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Updated: Aug 19, 2026

Integration of Wet and Dry Bench Processes Optimizes Targeted Next-generation Sequencing of Low-quality and Low-quantity Tumor Biopsies
Published on: April 11, 2016
Pathology of the future: molecular profiling for targeted therapy
Virginia Espina1, David Geho, Arpita I Mehta
1National Cancer Institute, Laboratory of Pathology, Bethesda, Maryland, USA.
Abstract:
Recent evidence suggests that each patient's cancer has a unique subset of molecular pathogenetic derangements. These derangements may both genetic and proteomic alterations. Genomic and proteomic research tools enable genome-wide assessment of gene expression as well as kinase driven cell signaling events. These tools are illuminating the molecular derangements of individual tumors, even if these tumors have similar morphological characteristics. A combination of laser capture microdissection with multiplexed phosphoproteomic analysis using reverse phase protein microarray technology is being used to identify protein molecular signatures of individual tumors. The in vivo state of multiple kinase driven signal pathways may be evaluated by reverse phase protein microarray with a panel of specific antibodies developed based upon our knowledge of biological processes. Molecular profiling of individual patient's tumors is currently being evaluated in clinical trials at the National Institutes of Health, National Cancer Institute for monitoring Epidermal Growth Factor (EGF) cell signaling events for patients with breast and ovarian cancer.
Insights
This study highlights unique molecular derangements in individual cancers using advanced genomic and proteomic tools. These techniques identify specific protein signatures for personalized cancer treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Proteomics
Background:
- Cancer exhibits unique molecular pathogenetic derangements, including genetic and proteomic alterations.
- Genome-wide assessment tools reveal molecular differences in tumors, even those with similar morphology.
Purpose of the Study:
- To illuminate the molecular derangements of individual tumors.
- To identify protein molecular signatures of individual tumors using advanced proteomic analysis.
- To evaluate kinase-driven signal pathways in vivo for personalized cancer monitoring.
Main Methods:
- Utilizing laser capture microdissection combined with multiplexed phosphoproteomic analysis.
- Employing reverse phase protein microarray technology with specific antibody panels.
- Assessing the in vivo state of multiple kinase-driven signal pathways.
Main Results:
- Identification of unique protein molecular signatures for individual tumors.
- Evaluation of kinase-driven signal pathways provides insights into tumor biology.
- Molecular profiling enables a deeper understanding of cancer heterogeneity.
Conclusions:
- Advanced genomic and proteomic tools are crucial for understanding individual cancer molecular profiles.
- Molecular profiling holds promise for personalized cancer therapies and monitoring.
- Clinical trials are underway to evaluate these methods for breast and ovarian cancer, focusing on Epidermal Growth Factor signaling.
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