Metabolic Response to Small Molecule Therapy in Colorectal Cancer Tracked with Raman Spectroscopy and Metabolomics

Gabriel Cutshaw1,2, Neeraj Joshi3, Xiaona Wen2

  • 1Department of Chemical and Biological Engineering, Iowa State University, Ames, IA 50011, USA.

Insights

Raman spectroscopy (RS) can predict colorectal cancer (CRC) treatment response by analyzing metabolic changes. This method accurately distinguishes between responsive and nonresponsive cells, paving the way for personalized cancer therapy.

Area of Science:

  • Biochemistry
  • Oncology
  • Spectroscopy

Background:

  • Colorectal cancer (CRC) diagnosis often occurs at advanced stages, necessitating improved methods for assessing treatment efficacy.
  • Novel diagnostic tools are crucial for identifying biomarkers of treatment response and guiding therapeutic strategies.

Purpose of the Study:

  • To investigate the use of Raman spectroscopy (RS) for tracking metabolic reprogramming in colorectal cancer cells.
  • To develop a predictive model for therapeutic response to targeted cancer therapies.

Main Methods:

  • Raman spectroscopy (RS) was employed to analyze metabolic profiles of KRAS-mutant and wild-type colorectal cancer cells.
  • Multivariate analysis and machine learning regression models were used to predict treatment response to cetuximab, sotorasib, trametinib, and BKM120.
  • Metabolite identification and pathway enrichment analysis were performed using mass spectrometry.

Main Results:

  • RS successfully differentiated between nonresponsive, partially responsive, and responsive colorectal cancer cells under various drug treatments.
  • A synergistic response was observed with combination therapy targeting the MAPK and PI3K pathways.
  • Metabolic pathways, including amino acid and purine metabolism, were identified as key differentiators between monotherapy and combination therapy.

Conclusions:

  • Raman spectroscopy offers a rapid and accurate method for assessing therapeutic efficacy in colorectal cancer.
  • The developed scoring methodology can predict patient response to new treatment combinations, enabling personalized cancer care.
  • This approach holds potential for application in patient-derived primary cells and tumor cultures for individualized treatment selection.