Peer-Reviewed Publication
Eur J Cancer2026;246116988.August 13, 2026Journal Article

Immune remodelling and molecular profiling of progressive brain metastases following cranial radiotherapy.

Ariane Steindl1, Angelika M Starzer1, Erwin Tomasich1, Markus Kleinberger1, Luzia Berchtold1, Franziska Eckert2, Georg Widhalm3, Brigitte Gatterbauer3, Johannes A Hainfellner4, Lisa Wozelka-Oltjan5, Bekir Erguener6, Michael Schuster6, Christoph Bock6, Gerwin Heller7, Matthias Preusser1, Anna S Berghoff8
1Division of Oncology, Department of Medicine I, Medical University of Vienna, Austria; Christian Doppler Laboratory for Personalized Immunotherapy, Department of Medicine I, Division of Oncology, Medical University of Vienna, Austria.
2Department of Radiation Oncology, Medical University of Vienna, Austria.
3Department of Neurosurgery, Medical University of Vienna, Austria.
4Division of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Austria.
5Department of Pathology, Medical University of Vienna, Vienna, Austria.
6CeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria; Institute of Artificial Intelligence, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
7Division of Oncology, Department of Medicine I, Medical University of Vienna, Austria.
8Division of Oncology, Department of Medicine I, Medical University of Vienna, Austria; Christian Doppler Laboratory for Personalized Immunotherapy, Department of Medicine I, Division of Oncology, Medical University of Vienna, Austria. Electronic address: anna.berghoff@meduniwien.ac.at.

Abstract

PURPOSE: Given the early recurrence of brain metastasis (BM), identifying factors that drive BM progression is of clinical interest. This study investigates genetic, epigenetic, and inflammatory signatures in progressive BM following different therapeutic approaches. METHODS: A total of 153 patients who underwent surgical resection for progressive BM were grouped according to the therapeutic stra…

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