基于临床数据的内源性网络模型探索胃癌的潜在治疗靶点。
Potential therapeutic targets of gastric cancer explored under endogenous network modeling of clinical data.
机构信息
Center for Quantitative Life Sciences and Physics Department, Shanghai University, Shanghai, 200444, China.
Department of General Surgery, Shanghai Institute of Digestive Surgery, Shanghai Key Laboratory of Gastric Cancer, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
出版信息
Sci Rep. 2024 Jun 7;14(1):13127. doi: 10.1038/s41598-024-63812-3.
Improvement in the survival rate of gastric cancer, a prevalent global malignancy and the leading cause of cancer-related mortality calls for more avenues in molecular therapy. This work aims to comprehend drug resistance and explore multiple-drug combinations for enhanced therapeutic treatment. An endogenous network modeling clinic data with core gastric cancer molecules, functional modules, and pathways is constructed, which is then transformed into dynamics equations for in-silicon studies. Principal component analysis, hierarchical clustering, and K-means clustering are utilized to map the attractor domains of the stochastic model to the normal and pathological phenotypes identified from the clinical data. The analyses demonstrate gastric cancer as a cluster of stable states emerging within the stochastic dynamics and elucidate the cause of resistance to anti-VEGF monotherapy in cancer treatment as the limitation of the single pathway in preventing cancer progression. The feasibility of multiple objectives of therapy targeting specified molecules and/or pathways is explored. This study verifies the rationality of the platform of endogenous network modeling, which contributes to the development of cross-functional multi-target combinations in clinical trials.
提高胃癌的存活率,胃癌是一种普遍存在的全球恶性肿瘤,也是癌症相关死亡的主要原因,这需要在分子治疗方面开辟更多的途径。本工作旨在了解耐药性,并探索多种药物联合治疗以增强治疗效果。构建了一个包含核心胃癌分子、功能模块和途径的内源性网络模型,并将其转化为用于硅内研究的动力学方程。利用主成分分析、层次聚类和 K 均值聚类将随机模型的吸引域映射到从临床数据中识别的正常和病理表型。分析表明,胃癌是在随机动力学中出现的稳定状态群集,并阐明了癌症治疗中抗 VEGF 单药治疗耐药的原因,即单一途径在阻止癌症进展方面的局限性。还探索了针对特定分子和/或途径的治疗多个目标的可行性。本研究验证了内源性网络建模平台的合理性,有助于在临床试验中开发跨功能的多目标联合治疗。