Evaluating genomic biomarkers associated with resistance or sensitivity to chemotherapy in patients with advanced breast and colorectal cancer

Introduction Carcinogenesis is driven by an array of complex genomic patterns; these patterns can render an individual resistant or sensitive to certain chemotherapy agents. The Personalized Oncogenomics (POG) project at BC Cancer has performed integrative genomic analysis of whole tumour genomes an...

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Veröffentlicht in:Journal of oncology pharmacy practice 2021-08, Vol.27 (6), p.1371-1381
Hauptverfasser: Guenter, Jolene, Abadi, Shirin, Lim, Howard, Chia, Stephen, Woods, Ryan, Jones, Martin, Rebic, Nevena, Renouf, Daniel J, Laskin, Janessa, Marra, Marco
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container_end_page 1381
container_issue 6
container_start_page 1371
container_title Journal of oncology pharmacy practice
container_volume 27
creator Guenter, Jolene
Abadi, Shirin
Lim, Howard
Chia, Stephen
Woods, Ryan
Jones, Martin
Rebic, Nevena
Renouf, Daniel J
Laskin, Janessa
Marra, Marco
description Introduction Carcinogenesis is driven by an array of complex genomic patterns; these patterns can render an individual resistant or sensitive to certain chemotherapy agents. The Personalized Oncogenomics (POG) project at BC Cancer has performed integrative genomic analysis of whole tumour genomes and transcriptomes for over 700 patients with advanced cancers, with an aim to predict therapeutic sensitivities. The aim of this study was to utilize the POG genomic data to evaluate a discrete set of biomarkers associated with chemo-sensitivity or-resistance in advanced stage breast and colorectal cancer POG patients. Methods This was a retrospective multi-centre analysis across all BC CANCER sites. All breast and colorectal cancer patients enrolled in the POG program between July 1, 2012 and November 30, 2016 were eligible for inclusion. Within the breast cancer population, those treated with capecitabine, paclitaxel, and everolimus were analyzed, and for the colorectal cancer patients, those treated with capecitabine, bevacizumab, irinotecan, and oxaliplatin were analyzed. The expression levels of the selected biomarkers of interest (EPHB4, FIGF, CD133, DICER1, DPYD, TYMP, TYMS, TAP1, TOP1, CKDN1A, ERCC1, GSTP1, BRCA1, PTEN, ABCB1, TLE3, and TXNDC17) were reported as mRNA percentiles. Results For the breast cancer population, there were 32 patients in the capecitabine cohort, 15 in the everolimus cohort, and 12 in the paclitaxel cohort. For the colorectal cancer population, there were 29 patients in the bevacizumab cohort, 12 in the oxaliplatin cohort, 29 in the irinotecan cohort, and 6 in the capecitabine cohort. Of the biomarkers evaluated, the strongest associations were found between Bevacizumab-based therapy and DICER1 (P = 0.0445); and between capecitabine therapy and TYMP (P = 0.0553). Conclusions Among breast cancer patients, higher TYMP expression was associated with sensitivity to capecitabine. Among colorectal cancer patients, higher DICER1 expression was associated with sensitivity to bevacizumab-based therapy. This study supports further assessment of the potential predictive value of mRNA expression of these genomic biomarkers.
doi_str_mv 10.1177/1078155220951845
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The Personalized Oncogenomics (POG) project at BC Cancer has performed integrative genomic analysis of whole tumour genomes and transcriptomes for over 700 patients with advanced cancers, with an aim to predict therapeutic sensitivities. The aim of this study was to utilize the POG genomic data to evaluate a discrete set of biomarkers associated with chemo-sensitivity or-resistance in advanced stage breast and colorectal cancer POG patients. Methods This was a retrospective multi-centre analysis across all BC CANCER sites. All breast and colorectal cancer patients enrolled in the POG program between July 1, 2012 and November 30, 2016 were eligible for inclusion. Within the breast cancer population, those treated with capecitabine, paclitaxel, and everolimus were analyzed, and for the colorectal cancer patients, those treated with capecitabine, bevacizumab, irinotecan, and oxaliplatin were analyzed. The expression levels of the selected biomarkers of interest (EPHB4, FIGF, CD133, DICER1, DPYD, TYMP, TYMS, TAP1, TOP1, CKDN1A, ERCC1, GSTP1, BRCA1, PTEN, ABCB1, TLE3, and TXNDC17) were reported as mRNA percentiles. Results For the breast cancer population, there were 32 patients in the capecitabine cohort, 15 in the everolimus cohort, and 12 in the paclitaxel cohort. For the colorectal cancer population, there were 29 patients in the bevacizumab cohort, 12 in the oxaliplatin cohort, 29 in the irinotecan cohort, and 6 in the capecitabine cohort. Of the biomarkers evaluated, the strongest associations were found between Bevacizumab-based therapy and DICER1 (P = 0.0445); and between capecitabine therapy and TYMP (P = 0.0553). Conclusions Among breast cancer patients, higher TYMP expression was associated with sensitivity to capecitabine. Among colorectal cancer patients, higher DICER1 expression was associated with sensitivity to bevacizumab-based therapy. This study supports further assessment of the potential predictive value of mRNA expression of these genomic biomarkers.</description><identifier>ISSN: 1078-1552</identifier><identifier>EISSN: 1477-092X</identifier><identifier>DOI: 10.1177/1078155220951845</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Bevacizumab ; Biomarkers ; BRCA1 protein ; Breast cancer ; Carcinogenesis ; Chemotherapy ; Colorectal cancer ; Colorectal carcinoma ; ERCC1 protein ; Gene expression ; Genomic analysis ; Glutathione transferase ; Irinotecan ; Oxaliplatin ; Paclitaxel ; PTEN protein ; Transcriptomes ; Tumors</subject><ispartof>Journal of oncology pharmacy practice, 2021-08, Vol.27 (6), p.1371-1381</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c342t-9a36c39122666fcf6697447934d71dc9601d09a7e04993c551bd97f8c93369a73</citedby><cites>FETCH-LOGICAL-c342t-9a36c39122666fcf6697447934d71dc9601d09a7e04993c551bd97f8c93369a73</cites><orcidid>0000-0001-9289-7238 ; 0000-0002-9520-2128</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1078155220951845$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1078155220951845$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,21802,27907,27908,43604,43605</link.rule.ids></links><search><creatorcontrib>Guenter, Jolene</creatorcontrib><creatorcontrib>Abadi, Shirin</creatorcontrib><creatorcontrib>Lim, Howard</creatorcontrib><creatorcontrib>Chia, Stephen</creatorcontrib><creatorcontrib>Woods, Ryan</creatorcontrib><creatorcontrib>Jones, Martin</creatorcontrib><creatorcontrib>Rebic, Nevena</creatorcontrib><creatorcontrib>Renouf, Daniel J</creatorcontrib><creatorcontrib>Laskin, Janessa</creatorcontrib><creatorcontrib>Marra, Marco</creatorcontrib><title>Evaluating genomic biomarkers associated with resistance or sensitivity to chemotherapy in patients with advanced breast and colorectal cancer</title><title>Journal of oncology pharmacy practice</title><description>Introduction Carcinogenesis is driven by an array of complex genomic patterns; these patterns can render an individual resistant or sensitive to certain chemotherapy agents. The Personalized Oncogenomics (POG) project at BC Cancer has performed integrative genomic analysis of whole tumour genomes and transcriptomes for over 700 patients with advanced cancers, with an aim to predict therapeutic sensitivities. The aim of this study was to utilize the POG genomic data to evaluate a discrete set of biomarkers associated with chemo-sensitivity or-resistance in advanced stage breast and colorectal cancer POG patients. Methods This was a retrospective multi-centre analysis across all BC CANCER sites. All breast and colorectal cancer patients enrolled in the POG program between July 1, 2012 and November 30, 2016 were eligible for inclusion. Within the breast cancer population, those treated with capecitabine, paclitaxel, and everolimus were analyzed, and for the colorectal cancer patients, those treated with capecitabine, bevacizumab, irinotecan, and oxaliplatin were analyzed. The expression levels of the selected biomarkers of interest (EPHB4, FIGF, CD133, DICER1, DPYD, TYMP, TYMS, TAP1, TOP1, CKDN1A, ERCC1, GSTP1, BRCA1, PTEN, ABCB1, TLE3, and TXNDC17) were reported as mRNA percentiles. Results For the breast cancer population, there were 32 patients in the capecitabine cohort, 15 in the everolimus cohort, and 12 in the paclitaxel cohort. For the colorectal cancer population, there were 29 patients in the bevacizumab cohort, 12 in the oxaliplatin cohort, 29 in the irinotecan cohort, and 6 in the capecitabine cohort. Of the biomarkers evaluated, the strongest associations were found between Bevacizumab-based therapy and DICER1 (P = 0.0445); and between capecitabine therapy and TYMP (P = 0.0553). Conclusions Among breast cancer patients, higher TYMP expression was associated with sensitivity to capecitabine. Among colorectal cancer patients, higher DICER1 expression was associated with sensitivity to bevacizumab-based therapy. This study supports further assessment of the potential predictive value of mRNA expression of these genomic biomarkers.</description><subject>Bevacizumab</subject><subject>Biomarkers</subject><subject>BRCA1 protein</subject><subject>Breast cancer</subject><subject>Carcinogenesis</subject><subject>Chemotherapy</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>ERCC1 protein</subject><subject>Gene expression</subject><subject>Genomic analysis</subject><subject>Glutathione transferase</subject><subject>Irinotecan</subject><subject>Oxaliplatin</subject><subject>Paclitaxel</subject><subject>PTEN protein</subject><subject>Transcriptomes</subject><subject>Tumors</subject><issn>1078-1552</issn><issn>1477-092X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kEtLAzEUhYMoWB97lwHXo3lMkslSSn1AwY2CuyFNMm3qNKlJWumf8DebYQRBcHUv95zvXDgAXGF0g7EQtxiJBjNGCJIMNzU7AhNcC1EhSd6Oy17katBPwVlKa4RQI0gzAV-zvep3Kju_hEvrw8ZpuHBho-K7jQmqlIJ2KlsDP11ewWiTS1l5bWGIMFmfXHZ7lw8wB6hXdhPyyka1PUDn4bbEWp_TiCqzHzgDF9GqlKHyBurQh2h1Vj3UgxgvwEmn-mQvf-Y5eL2fvUwfq_nzw9P0bl5pWpNcSUW5phITwjnvdMe5FHUtJK2NwEZLjrBBUgmLaimpZgwvjBRdoyWlvNzpObgec7cxfOxsyu067KIvL1vCBMGcNQgXFxpdOoaUou3abXSlmkOLUTu03v5tvSDViCS1tL-h__q_Abp8hAw</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Guenter, Jolene</creator><creator>Abadi, Shirin</creator><creator>Lim, Howard</creator><creator>Chia, Stephen</creator><creator>Woods, Ryan</creator><creator>Jones, Martin</creator><creator>Rebic, Nevena</creator><creator>Renouf, Daniel J</creator><creator>Laskin, Janessa</creator><creator>Marra, Marco</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0001-9289-7238</orcidid><orcidid>https://orcid.org/0000-0002-9520-2128</orcidid></search><sort><creationdate>20210801</creationdate><title>Evaluating genomic biomarkers associated with resistance or sensitivity to chemotherapy in patients with advanced breast and colorectal cancer</title><author>Guenter, Jolene ; Abadi, Shirin ; Lim, Howard ; Chia, Stephen ; Woods, Ryan ; Jones, Martin ; Rebic, Nevena ; Renouf, Daniel J ; Laskin, Janessa ; Marra, Marco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c342t-9a36c39122666fcf6697447934d71dc9601d09a7e04993c551bd97f8c93369a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bevacizumab</topic><topic>Biomarkers</topic><topic>BRCA1 protein</topic><topic>Breast cancer</topic><topic>Carcinogenesis</topic><topic>Chemotherapy</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>ERCC1 protein</topic><topic>Gene expression</topic><topic>Genomic analysis</topic><topic>Glutathione transferase</topic><topic>Irinotecan</topic><topic>Oxaliplatin</topic><topic>Paclitaxel</topic><topic>PTEN protein</topic><topic>Transcriptomes</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guenter, Jolene</creatorcontrib><creatorcontrib>Abadi, Shirin</creatorcontrib><creatorcontrib>Lim, Howard</creatorcontrib><creatorcontrib>Chia, Stephen</creatorcontrib><creatorcontrib>Woods, Ryan</creatorcontrib><creatorcontrib>Jones, Martin</creatorcontrib><creatorcontrib>Rebic, Nevena</creatorcontrib><creatorcontrib>Renouf, Daniel J</creatorcontrib><creatorcontrib>Laskin, Janessa</creatorcontrib><creatorcontrib>Marra, Marco</creatorcontrib><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>Journal of oncology pharmacy practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guenter, Jolene</au><au>Abadi, Shirin</au><au>Lim, Howard</au><au>Chia, Stephen</au><au>Woods, Ryan</au><au>Jones, Martin</au><au>Rebic, Nevena</au><au>Renouf, Daniel J</au><au>Laskin, Janessa</au><au>Marra, Marco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating genomic biomarkers associated with resistance or sensitivity to chemotherapy in patients with advanced breast and colorectal cancer</atitle><jtitle>Journal of oncology pharmacy practice</jtitle><date>2021-08-01</date><risdate>2021</risdate><volume>27</volume><issue>6</issue><spage>1371</spage><epage>1381</epage><pages>1371-1381</pages><issn>1078-1552</issn><eissn>1477-092X</eissn><abstract>Introduction Carcinogenesis is driven by an array of complex genomic patterns; these patterns can render an individual resistant or sensitive to certain chemotherapy agents. The Personalized Oncogenomics (POG) project at BC Cancer has performed integrative genomic analysis of whole tumour genomes and transcriptomes for over 700 patients with advanced cancers, with an aim to predict therapeutic sensitivities. The aim of this study was to utilize the POG genomic data to evaluate a discrete set of biomarkers associated with chemo-sensitivity or-resistance in advanced stage breast and colorectal cancer POG patients. Methods This was a retrospective multi-centre analysis across all BC CANCER sites. All breast and colorectal cancer patients enrolled in the POG program between July 1, 2012 and November 30, 2016 were eligible for inclusion. Within the breast cancer population, those treated with capecitabine, paclitaxel, and everolimus were analyzed, and for the colorectal cancer patients, those treated with capecitabine, bevacizumab, irinotecan, and oxaliplatin were analyzed. The expression levels of the selected biomarkers of interest (EPHB4, FIGF, CD133, DICER1, DPYD, TYMP, TYMS, TAP1, TOP1, CKDN1A, ERCC1, GSTP1, BRCA1, PTEN, ABCB1, TLE3, and TXNDC17) were reported as mRNA percentiles. Results For the breast cancer population, there were 32 patients in the capecitabine cohort, 15 in the everolimus cohort, and 12 in the paclitaxel cohort. For the colorectal cancer population, there were 29 patients in the bevacizumab cohort, 12 in the oxaliplatin cohort, 29 in the irinotecan cohort, and 6 in the capecitabine cohort. Of the biomarkers evaluated, the strongest associations were found between Bevacizumab-based therapy and DICER1 (P = 0.0445); and between capecitabine therapy and TYMP (P = 0.0553). Conclusions Among breast cancer patients, higher TYMP expression was associated with sensitivity to capecitabine. Among colorectal cancer patients, higher DICER1 expression was associated with sensitivity to bevacizumab-based therapy. This study supports further assessment of the potential predictive value of mRNA expression of these genomic biomarkers.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><doi>10.1177/1078155220951845</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9289-7238</orcidid><orcidid>https://orcid.org/0000-0002-9520-2128</orcidid></addata></record>
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subjects Bevacizumab
Biomarkers
BRCA1 protein
Breast cancer
Carcinogenesis
Chemotherapy
Colorectal cancer
Colorectal carcinoma
ERCC1 protein
Gene expression
Genomic analysis
Glutathione transferase
Irinotecan
Oxaliplatin
Paclitaxel
PTEN protein
Transcriptomes
Tumors
title Evaluating genomic biomarkers associated with resistance or sensitivity to chemotherapy in patients with advanced breast and colorectal cancer
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