One project involves probing Foundation Medicine's growing database
of tumor profiles for specific mutations and using that information to either design drugs or to parse patients into clinical trials of the company's drugs, says Pao.
Published online by JCI Insight, it is the first report of «clinical implementation
of tumor profiling in an enterprise - wide, unselected cancer patient population,» according to the authors.
Our experts leveraged enormous amounts
of tumor profiling data to identify the validated therapies that are most likely to be effective against this subtype of NSCLC.
Not exact matches
As researchers learn more about genetic
profile of various cancers, other work is charging ahead to deliver personalized vaccines targeted to a patient's own
tumor cells
«Next generation sequencing tools were used to
profile patients»
tumors,» said Razelle Kurzrock, MD, director
of the Center for Personalized Cancer Therapy at UC San Diego Moores Cancer Center.
Traditional genetic approaches together with the new wealth
of genomic information for both human and model organisms open up strategies by which drugs can be
profiled for their ability to selectively kill cells in a molecular context that matches those found in
tumors.
Then they linked the drug sensitivity
of the
tumor cells to the
profile of genes expressed in those cells.
In a recent attempt, oncologist Todd Golub
of the Dana - Farber Cancer Institute in Boston, Massachusetts, and his colleagues collected gene expression
profiles, taken from public databases, from 76
tumors.
In a scenario where
tumor profiling was already ordered, 79 %
of patients stated they wanted to know all
of the information obtained.
The 15 AACR scientists, who were already in Washington, D.C., to meet with the U.S. Food and Drug Administration on genetic testing for cancer patients, tossed around ideas including expanding NCI's
tumor genome - sequencing efforts and getting the government to cover the costs
of genomic
tumor profiling.
The study showed that despite the risk for receiving information about other potentially serious health problems, 59 %
of the cancer patients would agree to
tumor profiling if offered by their physician.
«While
tumor profiling holds the promise
of improved therapeutics through personalized medicine, it is important that both clinicians and patients discuss the possibilities
of incidental findings prior to ordering the testing, as the findings can have serious implications for both the patient and their family members,» said Melinda Yushak, M.D., M.P.H., first author on the study and a medical oncology fellow in Yale School
of Medicine.
A new effort by DOD, NCI, and the Department
of Veterans Affairs will
profile gene and protein expression in thousands
of individuals»
tumors.
Caris performed the molecular
profiling on 48,733 solid
tumor samples to assess the prevalence
of homologous recombination deficiency in about 20 different types
of solid
tumors.
Researchers from BUSM and the University
of Cyprus compared the markers on the surface
of the cancer cells to gene expression
profile of breast
tumors deposited by researchers in international public databases and found that a molecule named IL13RA2 (IL13R alpha2) was abundant in metastatic or late - stage BLBC.
Nagrath, director
of Rice's Laboratory for Systems Biology
of Human Diseases, said the new metabolic analysis indicates that ovarian cancer may be susceptible to multidrug cocktails, particularly if the amounts
of the drugs can be tailored to match the metabolic
profile of a patient's
tumor.
The study also suggests how ovarian cancer treatments can be tailored based on the metabolic
profile of a particular
tumor.
Researchers at Rice University's Laboratory for Systems Biology
of Human Diseases analyzed the metabolic
profiles of hundreds
of ovarian
tumors and discovered a new test to determine whether ovarian cancer cells have the potential to metastasize.
«We found a striking difference between the metabolic
profiles of poorly aggressive and highly aggressive ovarian
tumor cells, particularly with respect to their production and use
of the amino acid glutamine,» said lead researcher Deepak Nagrath
of Rice.
The resulting «map»
of gene - drug interactions allowed the researchers to accurately predict the responses
of multiple human cancer cell lines to different chemotherapy agents based on the cell lines» genetic
profiles and also revealed new genetic factors that appear to determine the response
of breast and ovarian
tumor cells to common classes
of chemotherapy treatment.
The study — Genomic
profiles of low - grade murine gliomas evolve during progression to glioblastoma — published April 7, shows how these
tumors continue to rapidly evolve, becoming ever more genetically diverse, as they become malignant and progress.
In 2011, she joined the institution's molecular diagnostics laboratory where she has been developing translational next generation sequencing assays and bioinformatics workflows for the Molecular
Tumor Profiling Lab
of the Yale Cancer Center.
This webinar will explore recent progress and future directions in translational and clinical efforts centered on checkpoint modulators and combination therapies matched to the molecular
profile of individual
tumors and the genetic background
of patients.
Researchers developed models to examine the influence
of driver mutations — mutations that promote cancer development — on the initiation and development
of gliomas, and how
tumor genomic
profiles evolve as the cancer progresses.
«These findings raise the possibility that by determining the gene expression
profile of a patient's
tumor, physicians may be able to identify aggressive disease at the outset
of diagnosis and start treatment earlier,» said Sungyong You, PhD, an instructor in the Cedars - Sinai Department
of Surgery and the first author
of the study.
«The idea is that every patient will receive a unique cocktail
of neoepitope - derived peptides, based on the genetic
profile of a
tumor, to generate a highly immunogenic and clinically relevant response,» he says.
The investigators also identified instances in which the genetic
profiles of metastases were similar to those
of only some cells in the primary
tumor, suggesting that those cells were the source
of the metastases, and other cases in which the genetic
profiles of metastases from the same primary differed depending on their location.
Analyzing the poly - G
profiles of primary and metastatic colon cancer samples from 22 patients revealed that how the primary and metastatic
tumors related to each other was different for each patient.
A team led by principal investigator Donald M. O'Rourke, MD, an associate professor
of Neurosurgery at Penn, and Marcela Maus, MD, PhD, showed that CART - EGFRvIII cells had an acceptable safety
profile, crossed the blood - brain barrier, infiltrated the
tumor, and prompted an immune response, resulting in reduction
of the EGFRvIII
tumor antigen in GBM cells.
The total environmental DNA
of grape crown gall
tumor disease is revealed in the genetic
profile based on 52 tissue samples
of crown gall
tumor taken from 16 grapevine species.
Previously, genetic counselors tested a small number
of genes sequentially based on family
profile and
tumor analysis until the culprit was identified.
Research from Rutgers Cancer Institute
of New Jersey examining difficult to treat cancer
tumors through genomic
profiling shows that
tumors with alterations in a signaling pathway responsible for cell regulation may respond to targeted therapy regardless
of where the
tumor originated in the body.
Just over half
of patients in the study who gave consent and had
tumor profiling ordered by a physician actually received results, due to a variety
of technical and logistical factors.
There's a basic set
of mutational
profiling that's done all around the country but there are certain centers, including ours, that have access to a much wider set
of genetic
profiling of the
tumors.
Researchers leading the largest genomic
tumor profiling effort
of its kind say such studies are technically feasible in a broad population
of adult and pediatric patients with many different types
of cancer, and that some patients can benefit by receiving precision drugs targeted to their
tumors» mutations or being enrolled in clinical trials.
Tumor profiling can also reveal rare mutations and other changes that make some cancers unusually responsive to targeted drugs — knowledge that can be applied to patients with a variety
of cancer types.
The study wasn't designed to measure whether
tumor profiling made a difference in how patients fared, but «it nonetheless lays the groundwork for more systematic study
of the impact
of genomics on clinical practice and patient outcomes,» the report said.
Kinetics study on markers
of the immune system by gene expression
profiling of an in vivo heated
tumor.
Individual
profiles based on the analysis
of each patient's
tumor cells revealed clinically relevant information that could be used to prioritize the drugs most likely to be effective in these cases.
Many
of our brain
tumor clinical trials include analysis
of the molecular
profiles of patients»
tumors.
In recent years DNA - and RNA - based surveys
of tumor genome and expression
profiling have produced a plethora
of leads on genes with clinical significance.
A detailed comparison
of gene expression signatures between ETP ALL
tumors and and normal human hematopoietic progenitor cells revealed a somewhat surprising finding: ETP - ALL expression patterns were less consistent with early T - cell precursors, as might have been expected, but more similar to the expression
profile of normal hematopoietic stem cells and granulocyte macrophage precursors.
Furthermore, the genetic and expression
profiles of malignant cells vary within individual
tumors, between
tumors at different sites within the same patient, and among
tumors from different patients.
The fact that she has found them to be differentially regulated in angiosarcoma
tumors has led to the hypothesis that there are epigenetic regulators
of these genes that have yet to be identified through the genomic
profiling applied to these studies thus far.
In the next decade, molecular research is going to further develop along five lines: predictive medicine, that investigates the genetic conditions predisposing to
tumor risk; early molecular diagnosis; the evaluation
of each patient's prognosis based on his / her genetic
profile, in other words, the analysis
of what kind
of mutation affects the DNA
of altered cells; the investigation
of the individual response to drugs, based on our genetic knowledge; «smart drugs», molecules able to hit the target in a selective way, killing only the deprogrammed cells.»
To determine the relevance
of DDX3 in clinical cancers, the expression
profile of DDX3 in various
tumors was also examined.
PHOTO: Harbour LaboratoryUsing very small amounts
of tumor tissue collected by a needle biopsy, doctors can conduct gene expression
profile testing to determine the likelihood that an ocular melanoma
tumor will spread beyond the eye.
To further confirm the alteration
of DDX3 expression in cancer specimens, the expression
profiles of DDX3 were examined in normal -
tumor paired HCC samples by immunohistochemical staining analysis using specific anti-DDX3 antibody.
A clinical trial
of AI therapy response paired with next - gen sequencing offers the opportunity to
profile the genetic alterations
of AI - sensitive and AI - resistant
tumors.
Using an array
of techniques, including RNA sequencing and targeted gene expression
profiling, the researchers searched for links between gene activity and protein production in these
tumors and the clinical outcomes
of patients.