Evolutionary dynamics of residual disease in human glioblastoma

Spiteri I., Caravagna G., Cresswell G. D., Vatsiou A., Nichol D., ACAR A., ...More

ANNALS OF ONCOLOGY, vol.30, no.3, pp.456-463, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 30 Issue: 3
  • Publication Date: 2019
  • Doi Number: 10.1093/annonc/mdy506
  • Journal Name: ANNALS OF ONCOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.456-463
  • Keywords: glioblastoma, tumour margin, sub-ventricular zone, cancer evolution, phylogenetics, GENOMIC CHARACTERIZATION, REVEALS, LANDSCAPE, CELLS
  • Middle East Technical University Affiliated: No


Background Glioblastoma is the most common and aggressive adult brain malignancy against which conventional surgery and chemoradiation provide limited benefit. Even when a good treatment response is obtained, recurrence inevitably occurs either locally (approximate to 80%) or distally (approximate to 20%), driven by cancer clones that are often genomically distinct from those in the primary tumour. Glioblastoma cells display a characteristic infiltrative phenotype, invading the surrounding tissue and often spreading across the whole brain. Cancer cells responsible for relapse can reside in two compartments of residual disease that are left behind after treatment: the infiltrated normal brain parenchyma and the sub-ventricular zone. However, these two sources of residual disease in glioblastoma are understudied because of the difficulty in sampling these regions during surgery.