一种功能精准医学管道结合比较转录组学和肿瘤类器官建模,以确定胶质母细胞瘤的定制治疗策略。

A Functional Precision Medicine Pipeline Combines Comparative Transcriptomics and Tumor Organoid Modeling to Identify Bespoke Treatment Strategies for Glioblastoma.

机构信息

Department of Biochemistry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

Department of Neurosurgery, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

出版信息

Cells. 2021 Dec 2;10(12):3400. doi: 10.3390/cells10123400.

Abstract

Li Fraumeni syndrome (LFS) is a hereditary cancer predisposition syndrome caused by germline mutations in TP53. TP53 is the most common mutated gene in human cancer, occurring in 30-50% of glioblastomas (GBM). Here, we highlight a precision medicine platform to identify potential targets for a GBM patient with LFS. We used a comparative transcriptomics approach to identify genes that are uniquely overexpressed in the LFS GBM patient relative to a cancer compendium of 12,747 tumor RNA sequencing data sets, including 200 GBMs. STAT1 and STAT2 were identified as being significantly overexpressed in the LFS patient, indicating ruxolitinib, a Janus kinase 1 and 2 inhibitors, as a potential therapy. The LFS patient had the highest level of STAT1 and STAT2 expression in an institutional high-grade glioma cohort of 45 patients, further supporting the cancer compendium results. To empirically validate the comparative transcriptomics pipeline, we used a combination of adherent and organoid cell culture techniques, including ex vivo patient-derived organoids (PDOs) from four patient-derived cell lines, including the LFS patient. STAT1 and STAT2 expression levels in the four patient-derived cells correlated with levels identified in the respective parent tumors. In both adherent and organoid cultures, cells from the LFS patient were among the most sensitive to ruxolitinib compared to patient-derived cells with lower STAT1 and STAT2 expression levels. A spheroid-based drug screening assay (3D-PREDICT) was performed and used to identify further therapeutic targets. Two targeted therapies were selected for the patient of interest and resulted in radiographic disease stability. This manuscript supports the use of comparative transcriptomics to identify personalized therapeutic targets in a functional precision medicine platform for malignant brain tumors.

摘要

李-佛美尼综合征(Li Fraumeni syndrome,LFS)是一种遗传性癌症易感性综合征,由 TP53 种系突变引起。TP53 是人类癌症中最常见的突变基因,发生在 30-50%的胶质母细胞瘤(glioblastoma,GBM)中。在这里,我们强调了一个精准医学平台,以确定 LFS 患者 GBM 的潜在治疗靶点。我们使用比较转录组学方法,鉴定了相对于包含 12747 个肿瘤 RNA 测序数据集的癌症汇编(包括 200 个 GBM)中独特过表达的基因。STAT1 和 STAT2 在 LFS 患者中被鉴定为显著过表达,表明鲁索利替尼(一种 Janus 激酶 1 和 2 抑制剂)可能是一种潜在的治疗方法。在 45 名机构高级别胶质瘤队列中,LFS 患者的 STAT1 和 STAT2 表达水平最高,进一步支持癌症汇编结果。为了经验验证比较转录组学管道,我们使用了贴壁和类器官细胞培养技术的组合,包括来自四个患者来源细胞系的体外患者来源类器官(patient-derived organoids,PDOs),包括 LFS 患者。四个患者来源细胞中的 STAT1 和 STAT2 表达水平与各自亲本肿瘤中鉴定的水平相关。在贴壁和类器官培养中,与 STAT1 和 STAT2 表达水平较低的患者来源细胞相比,来自 LFS 患者的细胞对鲁索利替尼最为敏感。进行了基于球体的药物筛选测定(3D-PREDICT),并用于鉴定进一步的治疗靶点。为感兴趣的患者选择了两种靶向治疗方法,导致放射学疾病稳定。本研究支持使用比较转录组学在恶性脑肿瘤的功能精准医学平台中鉴定个性化治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b339/8699481/ba9742491fb3/cells-10-03400-g001.jpg

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