体外对靶向癌症治疗的挥发物组反应

Volatilomic response to targeted cancer therapy in vitro.

作者信息

Leung Philip K H, Kim Innah, Das Bibek, Hanna George B

机构信息

Division of Surgery, Department of Surgery and Cancer, Imperial College London, Hammersmith Hospital, Du Cane Road, London, W12 0 NN, UK.

出版信息

Sci Rep. 2025 Jun 3;15(1):19445. doi: 10.1038/s41598-025-04886-5.

Abstract

Clinical advancement of novel therapeutics is often hindered by variable patient responses. Therefore, clinically translatable biomarkers of response are urgently required to facilitate precision medicine trials. Endogenous volatile organic compounds (VOCs) can be non-invasively detected in exhaled breath and biofluids and have shown great potential for early cancer detection. Since emerging evidence suggests that cancer-associated VOCs may reflect alterations in the tumour lipidome, we speculated that the response to metabolically active therapies could be monitored through VOC measurement. In this proof-of-concept study, we investigated the lipidomic and volatilomic profiles of mTOR catalytic inhibitors (mTORci)-resistant and -sensitive colorectal cancer cells. Distinct lipid-derived VOC signatures, including upregulated alkenes, aldehydes, and fatty acids were observed in mTORci-resistant cells. These enriched VOCs correlated with phospholipid structure and desaturation positions, suggesting that they may be surrogates of dysregulated lipid metabolism. This novel association between VOCs and drug response establishes a precedent for further investigation into VOC biomarkers of treatment response. VOCs associated with therapy response in vitro need to be targeted in clinical trials to identify biomarkers that could be translated to monitor therapeutic response in a clinical setting.

摘要

新型疗法的临床进展常常受到患者反应多变的阻碍。因此,迫切需要具有临床可转化性的反应生物标志物来推动精准医学试验。内源性挥发性有机化合物(VOCs)可以在呼出气体和生物流体中进行非侵入性检测,并且在早期癌症检测中显示出巨大潜力。由于新出现的证据表明,癌症相关的VOCs可能反映肿瘤脂质组的变化,我们推测可以通过VOC测量来监测对代谢活性疗法的反应。在这项概念验证研究中,我们研究了对mTOR催化抑制剂(mTORci)耐药和敏感的结肠癌细胞的脂质组和挥发组特征。在mTORci耐药细胞中观察到了不同的脂质衍生VOC特征,包括上调的烯烃、醛和脂肪酸。这些富集的VOCs与磷脂结构和去饱和位置相关,表明它们可能是脂质代谢失调的替代指标。VOCs与药物反应之间的这种新关联为进一步研究治疗反应的VOC生物标志物开创了先例。在体外与治疗反应相关的VOCs需要在临床试验中作为靶点,以识别可转化为在临床环境中监测治疗反应的生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b56/12134227/52bdcadda493/41598_2025_4886_Fig1_HTML.jpg

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