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Status |
Public on Apr 04, 2025 |
Title |
CAN-Scan: a multi-omic phenotype-driven precision oncology platform identifies prognostic biomarkers of therapy response for colorectal cancer |
Organism |
Homo sapiens |
Experiment type |
Expression profiling by high throughput sequencing
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Summary |
Application of machine learning (ML) on cancer-specific pharmacogenomic datasets shows immense promise for identifying predictive response-biomarkers to enable personalized treatment. We introduce CAN-Scan, a precision oncology platform, that applies ML on next-generation pharmacogenomic datasets generated from a freeze-viable biobank of patient-derived primary cell lines (PDCs). These PDCs are screened against 84 FDA-approved drugs at clinically relevant doses (Cmax), focusing on colorectal cancer (CRC) as a model system. CAN-Scan uncovers prognostic biomarkers and alternative treatment strategies, particularly for patients unresponsive to first-line chemotherapy. Specifically, it identifies gene expression signatures linked to resistance against 5-Fluorouracil (5FU)-based drugs and a focal copy number gain on chromosome 7q, harbouring critical resistance-associated genes. CAN-Scan-derived response signatures accurately predict clinical outcomes across four independent, ethnically-diverse CRC cohorts. Notably, drug-specific ML models reveal Regorafenib and Vemurafenib as alternative treatments for BRAF-expressing, 5FU-insensitive CRC. Altogether, this approach demonstrates significant potential in improving biomarker-discovery and guiding personalized treatments.
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Overall design |
Patient derived cells (PDC) were generated from resected samples. Baseline gene expression profiles of these samples were generated.
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Contributor(s) |
Chia S, Dasgupta R, Shirgaonkar N |
Citation missing |
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Submission date |
Jan 24, 2025 |
Last update date |
Apr 04, 2025 |
Contact name |
Niranjan Shirgaonkar |
E-mail(s) |
niranjan.shirgaonkar@gmail.com
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Organization name |
A*STAR
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Lab |
Laboratory of Precision Oncology and Cancer Evolution
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Street address |
60 Biopolis St
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City |
Singapore |
State/province |
Singapore |
ZIP/Postal code |
138672 |
Country |
Singapore |
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Platforms (1) |
GPL24676 |
Illumina NovaSeq 6000 (Homo sapiens) |
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