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Updated: Jun 14, 2025

Integration of Wet and Dry Bench Processes Optimizes Targeted Next-generation Sequencing of Low-quality and Low-quantity Tumor Biopsies
Published on: April 11, 2016
Shifting the paradigm in personalized cancer care through next-generation therapeutics and computational pathology
Jorge S Reis-Filho1, Maurizio Scaltriti2, Ansh Kapil3
1Cancer Biomarker Development, Oncology Research and Development, AstraZeneca, Gaithersburg, MD, USA.
Abstract:
The incorporation of novel therapeutic agents such as antibody-drug conjugates, radio-conjugates, T-cell engagers, and chimeric antigen receptor cell therapies represents a paradigm shift in oncology. Cell-surface target quantification, quantitative assessment of receptor internalization, and changes in the tumor microenvironment (TME) are essential variables in the development of biomarkers for patient selection and therapeutic response. Assessing these parameters requires capabilities that transcend those of traditional biomarker approaches based on immunohistochemistry, in situ hybridization and/or sequencing assays. Computational pathology is emerging as a transformative solution in this new therapeutic landscape, enabling detailed assessment of not only target presence, expression levels, and intra-tumor distribution but also of additional phenotypic features of tumor cells and their surrounding TME. Here, we delineate the pivotal role of computational pathology in enhancing the efficacy and specificity of these advanced therapeutics, underscoring the integration of novel artificial intelligence models that promise to revolutionize biomarker discovery and drug development.
Insights
Computational pathology enhances novel oncology therapeutics by enabling detailed biomarker analysis. This approach, integrating artificial intelligence, revolutionizes patient selection and drug development for advanced cancer treatments.
Area of Science:
- Oncology
- Biomarker Discovery
- Computational Pathology
- Artificial Intelligence in Medicine
Background:
- Novel oncology therapeutics like antibody-drug conjugates and CAR T-cell therapies are shifting cancer treatment paradigms.
- Accurate patient selection and response prediction require advanced biomarker assessment beyond traditional methods.
- Key biomarkers include cell-surface target quantification, receptor internalization, and tumor microenvironment (TME) analysis.
Purpose of the Study:
- To highlight the critical role of computational pathology in advancing novel therapeutic agents in oncology.
- To demonstrate how computational pathology overcomes limitations of traditional biomarker assays.
- To underscore the potential of artificial intelligence (AI) in revolutionizing biomarker discovery and drug development.
Main Methods:
- Utilizing computational pathology for detailed assessment of target presence, expression levels, and intra-tumor distribution.
- Analyzing phenotypic features of tumor cells and the surrounding tumor microenvironment (TME).
- Integrating novel artificial intelligence (AI) models within computational pathology workflows.
Main Results:
- Computational pathology enables comprehensive analysis of biomarkers essential for novel therapeutics.
- This approach provides deeper insights into tumor biology and the TME compared to conventional techniques.
- AI-driven computational pathology enhances the efficacy and specificity of advanced oncology treatments.
Conclusions:
- Computational pathology is indispensable for the development and application of next-generation oncology therapeutics.
- The integration of AI promises significant advancements in biomarker discovery and personalized medicine.
- This technology is key to optimizing patient selection and predicting therapeutic response in cancer care.
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