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Gene expression-based chemical genomics identifies potential therapeutic drugs in hepatocellular carcinoma
Ming-Huang Chen1, Wu-Lung R Yang, Kuan-Ting Lin
1Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Abstract:
Hepatocellular carcinoma (HCC) is an aggressive tumor with a poor prognosis. Currently, only sorafenib is approved by the FDA for advanced HCC treatment; therefore, there is an urgent need to discover candidate therapeutic drugs for HCC. We hypothesized that if a drug signature could reverse, at least in part, the gene expression signature of HCC, it might have the potential to inhibit HCC-related pathways and thereby treat HCC. To test this hypothesis, we first built an integrative platform, the "Encyclopedia of Hepatocellular Carcinoma genes Online 2", dubbed EHCO2, to systematically collect, organize and compare the publicly available data from HCC studies. The resulting collection includes a total of 4,020 genes. To systematically query the Connectivity Map (CMap), which includes 6,100 drug-mediated expression profiles, we further designed various gene signature selection and enrichment methods, including a randomization technique, majority vote, and clique analysis. Subsequently, 28 out of 50 prioritized drugs, including tanespimycin, trichostatin A, thioguanosine, and several anti-psychotic drugs with anti-tumor activities, were validated via MTT cell viability assays and clonogenic assays in HCC cell lines. To accelerate their future clinical use, possibly through drug-repurposing, we selected two well-established drugs to test in mice, chlorpromazine and trifluoperazine. Both drugs inhibited orthotopic liver tumor growth. In conclusion, we successfully discovered and validated existing drugs for potential HCC therapeutic use with the pipeline of Connectivity Map analysis and lab verification, thereby suggesting the usefulness of this procedure to accelerate drug repurposing for HCC treatment.
Insights
This study identified potential new treatments for hepatocellular carcinoma (HCC) by analyzing gene expression data and drug profiles. Several existing drugs showed promise in lab tests and animal models for treating liver cancer.
Area of Science:
- Oncology
- Pharmacology
- Bioinformatics
Background:
- Hepatocellular carcinoma (HCC) is a deadly cancer with limited treatment options.
- There is a critical need for novel therapeutic agents to combat advanced HCC.
- Existing treatments like sorafenib have shown efficacy, but drug resistance and prognosis remain significant challenges.
Purpose of the Study:
- To discover and validate potential therapeutic drugs for hepatocellular carcinoma (HCC) using a drug-repurposing strategy.
- To develop and implement an integrative bioinformatics platform (EHCO2) for analyzing HCC gene expression data.
- To systematically screen drug-induced gene expression profiles against HCC signatures to identify candidate drugs.
Main Methods:
- Developed the "Encyclopedia of Hepatocellular Carcinoma genes Online 2" (EHCO2) platform, compiling 4,020 HCC-related genes.
- Queried the Connectivity Map (CMap) database of 6,100 drug profiles using advanced gene signature analysis methods.
- Validated prioritized drug candidates through in vitro assays (MTT, clonogenic) in HCC cell lines and in vivo studies using orthotopic mouse models.
Main Results:
- Identified 28 promising drug candidates from 50 prioritized compounds, including tanespimycin, trichostatin A, thioguanosine, and antipsychotic drugs with anti-tumor properties.
- Validated the anti-cancer effects of chlorpromazine and trifluoperazine in HCC cell lines and demonstrated their ability to inhibit orthotopic liver tumor growth in mice.
- Confirmed the efficacy of drug repurposing for HCC treatment through a combination of computational analysis and laboratory verification.
Conclusions:
- Successfully identified and validated existing drugs as potential treatments for hepatocellular carcinoma (HCC).
- The developed pipeline integrating EHCO2 and Connectivity Map analysis is effective for accelerating drug discovery and repurposing for HCC.
- This approach offers a promising strategy to expedite the clinical application of new therapies for liver cancer.
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