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Published on: September 19, 2018
Oncogenic pathway signatures in human cancers as a guide to targeted therapies
Andrea H Bild1, Guang Yao, Jeffrey T Chang
1Institute for Genome Sciences and Policy, Duke University, Durham, North Carolina 27708, USA.
Abstract:
The development of an oncogenic state is a complex process involving the accumulation of multiple independent mutations that lead to deregulation of cell signalling pathways central to the control of cell growth and cell fate. The ability to define cancer subtypes, recurrence of disease and response to specific therapies using DNA microarray-based gene expression signatures has been demonstrated in multiple studies. Various studies have also demonstrated the potential for using gene expression profiles for the analysis of oncogenic pathways. Here we show that gene expression signatures can be identified that reflect the activation status of several oncogenic pathways. When evaluated in several large collections of human cancers, these gene expression signatures identify patterns of pathway deregulation in tumours and clinically relevant associations with disease outcomes. Combining signature-based predictions across several pathways identifies coordinated patterns of pathway deregulation that distinguish between specific cancers and tumour subtypes. Clustering tumours based on pathway signatures further defines prognosis in respective patient subsets, demonstrating that patterns of oncogenic pathway deregulation underlie the development of the oncogenic phenotype and reflect the biology and outcome of specific cancers. Predictions of pathway deregulation in cancer cell lines are also shown to predict the sensitivity to therapeutic agents that target components of the pathway. Linking pathway deregulation with sensitivity to therapeutics that target components of the pathway provides an opportunity to make use of these oncogenic pathway signatures to guide the use of targeted therapeutics.
Insights
Gene expression signatures reveal oncogenic pathway activation in human cancers, linking pathway deregulation to disease outcomes and therapeutic response. These signatures offer insights into cancer biology and personalized treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Cancer development involves accumulating mutations that deregulate cell signaling pathways controlling growth and fate.
- Gene expression signatures from DNA microarrays have shown potential in defining cancer subtypes, recurrence, and therapy response.
- Gene expression profiles can be utilized for analyzing oncogenic pathways.
Purpose of the Study:
- To identify gene expression signatures reflecting the activation status of oncogenic pathways.
- To evaluate these signatures in human cancers for patterns of pathway deregulation and associations with disease outcomes.
- To explore the potential of these signatures in predicting sensitivity to targeted cancer therapies.
Main Methods:
- Utilized DNA microarray-based gene expression profiling.
- Developed and evaluated gene expression signatures for oncogenic pathway activation.
- Analyzed large collections of human cancer data.
- Clustered tumors based on pathway signatures.
- Assessed predictions in cancer cell lines.
Main Results:
- Identified gene expression signatures that accurately reflect oncogenic pathway activation status.
- Demonstrated that these signatures identify patterns of pathway deregulation in tumors, correlating with clinical outcomes.
- Showed that combining pathway signatures distinguishes specific cancers and tumor subtypes.
- Clustering tumors by pathway signatures revealed prognostic information for patient subsets.
- Predicted drug sensitivity in cancer cell lines based on pathway deregulation.
Conclusions:
- Gene expression signatures can identify and reflect oncogenic pathway deregulation in human cancers.
- These signatures are linked to cancer biology, disease outcomes, and prognosis.
- Pathway deregulation signatures can predict sensitivity to targeted therapeutics, guiding personalized treatment strategies.
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