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Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Exploiting the head and neck cancer oncogenome: widespread PI3K-mTOR pathway alterations and novel molecular targets
Ramiro Iglesias-Bartolome1, Daniel Martin, J Silvio Gutkind
1Oral and Pharyngeal Cancer Branch, National Institute of Dental Research, NIH, Bethesda, MD 20892-4330, USA.
Summary:
Two studies published in this issue of Cancer Discovery describe the emerging mutational landscape of head and neck squamous cell carcinomas (HNSCC) and their genomic and epigenetic alterations, thus identifying novel actionable cancer drivers and predictive biomarkers for targeted therapies. Most genomic alterations in HNSCC converge in a handful of molecular pathways, resulting in cell-cycle deregulation, genomic instability, cell differentiation defects, and persistent mitogenic signaling, the latter involving aberrant phosphoinositide 3-kinase (PI3K)/mTOR pathway activation, thereby rendering HNSCC responsive to PI3K/mTOR inhibitors. Cancer Discov; 3(7); 722-5. ©2013 AACR.
Insights
This study reveals the head and neck squamous cell carcinoma (HNSCC) mutational landscape, identifying key molecular pathways and actionable targets like the PI3K/mTOR pathway for novel cancer therapies.
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Head and neck squamous cell carcinomas (HNSCC) represent a significant global health challenge.
- Understanding the genomic and epigenetic alterations in HNSCC is crucial for developing effective treatments.
Purpose of the Study:
- To elucidate the emerging mutational landscape of HNSCC.
- To identify novel actionable cancer drivers and predictive biomarkers for targeted therapies.
- To investigate the molecular pathways driving HNSCC development and progression.
Main Methods:
- Genomic profiling of HNSCC samples.
- Epigenetic alteration analysis.
- Pathway analysis to identify key molecular alterations.
Main Results:
- Genomic alterations in HNSCC converge on specific molecular pathways.
- Identified cell-cycle deregulation, genomic instability, and cell differentiation defects.
- Aberrant phosphoinositide 3-kinase (PI3K)/mTOR pathway activation was frequently observed.
Conclusions:
- The identified molecular alterations provide novel therapeutic targets for HNSCC.
- HNSCC is responsive to PI3K/mTOR inhibitors due to pathway activation.
- This research paves the way for targeted therapies and improved patient outcomes.
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