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Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Chemosensitivity profiles identify polymorphisms in the p53 network genes 14-3-3tau and CD44 that affect sarcoma
Alexei Vazquez1, Lukasz F Grochola, Elisabeth E Bond
1The Institute for Advanced Study, Princeton, New Jersey, USA.
Abstract:
The p53 regulatory network responds to cellular stresses by initiating processes such as cell cycle arrest and apoptosis. These responses inhibit cellular transformation and mediate the response to many forms of cancer therapies. Functional variants in the genes comprising this network could help identify individuals at greater risk for cancer and patients with poorer responses to therapies, but few such variants have been identified as yet. We use the NCI60 human tumor cell line anticancer drug screen in a scan of single nucleotide polymorphisms (SNP) in 142 p53 stress response genes and identify 7 SNPs that exhibit allelic differences in cellular responses to a large panel of cytotoxic chemotherapeutic agents. The greatest differences are observed for SNPs in 14-3-3tau (YWHAQ; rs6734469, P=5.6x10(-47)) and CD44 (rs187115, P=8.1x10(-24)). In soft-tissue sarcoma patients, we find that the alleles of these SNPs that associate with weaker growth responses to chemotherapeutics associate with poorer overall survival (up to 2.89 relative risk, P=0.011) and an earlier age of diagnosis (up to 10.7 years earlier, P=0.002). Our findings define genetic markers in 14-3-3tau and CD44 that might improve the treatment and prognosis of soft-tissue sarcomas.
Insights
Genetic variations in p53 stress response genes, specifically in 14-3-3tau and CD44, impact cancer drug response. These single nucleotide polymorphisms (SNPs) may predict patient survival and diagnosis age in soft-tissue sarcoma.
Area of Science:
- Genetics
- Oncology
- Molecular Biology
Background:
- The p53 regulatory network is crucial for cellular stress responses, including apoptosis and cell cycle arrest, which are vital in cancer prevention and therapy.
- Functional genetic variants within this network can influence cancer risk and therapeutic outcomes, but remain largely uncharacterized.
Purpose of the Study:
- To identify single nucleotide polymorphisms (SNPs) in p53 stress response genes associated with differential cellular responses to chemotherapeutic agents.
- To evaluate the clinical relevance of identified SNPs in soft-tissue sarcoma patients regarding survival and age of diagnosis.
Main Methods:
- Utilized the NCI60 human tumor cell line drug screen to analyze SNPs in 142 p53 stress response genes.
- Correlated allelic differences in identified SNPs with cellular sensitivity to a broad spectrum of cytotoxic drugs.
- Examined the association of significant SNPs with overall survival and age of diagnosis in a cohort of soft-tissue sarcoma patients.
Main Results:
- Identified 7 SNPs demonstrating significant allelic differences in cellular responses to chemotherapeutics.
- SNPs in 14-3-3tau (rs6734469) and CD44 (rs187115) showed the most pronounced effects on drug response.
- In soft-tissue sarcoma patients, specific alleles correlated with poorer overall survival and earlier age of diagnosis.
Conclusions:
- Genetic variants in 14-3-3tau and CD44 serve as potential biomarkers for predicting chemotherapeutic response.
- These findings may enhance treatment strategies and prognostic assessments for soft-tissue sarcoma patients.
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