Integrating proteomics into precision oncology

Leonie W Wahjudi1, Stephan Bernhardt1, Khalid Abnaof1

  • 1Division of Molecular Genome Analysis, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Insights

Integrating DNA, RNA, and protein analysis in cancer improves patient stratification. This multi-omics approach refines precision cancer therapy by revealing protein activities that explain clinical outcomes and treatment responses.

Area of Science:

  • Oncology
  • Molecular Biology
  • Proteomics

Background:

  • Precision oncology utilizes DNA and RNA sequencing for targeted cancer treatment.
  • Molecular tumor boards assess genetic alterations to guide therapy selection.
  • There is a need for deeper patient characterization beyond genomic data.

Purpose of the Study:

  • To assess the abundance and activity of 27 proteins in 134 cancer patients.
  • To evaluate the utility of proteomic data in refining treatment recommendations within the MASTER program.
  • To explore the integration of proteomic data with DNA and RNA sequencing for enhanced cancer therapy.

Main Methods:

  • Proteomic and phosphoproteomic analysis of 27 targets in 134 tumor samples.
  • Selection of targets based on relevant therapeutic baskets in the MASTER program.
  • Integrative analysis of DNA, RNA, and protein data.

Main Results:

  • Proteomic data supported DNA/RNA-based treatment recommendations in 10-57% of cases.
  • Protein activities frequently suggested alternative therapeutic options.
  • Protein activities correlated with patient clinical course and treatment failure.

Conclusions:

  • Integrative analysis of multi-omics data (DNA, RNA, protein) can refine patient stratification in precision oncology.
  • Proteomic profiling holds potential to increase the success rate of precision cancer therapy.
  • Prospective validation studies are necessary to integrate proteomic analysis into routine clinical practice.