دورية أكاديمية

Functional diagnostics using fresh uncultured lung tumor cells to guide personalized treatments.

التفاصيل البيبلوغرافية
العنوان: Functional diagnostics using fresh uncultured lung tumor cells to guide personalized treatments.
المؤلفون: Talwelkar SS; Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki 00014, Finland., Mäyränpää MI; HUSLAB, Division of Pathology, Helsinki University Hospital and University of Helsinki, Helsinki 00029, Finland.; Department of Pathology, University of Helsinki, Helsinki 00014, Finland., Søraas L; Pontoppidans Gate 9B, 0462 Oslo, Norway., Potdar S; Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki 00014, Finland., Bao J; Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki 00014, Finland., Hemmes A; Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki 00014, Finland., Linnavirta N; Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki 00014, Finland., Lømo J; Department of Pathology, Oslo University Hospital, Oslo, Norway., Räsänen J; Department of Thoracic Surgery, Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland., Knuuttila A; Department of Pulmonary Medicine, Heart and Lung Center, and Cancer Center, Helsinki University Hospital, Helsinki, Finland., Wennerberg K; Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki 00014, Finland.; BRIC-Biotech Research & Innovation Centre and Novo Nordisk Foundation Center for Stem Cell Biology (DanStem), University of Copenhagen, 2200 Copenhagen, Denmark., Verschuren EW; Institute for Molecular Medicine Finland (FIMM), HiLIFE, University of Helsinki, Helsinki 00014, Finland.
المصدر: Cell reports. Medicine [Cell Rep Med] 2021 Aug 17; Vol. 2 (8), pp. 100373. Date of Electronic Publication: 2021 Aug 17 (Print Publication: 2021).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Cell Press Country of Publication: United States NLM ID: 101766894 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-3791 (Electronic) Linking ISSN: 26663791 NLM ISO Abbreviation: Cell Rep Med
أسماء مطبوعة: Original Publication: [Cambridge, MA] : Cell Press, [2020]-
مواضيع طبية MeSH: Precision Medicine*, Lung Neoplasms/*diagnosis , Lung Neoplasms/*pathology, Adenocarcinoma of Lung/diagnosis ; Adenocarcinoma of Lung/pathology ; Adult ; Aged ; Animals ; Carcinoma, Non-Small-Cell Lung/diagnosis ; Carcinoma, Non-Small-Cell Lung/pathology ; Cellular Reprogramming ; Epithelial Cells/pathology ; Female ; Humans ; Male ; Mice ; Middle Aged ; Molecular Targeted Therapy ; Proto-Oncogene Proteins p21(ras)/genetics ; Signal Transduction ; Tumor Cells, Cultured
مستخلص: Functional profiling of a cancer patient's tumor cells holds potential to tailor personalized cancer treatment. Here, we report the utility of fresh uncultured tumor-derived EpCAM + epithelial cells (FUTCs) for ex vivo drug-response interrogation. Analysis of murine Kras mutant FUTCs demonstrates pharmacological and adaptive signaling profiles comparable to subtype-matched cultured cells. By applying FUTC profiling on non-small-cell lung cancer patient samples, we report robust drug-response data in 19 of 20 cases, with cells exhibiting targeted drug sensitivities corresponding to their oncogenic drivers. In one of these cases, an EGFR mutant lung adenocarcinoma patient refractory to osimertinib, FUTC profiling is used to guide compassionate treatment. FUTC profiling identifies selective sensitivity to disulfiram and the combination of carboplatin plus etoposide, and the patient receives substantial clinical benefit from treatment with these agents. We conclude that FUTC profiling provides a robust, rapid, and actionable assessment of personalized cancer treatment options.
Competing Interests: The authors declare no competing interests.
(© 2021 The Author(s).)
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فهرسة مساهمة: Keywords: ALK; EGFR; KRAS; drug sensitivity and resistance testing; ex vivo drug screening; functional diagnostics; lung cancer; personalized medicine; pharmacogenomics; targeted therapy
المشرفين على المادة: 0 (KRAS protein, human)
EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras))
تواريخ الأحداث: Date Created: 20210901 Date Completed: 20220303 Latest Revision: 20240403
رمز التحديث: 20240403
مُعرف محوري في PubMed: PMC8385325
DOI: 10.1016/j.xcrm.2021.100373
PMID: 34467250
قاعدة البيانات: MEDLINE
الوصف
تدمد:2666-3791
DOI:10.1016/j.xcrm.2021.100373