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Updated: Jul 13, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
A strategy for predicting the chemosensitivity of human cancers and its application to drug discovery
Jae K Lee1, Dmytro M Havaleshko, Hyungjun Cho
1Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22908, USA.
Abstract:
The U.S. National Cancer Institute has used a panel of 60 diverse human cancer cell lines (the NCI-60) to screen >100,000 chemical compounds for anticancer activity. However, not all important cancer types are included in the panel, nor are drug responses of the panel predictive of clinical efficacy in patients. We asked, therefore, whether it would be possible to extrapolate from that rich database (or analogous ones from other drug screens) to predict activity in cell types not included or, for that matter, clinical responses in patients with tumors. We address that challenge by developing and applying an algorithm we term "coexpression extrapolation" (COXEN). COXEN uses expression microarray data as a Rosetta Stone for translating from drug activities in the NCI-60 to drug activities in any other cell panel or set of clinical tumors. Here, we show that COXEN can accurately predict drug sensitivity of bladder cancer cell lines and clinical responses of breast cancer patients treated with commonly used chemotherapeutic drugs. Furthermore, we used COXEN for in silico screening of 45,545 compounds and identify an agent with activity against human bladder cancer.
Insights
A new algorithm called coexpression extrapolation (COXEN) predicts anticancer drug activity. COXEN uses gene expression data to forecast drug responses in cell lines and patients, aiding cancer research.
Area of Science:
- Bioinformatics
- Computational Biology
- Cancer Research
Background:
- The National Cancer Institute's 60 human cancer cell lines (NCI-60) screen has limitations.
- The NCI-60 panel lacks representation for all cancer types.
- NCI-60 drug responses do not always predict clinical efficacy in patients.
Purpose of the Study:
- To develop a method for predicting drug activity in cell types not included in the NCI-60.
- To predict clinical responses of cancer patients based on drug screening data.
- To extrapolate drug activity from existing databases to new cell types and patient tumors.
Main Methods:
- Developed and applied a novel algorithm termed coexpression extrapolation (COXEN).
- Utilized gene expression microarray data as a Rosetta Stone for data translation.
- Applied COXEN to predict drug sensitivity in bladder cancer cell lines and clinical responses in breast cancer patients.
Main Results:
- COXEN accurately predicted drug sensitivity in bladder cancer cell lines.
- COXEN accurately predicted clinical responses in breast cancer patients treated with chemotherapeutic drugs.
- In silico screening of 45,545 compounds using COXEN identified a novel agent active against human bladder cancer.
Conclusions:
- Coexpression extrapolation (COXEN) is a viable method for predicting anticancer drug activity.
- COXEN can bridge the gap between cell line drug screening and clinical patient response.
- This approach facilitates the identification of novel therapeutic agents for various cancer types.
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