A Comprehensive Analysis of Metabolomics and Transcriptomics Reveals Novel Biomarkers and Mechanistic Insights on

Wei Chen1, Chunyu Li1, Yafei Shi1

  • 1National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Frontiers in Pharmacology
|September 9, 2021
PubMed

Insights

Researchers identified key biomarkers to predict lorlatinib concentration in the brain for non-small cell lung cancer patients. This advance aids in optimizing lorlatinib treatment for brain metastases.

Area of Science:

  • Pharmacology
  • Neuroscience
  • Oncology

Background:

  • Lorlatinib is crucial for treating brain metastases in non-small cell lung cancer (NSCLC).
  • The pharmacokinetics and brain entry mechanisms of lorlatinib remain incompletely understood.
  • Accurate prediction of brain drug concentration is vital for effective NSCLC brain metastasis therapy.

Purpose of the Study:

  • To elucidate the mechanisms of lorlatinib brain penetration.
  • To identify predictive biomarkers for lorlatinib brain concentration.
  • To develop a model for forecasting lorlatinib distribution in the brain.

Main Methods:

  • Liquid chromatography and mass spectrometry for lorlatinib detection in mice.
  • Integrated metabolomics and transcriptomics to analyze metabolic and genetic pathways.
  • Artificial neural network (multilayer perceptron) for predictive modeling.
  • Construction of a metabolite-reaction-enzyme-gene interaction network.

Main Results:

  • Nine novel biomarkers correlated with lorlatinib brain concentration were identified.
  • A predictive model using these biomarkers achieved over 85% accuracy.
  • A detailed interaction network revealed lorlatinib's mechanism of action.

Conclusions:

  • Identified biomarkers and the developed neural network model can predict brain drug concentrations.
  • This predictive capability is valuable for optimizing lorlatinib therapy in clinical settings.
  • The findings enhance the understanding and application of lorlatinib for NSCLC brain metastases.