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Updated: Jun 24, 2025

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Focused cancer pathway analysis revealed unique therapeutic targets in retinoblastoma
Sekaran Balaji1, Anindita Rao1, Karuvel Kannan Saraswathi1,2
1Department of Molecular Genetics, Aravind Medical Research Foundation, 1, Anna Nagar, Madurai, Tamil Nadu, 625 020, India.
Abstract:
Retinoblastoma (RB) is a pediatric cancer of the eye that occurs in 1/15000 live births worldwide. Albeit RB is initiated by the inactivation of RB1 gene, the disease progression relies largely on transcriptional alterations. Therefore, evaluating gene expression is vital to unveil the therapeutic targets in RB management. In this study, we employed an RT2 Profiler™ PCR array for a focused analysis of 84 cancer-specific genes in RB. An interaction network was built with gene expression data to identify the dysregulated pathways in RB. The key transcript alterations identified in 13 tumors by RT2 Profiler™ PCR array was further validated in 15 tumors by independent RT-qPCR. Out of 84 cancer-specific genes, 68 were dysregulated in RB tumors. Among the 68 genes, 23 were chosen for further analysis based on statistical significance and abundance across multiple tumors. Pathway analysis of altered genes showed the frequent perturbations of cell cycle, angiogenesis and apoptotic pathways in RB. Notably, upregulation of MCM2, MKI67, PGF, WEE1, CDC20 and downregulation of COX5A were found in all the tumors. Western blot confirmed the dysregulation of identified targets at protein levels as well. These alterations were more prominent in invasive RB, correlating with the disease pathogenesis. Our molecular analysis thus identified the potential therapeutic targets for improving retinoblastoma treatment. We also suggest that PCR array can be used as a tool for rapid and cost-effective gene expression analysis.
Insights
This study identified 68 dysregulated genes in retinoblastoma (RB), a pediatric eye cancer. Key alterations in cell cycle, angiogenesis, and apoptosis pathways reveal potential new therapeutic targets for RB treatment.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Retinoblastoma (RB) is a common pediatric eye cancer initiated by RB1 gene inactivation.
- Disease progression in RB is significantly influenced by transcriptional alterations.
- Identifying gene expression changes is crucial for discovering therapeutic targets in RB management.
Purpose of the Study:
- To investigate gene expression profiles in retinoblastoma tumors.
- To identify dysregulated genes and pathways involved in RB pathogenesis.
- To uncover potential molecular targets for improved retinoblastoma treatment.
Main Methods:
- Utilized RT² Profiler™ PCR array for focused analysis of 84 cancer-specific genes in 13 RB tumors.
- Validated key transcript alterations in an additional 15 RB tumors using RT-qPCR.
- Constructed an interaction network from gene expression data to identify dysregulated pathways.
- Confirmed protein-level dysregulation of identified targets via Western blot.
Main Results:
- Out of 84 genes analyzed, 68 were found to be dysregulated in RB tumors.
- Pathway analysis revealed frequent perturbations in cell cycle, angiogenesis, and apoptotic pathways.
- Consistent upregulation of MCM2, MKI67, PGF, WEE1, CDC20, and downregulation of COX5A were observed across all tumors.
- Molecular alterations were more pronounced in invasive RB, correlating with disease pathogenesis.
Conclusions:
- The study identified significant molecular alterations and potential therapeutic targets for retinoblastoma.
- Specific genes like MCM2, MKI67, PGF, WEE1, CDC20, and COX5A are key players in RB progression.
- PCR array technology offers a rapid and cost-effective method for gene expression analysis in RB research.
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