, including small‐molecule inhibitors, nanoparticles, and peptide drugs. Addressing BM is imperative.
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spelling doaj-art-d01eb846f49a4addbaf568fb1daf76ca2025-01-20T01:45:44ZengWileyMedComm2688-26632025-01-0161n/an/a10.1002/mco2.70020Metastatic brain tumors: from development to cutting‐edge treatmentGuilong Tanzhu0Liu Chen1Jiaoyang Ning2Wenxiang Xue3Ce Wang4Gang Xiao5Jie Yang6Rongrong Zhou7Department of Oncology Xiangya Hospital Central South University Changsha ChinaDepartment of Oncology Xiangya Hospital Central South University Changsha ChinaDepartment of Oncology Xiangya Hospital Central South University Changsha ChinaNHC Key Laboratory of Radiobiology School of Public Health Jilin University Changchun Jilin ChinaDepartment of Radiology China‐Japan Friendship Hospital Beijing ChinaDepartment of Oncology Xiangya Hospital Central South University Changsha ChinaDepartment of Oncology Xiangya Hospital Central South University Changsha ChinaDepartment of Oncology Xiangya Hospital Central South University Changsha ChinaAbstract Metastatic brain tumors, also called brain metastasis (BM), represent a challenging complication of advanced tumors. Tumors that commonly metastasize to the brain include lung cancer and breast cancer. In recent years, the prognosis for BM patients has improved, and significant advancements have been made in both clinical and preclinical research. This review focuses on BM originating from lung cancer and breast cancer. We briefly overview the history and epidemiology of BM, as well as the current diagnostic and treatment paradigms. Additionally, we summarize multiomics evidence on the mechanisms of tumor occurrence and development in the era of artificial intelligence and discuss the role of the tumor microenvironment. Preclinically, we introduce the establishment of BM models, detailed molecular mechanisms, and cutting‐edge treatment methods. BM is primarily treated with a comprehensive approach, including local treatments such as surgery and radiotherapy. For lung cancer, targeted therapy and immunotherapy have shown efficacy, while in breast cancer, monoclonal antibodies, tyrosine kinase inhibitors, and antibody–drug conjugates are effective in BM. Multiomics approaches assist in clinical diagnosis and treatment, revealing the complex mechanisms of BM. Moreover, preclinical agents often need to cross the blood–brain barrier to achieve high intracranial concentrations, including small‐molecule inhibitors, nanoparticles, and peptide drugs. Addressing BM is imperative.https://doi.org/10.1002/mco2.70020diagnosis and treatmentmetastatic brain tumorsmolecular mechanismsmultiomicstumor microenvironment
spellingShingle Guilong Tanzhu
Liu Chen
Jiaoyang Ning
Wenxiang Xue
Ce Wang
Gang Xiao
Jie Yang
Rongrong Zhou
Metastatic brain tumors: from development to cutting‐edge treatment
MedComm
diagnosis and treatment
metastatic brain tumors
molecular mechanisms
multiomics
tumor microenvironment
title Metastatic brain tumors: from development to cutting‐edge treatment
title_full Metastatic brain tumors: from development to cutting‐edge treatment
title_fullStr Metastatic brain tumors: from development to cutting‐edge treatment
title_full_unstemmed Metastatic brain tumors: from development to cutting‐edge treatment
title_short Metastatic brain tumors: from development to cutting‐edge treatment
title_sort metastatic brain tumors from development to cutting edge treatment
topic diagnosis and treatment
metastatic brain tumors
molecular mechanisms
multiomics
tumor microenvironment
url https://doi.org/10.1002/mco2.70020
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AT liuchen metastaticbraintumorsfromdevelopmenttocuttingedgetreatment
AT jiaoyangning metastaticbraintumorsfromdevelopmenttocuttingedgetreatment
AT wenxiangxue metastaticbraintumorsfromdevelopmenttocuttingedgetreatment
AT cewang metastaticbraintumorsfromdevelopmenttocuttingedgetreatment
AT gangxiao metastaticbraintumorsfromdevelopmenttocuttingedgetreatment
AT jieyang metastaticbraintumorsfromdevelopmenttocuttingedgetreatment
AT rongrongzhou metastaticbraintumorsfromdevelopmenttocuttingedgetreatment