Facilitating Drug Discovery in Breast Cancer by Virtually Screening Patients Using In Vitro Drug Response Modeling

Robert F Gruener1, Alexander Ling2, Ya-Fang Chang1

  • 1Ben May Department for Cancer Research, University of Chicago, Chicago, IL 60637, USA.

Cancers
|March 6, 2021
PubMed

Insights

This study developed a machine learning framework to predict drug efficacy from cancer transcriptomes, identifying AZD-1775 as a promising drug for triple-negative breast cancer (TNBC) and validating its effectiveness in preclinical models.

Area of Science:

  • Computational Biology
  • Drug Discovery
  • Oncology

Background:

  • Drug imputation methods typically predict in vitro drug response for in vivo efficacy.
  • Novel therapeutic strategies are urgently needed for triple-negative breast cancer (TNBC).

Purpose of the Study:

  • To investigate the utility of drug prediction models for generating novel drug discovery hypotheses.
  • To identify potential drug candidates for triple-negative breast cancer (TNBC).

Main Methods:

  • Machine learning models were trained on cell line transcriptome data to predict drug response.
  • Models were applied to patient tumor data to generate drug sensitivity scores for over 1000 breast cancer patients.
  • Predicted drug responses were correlated with patient clinical features.

Main Results:

  • The analysis identified AZD-1775, a Wee1 inhibitor, as having predicted preferential activity in TNBC, strongly associated with TP53 mutations.
  • Findings were validated using independent cell line screening data and pathway analysis.
  • Co-administration of AZD-1775 with paclitaxel demonstrated significant tumor growth inhibition and increased survival in a TNBC xenograft mouse model.

Conclusions:

  • A novel framework enables the transformation of cancer transcriptomic datasets into drug discovery resources.
  • This approach facilitates rapid generation of drug discovery hypotheses for specific cancer populations.
  • The study highlights AZD-1775 as a potential therapeutic agent for TNBC.