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Published on: April 11, 2016
OncoLoop: A Network-Based Precision Cancer Medicine Framework
Alessandro Vasciaveo1, Juan Martín Arriaga2, Francisca Nunes de Almeida2
1Department of Systems Biology, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York.
Abstract:
Prioritizing treatments for individual patients with cancer remains challenging, and performing coclinical studies using patient-derived models in real time is often unfeasible. To circumvent these challenges, we introduce OncoLoop, a precision medicine framework that predicts drug sensitivity in human tumors and their preexisting high-fidelity (cognate) model(s) by leveraging drug perturbation profiles. As a proof of concept, we applied OncoLoop to prostate cancer using genetically engineered mouse models (GEMM) that recapitulate a broad spectrum of disease states, including castration-resistant, metastatic, and neuroendocrine prostate cancer. Interrogation of human prostate cancer cohorts by Master Regulator (MR) conservation analysis revealed that most patients with advanced prostate cancer were represented by at least one cognate GEMM-derived tumor (GEMM-DT). Drugs predicted to invert MR activity in patients and their cognate GEMM-DTs were successfully validated in allograft, syngeneic, and patient-derived xenograft (PDX) models of tumors and metastasis. Furthermore, OncoLoop-predicted drugs enhanced the efficacy of clinically relevant drugs, namely, the PD-1 inhibitor nivolumab and the AR inhibitor enzalutamide.
Significance:
OncoLoop is a transcriptomic-based experimental and computational framework that can support rapid-turnaround coclinical studies to identify and validate drugs for individual patients, which can then be readily adapted to clinical practice. This framework should be applicable in many cancer contexts for which appropriate models and drug perturbation data are available. This article is highlighted in the In This Issue feature, p. 247.
Insights
OncoLoop is a precision medicine framework that predicts patient-specific drug sensitivity using cognate models. This approach successfully identified and validated effective cancer treatments, enhancing existing therapies.
Area of Science:
- Cancer research
- Precision medicine
- Translational oncology
Background:
- Prioritizing cancer treatments for individual patients is challenging.
- Real-time coclinical studies with patient-derived models are often unfeasible.
Purpose of the Study:
- Introduce OncoLoop, a precision medicine framework to predict drug sensitivity in human tumors and their cognate models.
- Validate the framework's efficacy in prostate cancer using genetically engineered mouse models (GEMM).
Main Methods:
- Leveraged drug perturbation profiles to predict drug sensitivity.
- Applied Master Regulator (MR) conservation analysis to human prostate cancer cohorts and GEMM-derived tumors (GEMM-DT).
- Validated predicted drugs in various preclinical tumor models (allograft, syngeneic, PDX) and assessed combination therapy efficacy.
Main Results:
- Most advanced prostate cancer patients were represented by at least one cognate GEMM-DT.
- Drugs predicted to invert MR activity showed successful validation in preclinical models.
- OncoLoop-predicted drugs enhanced the efficacy of nivolumab (PD-1 inhibitor) and enzalutamide (AR inhibitor).
Conclusions:
- OncoLoop is a transcriptomic-based framework for rapid-turnaround coclinical studies to identify and validate patient-specific drugs.
- The framework can be adapted for clinical practice and applied to various cancer types with available models and drug perturbation data.
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