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Updated: May 4, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Systematic identification of genomic markers of drug sensitivity in cancer cells
Mathew J Garnett1, Elena J Edelman, Sonja J Heidorn
1Cancer Genome Project, Wellcome Trust Sanger Institute, Hinxton CB10 1SA, UK.
Abstract:
Clinical responses to anticancer therapies are often restricted to a subset of patients. In some cases, mutated cancer genes are potent biomarkers for responses to targeted agents. Here, to uncover new biomarkers of sensitivity and resistance to cancer therapeutics, we screened a panel of several hundred cancer cell lines--which represent much of the tissue-type and genetic diversity of human cancers--with 130 drugs under clinical and preclinical investigation. In aggregate, we found that mutated cancer genes were associated with cellular response to most currently available cancer drugs. Classic oncogene addiction paradigms were modified by additional tissue-specific or expression biomarkers, and some frequently mutated genes were associated with sensitivity to a broad range of therapeutic agents. Unexpected relationships were revealed, including the marked sensitivity of Ewing's sarcoma cells harbouring the EWS (also known as EWSR1)-FLI1 gene translocation to poly(ADP-ribose) polymerase (PARP) inhibitors. By linking drug activity to the functional complexity of cancer genomes, systematic pharmacogenomic profiling in cancer cell lines provides a powerful biomarker discovery platform to guide rational cancer therapeutic strategies.
Insights
Identifying new cancer biomarkers is crucial. This study screened hundreds of cancer cell lines with 130 drugs, revealing mutated genes as key indicators of drug sensitivity and resistance for targeted cancer therapies.
Area of Science:
- Oncology
- Genomics
- Pharmacology
Background:
- Clinical responses to cancer treatments vary significantly among patients.
- Mutated cancer genes can serve as predictive biomarkers for targeted therapies.
- Discovering novel biomarkers is essential for improving cancer treatment efficacy.
Purpose of the Study:
- To identify new biomarkers for sensitivity and resistance to cancer therapeutics.
- To systematically profile pharmacogenomic relationships in diverse cancer cell lines.
Main Methods:
- Screening of several hundred cancer cell lines representing diverse cancer types and genetic profiles.
- Testing the efficacy of 130 drugs (clinical and preclinical) against these cell lines.
- Analyzing associations between mutated cancer genes and cellular drug responses.
Main Results:
- Mutated cancer genes were broadly associated with cellular responses to most cancer drugs.
- Tissue-specific or expression biomarkers modified classic oncogene addiction models.
- A novel association was found between EWS-FLI1 translocation in Ewing's sarcoma and sensitivity to PARP inhibitors.
Conclusions:
- Systematic pharmacogenomic profiling in cell lines is a powerful platform for biomarker discovery.
- Linking drug activity to cancer genome complexity aids in guiding rational therapeutic strategies.
- The findings expand the understanding of genetic biomarkers for predicting cancer drug response.
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