The landscape of receptor-mediated precision cancer combination therapy via a single-cell perspective

Saba Ahmadi1,2,3, Pattara Sukprasert1,2, Rahulsimham Vegesna4

  • 1Department of Computer Science, University of Maryland, College Park, MD, 20742, USA.

Nature Communications
|March 26, 2022
PubMed

Insights

Personalized cancer therapies using at most four targets can effectively kill tumor cells while sparing healthy cells. This computational approach identifies optimal gene targets for combination therapies.

Area of Science:

  • Oncology
  • Computational Biology
  • Immunotherapy

Background:

  • Cancer treatment faces challenges in selectively targeting tumor cells while sparing normal tissues.
  • Single-cell transcriptomics offers a high-resolution view of cellular heterogeneity in tumors.
  • Developing effective combination therapies requires precise identification of targetable genes.

Purpose of the Study:

  • To computationally determine optimal gene target combinations for cancer therapy.
  • To assess the feasibility of achieving high tumor cell killing with minimal off-target effects.
  • To identify specific gene targets for various cancer types.

Main Methods:

  • Utilized combinatorial optimization techniques on a large dataset of single-cell transcriptomics data.
  • Modeled therapies targeting 1269 cell surface receptor genes for CAR-T, antibody, and nanoparticle applications.
  • Evaluated target combinations based on tumor cell killing and non-tumor cell sparing percentages.

Main Results:

  • Personalized combinations of up to four targets can achieve >80% tumor cell killing and >90% non-tumor cell sparing in most cancers.
  • Higher selectivity and killing efficiency necessitate a rapid increase in the number of required targets.
  • Identified PTPRZ1 (brain, head and neck cancers) and EGFR (multiple tumor types) as emerging individual targets.

Conclusions:

  • Computational methods can precisely estimate the number and identity of targets for effective and selective cancer combination therapies.
  • Four-target combinations show promise for personalized cancer treatment, balancing efficacy and safety.
  • This approach provides a framework for designing next-generation targeted cancer therapies.