1. Targeted multiplex proteomics for molecular prescreening and biomarker discovery in metastatic colorectal cancer
- Author
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Roberta Fasani, Stefania Landolfi, Sheeno Thyparambil, Fiorella Ruiz-Pace, Fabiola Cecchi, Paolo Nuciforo, Garazi Serna, Elena Elez, José Antonio Jiménez, Rodrigo Dienstmann, Josep Tabernero, Todd Hembrough, Ana Vivancos, [Garazi S, Fasani R, Jimenez J, Nuciforo PG] Grup d’Oncologia Molecular, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain. [Ruiz-Pace F, Dienstmann R] Grup d’Oncology Data Science (ODysSey), Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain. [Cecchi F, Thyparambil S] NantOmics, LLC, Rockville, MD, USA. [Landolfi S] Servei d’Anatomia Patològica, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain. [Elez E, Tabernero J] Servei de Medicina Oncològica, Vall d'Hebron Hospital Universitari, Barcelona, Spain. [Vivancos, A] Grup de Genòmica del Càncer, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain, Hospital Universitari Vall d'Hebron, and Vall d'Hebron Barcelona Hospital Campus
- Subjects
Male ,Proteomics ,0301 basic medicine ,Colorectal cancer ,Digestive System Diseases::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Digestive System Diseases::Digestive System Diseases::Digestive System Diseases::Digestive System Diseases::Colorectal Neoplasms [DISEASES] ,factores biológicos::biomarcadores::marcadores tumorales [COMPUESTOS QUÍMICOS Y DROGAS] ,lcsh:Medicine ,medicine.disease_cause ,Neuroendocrine differentiation ,0302 clinical medicine ,Other subheadings::/diagnosis [Other subheadings] ,Neoplasm Metastasis ,Biomarker discovery ,lcsh:Science ,Multidisciplinary ,Molecular medicine ,biology ,Middle Aged ,Prognosis ,Phenotype ,Colon cancer ,Gene Expression Regulation, Neoplastic ,Mesothelin ,Female ,Enfermedades del Sistema Digestivo::Neoplasias del Sistema Digestivo::Neoplasias Gastrointestinales::Neoplasias Intestinales::Enfermedades del Sistema Digestivo::Enfermedades del Sistema Digestivo::Enfermedades del Sistema Digestivo::Enfermedades del Sistema Digestivo::Neoplasias Colorrectales [ENFERMEDADES] ,KRAS ,Colorectal Neoplasms ,Adult ,Otros calificadores::/diagnóstico [Otros calificadores] ,GPI-Linked Proteins ,Predictive markers ,Article ,Proto-Oncogene Proteins p21(ras) ,03 medical and health sciences ,medicine ,Humans ,Biological Factors::Biomarkers::Biomarkers, Tumor [CHEMICALS AND DRUGS] ,enfermedades del sistema digestivo::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::enfermedades del sistema digestivo::enfermedades del sistema digestivo::enfermedades del sistema digestivo::enfermedades del sistema digestivo::neoplasias colorrectales [ENFERMEDADES] ,Aged ,business.industry ,Marcadors tumorals ,lcsh:R ,PTEN Phosphohydrolase ,Cancer ,medicine.disease ,Survival Analysis ,030104 developmental biology ,Mutation ,biology.protein ,Cancer research ,Còlon - Càncer - Diagnòstic ,lcsh:Q ,business ,Biomarkers ,030217 neurology & neurosurgery - Abstract
Biomarcadores del cáncer; Cáncer metástico colorrectal; Terapias experimentales Cancer biomarkers; Colorectal metastatic cancer; Experimental therapies Biomarcadors del càncer; Càncer metastàtic colorrectal; Teràpies experimentals Protein biomarkers are widely used in cancer diagnosis, prognosis, and prediction of treatment response. Here we introduce the use of targeted multiplex proteomics (TMP) as a tool to simultaneously measure a panel of 54 proteins involved in oncogenic, tumour suppression, drug metabolism and resistance, in patients with metastatic colorectal cancer (mCRC). TMP provided valuable diagnostic information by unmasking an occult neuroendocrine differentiation and identifying a misclassified case based on abnormal proteins phenotype. No significant differences in protein levels between unpaired primary and metastatic samples were observed. Four proteins were found differentially expressed in KRAS-mutant as compared to wild-type tumours (overexpressed in mutant: KRAS, EGFR; overexpressed in wild-type: TOPO1, TOP2A). Survival analyses revealed the association between mesothelin expression and poor overall survival, whereas lack of PTEN protein expression associated with lower progression-free survival with anti-EGFR-based therapy in the first-line setting for patients with RAS wild-type tumour. Finally, outlier analysis identified putative targetable proteins in 65% of patients lacking a targetable genomic alteration. Our data show that TMP constitutes a promising, novel molecular prescreening tool in mCRC to identify protein expression alterations that may impact on patient outcomes and more precisely guide patient eligibility to clinical trials with novel targeted experimental therapies.
- Published
- 2019
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