MINING THE CELLMINER DATABASE TO IDENTIFY SHARED BIOMARKERS OF 5-FU AND OXALIPLATIN RESPONSE

M Abdullah1

  • 1Department of Pharmacology, College of Pharmacy, Almaarif University, Ramadi, Iraq.

Georgian Medical News
|October 10, 2025
PubMed
Abstract

Insights

This study identifies genetic and epigenetic biomarkers for colorectal cancer drug resistance to 5-Fluorouracil and Oxaliplatin. It also reveals potential drug repurposing strategies, including statins, to overcome treatment resistance.

Area of Science:

  • Pharmacogenomics
  • Molecular Biology
  • Cancer Research

Background:

  • 5-Fluorouracil (5-FU) and Oxaliplatin are standard colorectal cancer treatments.
  • Drug resistance significantly limits the efficacy of these chemotherapies.
  • Identifying resistance mechanisms can guide biomarker discovery and drug repurposing.

Purpose of the Study:

  • To conduct an integrative pharmacogenomic analysis of colorectal cancer cell lines.
  • To identify molecular determinants of sensitivity and resistance to 5-FU and Oxaliplatin.
  • To explore potential therapeutic vulnerabilities and drug repurposing opportunities.

Main Methods:

  • Utilized the NCI-60 cancer cell line panel via the CellMiner Database.
  • Performed pathway enrichment analysis using PANTHER.
  • Correlated individual drug responses with genetic variants, DNA methylation, copy number variations, and transcriptomic signatures.

Main Results:

  • Genetic variants in ALDH9A1 and protein-altering variants in CAMSAP3, LUM, and LRIG2 were associated with resistance.
  • DNA methylation of FERMT3 and copy number variation in COL1A1 indicated resistance mechanisms.
  • Transcriptomic analysis identified cytoskeletal/adhesion genes, NT5E, and HIF1A as resistance drivers; microRNAs like let-7e, miR-30a, and miR-22 were also implicated.
  • COL1A1 copy number variation correlated with statin sensitivity, suggesting repurposing potential.

Conclusions:

  • ALDH9A1, FERMT3, NT5E, HIF1A, and specific microRNAs are nominated as potential resistance biomarkers.
  • GRIN1, MTHFD2, and miR-7 may act as sensitizers.
  • Drug repurposing opportunities, particularly with statins and kinase inhibitors, were identified to overcome resistance.
  • Findings provide a framework for biomarker-guided therapy optimization and combination strategies in colorectal cancer.

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