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Updated: Feb 20, 2026

Using Human Differentially Expressed Gene Lists to Perform Downstream Pathway Enrichment Analysis and Target Prioritization
Published on: October 3, 2025
Gene isoforms as expression-based biomarkers predictive of drug response in vitro
Zhaleh Safikhani1,2, Petr Smirnov1, Kelsie L Thu1,3
1Princess Margaret Cancer Centre, University Health Network, 101 College Street, Toronto, ON, Canada, M5G1L7.
Abstract:
Next-generation sequencing technologies have recently been used in pharmacogenomic studies to characterize large panels of cancer cell lines at the genomic and transcriptomic levels. Among these technologies, RNA-sequencing enable profiling of alternatively spliced transcripts. Given the high frequency of mRNA splicing in cancers, linking this feature to drug response will open new avenues of research in biomarker discovery. To identify robust transcriptomic biomarkers for drug response across studies, we develop a meta-analytical framework combining the pharmacological data from two large-scale drug screening datasets. We use an independent pan-cancer pharmacogenomic dataset to test the robustness of our candidate biomarkers across multiple cancer types. We further analyze two independent breast cancer datasets and find that specific isoforms of IGF2BP2, NECTIN4, ITGB6, and KLHDC9 are significantly associated with AZD6244, lapatinib, erlotinib, and paclitaxel, respectively. Our results support isoform expressions as a rich resource for biomarkers predictive of drug response.
Insights
This study identifies specific RNA splicing patterns as predictive biomarkers for cancer drug response. These transcriptomic biomarkers offer new avenues for personalized medicine and improved cancer treatment strategies.
Area of Science:
- Genomics and Transcriptomics
- Pharmacogenomics
- Cancer Biology
Background:
- Next-generation sequencing, including RNA-sequencing, is crucial for characterizing cancer cell lines at genomic and transcriptomic levels.
- Alternative mRNA splicing is frequent in cancers, presenting an opportunity to link splicing patterns to drug response for biomarker discovery.
Purpose of the Study:
- To develop a meta-analytical framework for identifying robust transcriptomic biomarkers predictive of drug response across multiple studies.
- To validate candidate biomarkers using independent pan-cancer and breast cancer pharmacogenomic datasets.
Main Methods:
- Meta-analysis of pharmacological data from two large-scale drug screening datasets.
- RNA-sequencing for profiling alternatively spliced transcripts.
- Validation using independent pan-cancer and breast cancer pharmacogenomic datasets.
Main Results:
- Identified specific isoforms of IGF2BP2, NECTIN4, ITGB6, and KLHDC9 associated with drug response.
- Found significant associations between these isoforms and specific drugs (AZD6244, lapatinib, erlotinib, paclitaxel) in breast cancer datasets.
- Demonstrated the robustness of identified biomarkers across multiple cancer types.
Conclusions:
- Isoform expression levels are a valuable resource for discovering biomarkers predictive of drug response in cancer.
- This approach can advance personalized medicine by enabling more precise patient stratification for targeted therapies.
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