2021
DOI: 10.1186/s12967-021-03062-3
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Increased sensitivity to SMAC mimetic LCL161 identified by longitudinal ex vivo pharmacogenomics of recurrent, KRAS mutated rectal cancer liver metastases

Abstract: Tumor heterogeneity is a primary cause of treatment failure. However, changes in drug sensitivity over time are not well mapped in cancer. Patient-derived organoids (PDOs) may predict clinical drug responses ex vivo and offer an opportunity to evaluate novel treatment strategies in a personalized fashion. Here we have evaluated spatio-temporal functional and molecular dynamics of five PDO models established after hepatic re-resections and neoadjuvant combination chemotherapies in a patient with microsatellite … Show more

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Cited by 10 publications
(9 citation statements)
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References 41 publications
(57 reference statements)
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“…Another study documented the feasibility of tumoroids in the accurate recapitulation of KRAS-mutant metastatic rectal cancer with microsatellite stability after hepatic resection and treatment with neoadjuvant combination chemotherapies of 5-FU, leucovorin, and oxaliplatin [114]. The histopathological differentiation phenotypes of these PDOs were consistent with liver metastases [114].…”
Section: Colorectal Cancermentioning
confidence: 98%
See 1 more Smart Citation
“…Another study documented the feasibility of tumoroids in the accurate recapitulation of KRAS-mutant metastatic rectal cancer with microsatellite stability after hepatic resection and treatment with neoadjuvant combination chemotherapies of 5-FU, leucovorin, and oxaliplatin [114]. The histopathological differentiation phenotypes of these PDOs were consistent with liver metastases [114].…”
Section: Colorectal Cancermentioning
confidence: 98%
“…Organoids are also utilized to provide insights into possible therapeutic targets and facilitate the development of novel antitumor drugs, such as the SMAC mimetic LCL161 for liver metastatic rectal cancer organoids [114] and the novel CDK7 inhibitor YPN-005 for SCLC organoid lines [179]. A high-throughput screen based on the interaction of patient-derived BCOs and tumor-specific cytotoxic T cells identified three epigenetic inhibitors, BML-210, GSK-LSD1, and CUDC-101, with significant antitumor effects [180].…”
Section: Discovery Of Novel Anticancer Targets and Promising Drug Can...mentioning
confidence: 99%
“…The advancement of in vitro tumor models has greatly accelerated, resulting in the creation of various model designs such as tumor spheroids, tumor organoids, and 3D bioprinted models. Organoids, in particular, are employed not only to gain insights into potential therapeutic targets but also to expedite the development of innovative anti-tumor medications [ 137 139 ]. For instance, liver metastatic rectal cancer organoids have been utilized to study the effects of the SMAC mimetic LCL161 [ 139 ], while SCLC organoid lines have facilitated research on the novel CDK7 inhibitor YPN-005 [ 137 ].…”
Section: Organoids For Clinical Applicationmentioning
confidence: 99%
“…Another observational coclinical study checked the standard combination of chemotherapy regimens in a PDO model generated from a patient with recurrent KRAS-mutated liver metastases from RC. They identified the SMAC mimetic as a unique therapeutic option in PDOs from the recurrent tumor tissue (51). Park et al developed a prediction model to analyze clinical and laboratory patients' radiotherapy response data by using a machine learning algorithm.…”
Section: Personalized Medicine Based On the Testing Of Individual Pdosmentioning
confidence: 99%
“…This case sets a great example for clinical application except for the small sample size. It is promising to conduct practice based on more large samples for evaluating the potential of PDOs in precision medicine ( 51 ).…”
Section: Drug Screening To Develop Novel Treatment Strategiesmentioning
confidence: 99%