May 18, 2017          Dr. Chad Creighton. Credit: Baylor College of Medicine    
      Looking to improve cancer treatment, a multi-institutional      research team has taken a comprehensive approach to      evaluating which molecular changes in cancer cells are most      likely involved in the development of the disease. This      approach resulted in the confirmation of previously known      cancer molecular changes and in the discovery of others that      had not been typically linked to cancer before. Targeting      particular patient alterations with specific drugs might help      one day improve response to treatment. The report appears in      Cancer Cell.    
    "We studied the PI3K pathway, one of the most important pathways of    the cell," said senior author Dr. Chad Creighton, associate    professor of medicine and member of the Dan L Duncan    Comprehensive Cancer Center Division of Biostatistics at Baylor    College of Medicine. "A cellular pathway is a chain of events    involving several proteins. The PI3K pathway has a number of    diverse functions, including altering the cell's metabolism and    driving cell growth and proliferation."  
    "PI3K is the most commonly mutated pathway in cancer that can be targeted by drugs. Thus,    understanding how the pathway and mutations in cancer affect    the many different cancer lineages is important," said    co-author Dr. Gordon Mills, professor of medicine and    immunology at MD Anderson Cancer Center.  
    Previous studies had identified a number of the genes, proteins    and processes involved in the PI3K pathway in cells grown in    the lab.  
    "In this study, we have taken what we have learned in the lab    regarding how the pathway works and analyzed it together with    information about the genes and the proteins present in    cancer cells taken from human    patients," Creighton said. "We looked at nearly 11,000 human    cancers representing 32 major types. This is the largest study    of its kind, and it was possible in part thanks to the Cancer    Genome Atlas, a publicly available dataset of genomic changes    in 32 types of cancer."  
    To carry out the complex analysis of this vast amount of data,    the research team pulled the resources of experts in cancer    protein data, in molecular biology of the pathway, and in the    use of powerful analytical tools that provided genomic analysis    and integration of the protein data.  
    The challenge is to know which mutations in cancer are    important  
    To assess which cancer mutations are important, the researchers    carried out a comprehensive analysis that allowed them to    distinguish which of the altered genes and proteins were more    likely to affect the normal function of the PI3K pathway.  
    "What makes this analysis complex is that there is a large    number of gene and protein alterations that can be present in a    given patient's tumor, and it is possible that different    alterations are present in different patients," Creighton said.    "In addition, not all mutations necessarily cause disease. The    challenge is to find out which mutations are altering the    pathway in a way that can lead to cancer. We hope that one day    we will be able to apply this knowledge to personalized    medicine."  
    There were a few surprises in the study.  
    "For some genes there was previous work indicating they were    implicated in this pathway, but we discovered other genes, such    as IDH1 and VHL, which had not been typically associated with    the pathway in cancer before," Creighton said. "These genes, as    well as others that may be discovered in the future, may now be    incorporated into the group of genes linked to the PI3K pathway    and considered as potential candidates for targeted therapy."  
    "Finding several cancers and mutations that we didn't know    before could activate this pathway supports moving up the    priority of testing drugs toward the new mutations found in    specific cancer types," said co-author Dr. David Kwiatkowski,    professor of medicine at Harvard Medical School and senior    physician at Brigham and Women's Hospital and the Dana Farber    Cancer Institute.  
    The future of personalized medicine  
    "The comprehensive nature of this project that integrates    information from multiple levels has the potential to impact    patient management and to eventually improve outcomes for the    large population of patients with abnormalities in this very    important pathway," Mills said.  
    "This comprehensive approach expands our knowledge regarding    which types of cancer this pathway is activated and why, and    that's important in terms of thinking about therapies that go    after this pathway," Kwiatkowski said.  
    Imagine the following possible future scenario in a    personalized medicine setting: a patient provides a sample of    tumor and the physician sends it to a lab that runs a    sequencing assay that shows where the genetic changes are    located and the type of changes. Then, from the protein data,    the team of physicians and scientists can determine which    genetic changes are associated with greater activation of the    PI3K pathway and which may not. These data would help the team    in terms of selecting patients for whom specific drugs may be    effective.  
     Explore further:        New subtypes of lung cancer can lead to personalized therapies    with better outcome  
    More information: Cancer Cell (2017).    DOI: 10.1016/j.ccell.2017.04.013
        Personalized therapies can potentially improve the outcomes        of patients with lung cancer, but how to best design such        an approach is not always clear. A team of scientists from        Baylor College of Medicine and the University ...      
        Understanding the complexity of cancer is a major goal of        the scientific community, and for kidney cancer researchers        this goal just got closer. Dr. Chad Creighton, associate        professor of medicine and member of the Dan L ...      
        Breast cancer's ability to develop resistance to treatment        has frustrated researchers and physicians and has thwarted        even the latest and greatest targeted therapies. For        example, after researchers identified a disease pathway ...      
        Researchers at the Institute of Biomedical Investigation of        Bellvitge (IDIBELL), led by Dr. Mariona Graupera, have        unveiled the potential therapeutic benefit of a selective        inhibitior of the PI3-kinase (PI3K) protein in pancreatic        ...      
        A protein known to play a role in transporting the        molecular contents of normal cells into and out of various        intracellular compartments can also turn such cells        cancerous by stimulating a key growth-control pathway.      
        Cancer cells often devise ways to survive even in the        presence of toxic chemotherapy. Now, a research team led by        investigators at Beth Israel Deaconess Medical Center        (BIDMC) has found a way to attack a process that tumor ...      
        Looking to improve cancer treatment, a multi-institutional        research team has taken a comprehensive approach to        evaluating which molecular changes in cancer cells are most        likely involved in the development of the disease. ...      
        Antibodies to the proteins PD-1 and PD-L1 have been shown        to fight cancer by unleashing the body's T cells, a type of        immune cell. Now, researchers at the Stanford University        School of Medicine have shown that the therapy ...      
        Eating certain kinds of tree nuts, such as almonds, pecans,        walnuts, hazelnuts and cashews, has been linked to a        dramatically lower risk of colon cancer recurrence,        researchers said Wednesday.      
        Researchers at The University of Manchester have discovered        that a protein (5T4) found on the surface of cells        contributes to chemotherapy resistance in the most common        type of childhood leukaemia. Using a novel approach, ...      
        The HPV vaccine that helps prevent cervical cancer in women        also might lower the risk in young men of oral infections        that can cause mouth and throat cancers, a new study finds.      
        University of Georgia researchers, with colleagues from the        University of Tokyo, have identified a new drug target for        the two most common types of myeloid leukemia, including a        way to turn back the most aggressive form of ...      
      Please sign      in to add a comment. Registration is free, and takes less      than a minute. Read more    
See more here:
Comprehensive cancer study assesses potential targets for personalized medicine and finds new ones - Medical Xpress