Brain metastasis hacks brain activity and jams neuronal communication

Understanding the impact of brain metastasis on neuronal communication

Introduction

Researchers from the Spanish National Research Council (CSIC) and the Spanish National Cancer Research Centre (CNIO) have made a ground-breaking discovery related to brain metastasis and its impact on brain activity and neuronal communication. This finding could potentially explain why half of all patients with brain metastasis experience cognitive impairment.

Understanding the influence on neural circuits

The research, published in Cancer Cell, aimed to comprehend how brain metastasis affects the functionality of neuronal circuits beyond the physical mass of the tumour. The researchers conducted multidimensional modelling of brain functional analyses in the context of brain metastasis and tested various preclinical models from different primary sources and oncogenic profiles.

The study was able to separate the effect on local field potential oscillatory activity from cortical and hippocampal areas. This helped researchers learn more about the different ways that brain metastasis can affect people. The authors highlighted the importance of this comprehensive approach in unravelling the complex dynamics of brain metastasis.

Detecting metastases through electrical activity

Through the measurement of electrical activity in the brains of mice with and without metastases, the researchers discovered distinct electrophysiological differences between the two groups. The researchers used artificial intelligence to confirm that metastases were indeed to blame for these differences.

Using an automatic algorithm trained with numerous electrophysiological recordings, the researchers developed a model that could accurately identify the presence of metastases. Furthermore, the algorithm demonstrated the ability to distinguish metastases originating from different primary tumours, such as skin, lung, and breast cancer. These findings provide clear evidence of the specific impact that metastasis has on the brain's electrical activity.

Paradigm shift in understanding brain metastases

The study represents a significant paradigm shift in the understanding of brain metastases. Traditionally, neurological dysfunction in patients with brain metastasis was attributed solely to the physical mass effect of the tumour. However, this research indicates that changes in brain activity resulting from tumour-induced biochemical and molecular alterations also contribute to these symptoms.

The implications of this paradigm shift are far-reaching and have potential implications for the prevention, early diagnosis, and treatment of brain metastasis. By recognising that neurological symptoms are not solely due to the physical presence of the tumour, medical professionals can explore novel diagnostic and therapeutic strategies.

Potential therapeutic targets

Looking ahead, the researchers are eager to explore potential therapeutic targets that can protect the brain from cancer-induced disruptions in neuronal circuits. They aim to identify molecules involved in metastasis-induced changes in neuronal communication, intending to evaluate them as possible therapeutic targets. The researchers want to create strategies that might stop or lessen the neurological dysfunction that patients frequently experience by understanding the biochemical and molecular changes brought on by brain metastasis. This could lead to advancements in the prevention, early diagnosis, and treatment of brain metastasis, ultimately improving patient outcomes.

Conclusion

The groundbreaking studies carried out by the Spanish National Research Council and the Spanish National Cancer Research Centre have shed light on how brain metastasis affects brain activity and neuronal communication. By dissociating the effects of tumour mass from changes in brain activity, the study has revealed the complex dynamics of brain metastasis and its contribution to cognitive impairment in patients. The discovery of distinct electrophysiological differences and the development of an algorithm to detect metastases offer promising opportunities for early diagnosis and personalised treatment. This paradigm shift in understanding brain metastases opens the door for novel diagnostic and therapeutic strategies, as well as the exploration of potential therapeutic targets to protect the brain from cancer-induced disruptions. With further research, it is hopeful that advancements in the prevention, early diagnosis, and treatment of brain metastasis will improve patient outcomes and lead to a better understanding of neurological dysfunction in these patients.

Written by Sara Maria Majernikova

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REFERENCE

Sanchez-Aguilera A, Masmudi-Martín M, Navas-Olive A, Baena P, Hernández-Oliver C, Priego N, Cordón-Barris L, Alvaro-Espinosa L, García S, Martínez S et al: Machine learning identifies experimental brain metastasis subtypes based on their influence on neural circuits. Cancer Cell 2023, 41(9):1637-1649.e1611.