Dorel Mathurin, Barillot Emmanuel, Zinovyev Andrei, Kuperstein Inna
Institut Curie, 26 rue d'Ulm, F-75248 Paris France; INSERM, U900, Paris, F-75248 France; Mines ParisTech, Fontainebleau, F-77300 France; Ecole Normale Supérieure, 46 rue d'Ulm, Paris, France.
Institut Curie, 26 rue d'Ulm, F-75248 Paris France; INSERM, U900, Paris, F-75248 France; Mines ParisTech, Fontainebleau, F-77300 France.
Biochem Biophys Res Commun. 2015 Aug 21;464(2):386-91. doi: 10.1016/j.bbrc.2015.06.094. Epub 2015 Jun 15.
Signaling pathways implicated in cancer create a complex network with numerous regulatory loops and redundant pathways. This complexity explains frequent failure of one-drug-one-target paradigm of treatment, resulting in drug resistance in patients. To overcome the robustness of cell signaling network, cancer treatment should be extended to a combination therapy approach. Integrating and analyzing patient high-throughput data together with the information about biological signaling machinery may help deciphering molecular patterns specific to each patient and finding the best combinations of candidates for therapeutic targeting. We review state of the art in the field of targeted cancer medicine from the computational systems biology perspective. We summarize major signaling network resources and describe their characteristics with respect to applicability for drug response prediction and intervention targets suggestion. Thus discuss methods for prediction of drug sensitivity and intervention combinations using signaling networks together with high-throughput data. Gradual integration of these approaches into clinical routine will improve prediction of response to standard treatments and adjustment of intervention schemes.
与癌症相关的信号通路构成了一个复杂的网络,其中包含众多调节回路和冗余通路。这种复杂性解释了单药单靶点治疗模式为何常常失败,从而导致患者产生耐药性。为了克服细胞信号网络的稳健性,癌症治疗应扩展为联合治疗方法。将患者高通量数据与生物信号机制信息整合并分析,可能有助于解读每个患者特有的分子模式,并找到治疗靶点的最佳候选组合。我们从计算系统生物学的角度综述了靶向癌症医学领域的最新进展。我们总结了主要的信号网络资源,并描述了它们在药物反应预测和干预靶点建议适用性方面的特点。因此,讨论了使用信号网络以及高通量数据预测药物敏感性和干预组合的方法。将这些方法逐步整合到临床常规中,将改善对标准治疗反应的预测和干预方案的调整。