Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma

Abstract Oxaliplatin-based chemotherapy is used to treat patients with esophageal adenocarcinoma (EAC), but no biomarkers are currently available for patient selection. We performed a prospective, clinical trial to identify potential biomarkers associated with clinical outcomes. Tumor tissue was obt...

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Autores principales: T. P. MacGregor, R. Carter, R. S. Gillies, J. M. Findlay, C. Kartsonaki, F. Castro-Giner, N. Sahgal, L. M. Wang, R. Chetty, N. D. Maynard, J. B. Cazier, F. Buffa, P. J. McHugh, I. Tomlinson, M. R. Middleton, R. A. Sharma
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Publicado: Nature Portfolio 2018
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Acceso en línea:https://doaj.org/article/4d0870d7f2504c6cb7bd6fa3f5792e59
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spelling oai:doaj.org-article:4d0870d7f2504c6cb7bd6fa3f5792e592021-12-02T12:33:00ZTranslational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma10.1038/s41598-018-24232-22045-2322https://doaj.org/article/4d0870d7f2504c6cb7bd6fa3f5792e592018-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-24232-2https://doaj.org/toc/2045-2322Abstract Oxaliplatin-based chemotherapy is used to treat patients with esophageal adenocarcinoma (EAC), but no biomarkers are currently available for patient selection. We performed a prospective, clinical trial to identify potential biomarkers associated with clinical outcomes. Tumor tissue was obtained from 38 patients with resectable EAC before and after 2 cycles of oxaliplatin-fluorouracil chemotherapy. Pre-treatment mRNA expression of 280 DNA repair (DNAR) genes was tested for association with histopathological regression at surgery, disease-free survival (DFS) and overall survival (OS). High expression of 13 DNA damage repair genes was associated with DFS less than one year (P < 0.05); expression of 11 DNAR genes were associated with worse OS (P < 0.05). From clinical associations with outcomes, two genes, ERCC1 and EME1, were identified as candidate biomarkers. In cell lines in vitro, we showed the mechanism of action related to repair of oxaliplatin-induced DNA damage by depletion and knockout of protein binding partners of the candidate biomarkers, XPF and MUS81 respectively. In clinical samples from the clinical trial, pre-treatment XPF protein levels were associated with pathological response, and MUS81 protein was associated with 1-year DFS. XPF and MUS81 merit further validation in prospective clinical trials as biomarkers that may predict clinical response of EAC to oxaliplatin-based chemotherapy.T. P. MacGregorR. CarterR. S. GilliesJ. M. FindlayC. KartsonakiF. Castro-GinerN. SahgalL. M. WangR. ChettyN. D. MaynardJ. B. CazierF. BuffaP. J. McHughI. TomlinsonM. R. MiddletonR. A. SharmaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-9 (2018)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
T. P. MacGregor
R. Carter
R. S. Gillies
J. M. Findlay
C. Kartsonaki
F. Castro-Giner
N. Sahgal
L. M. Wang
R. Chetty
N. D. Maynard
J. B. Cazier
F. Buffa
P. J. McHugh
I. Tomlinson
M. R. Middleton
R. A. Sharma
Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
description Abstract Oxaliplatin-based chemotherapy is used to treat patients with esophageal adenocarcinoma (EAC), but no biomarkers are currently available for patient selection. We performed a prospective, clinical trial to identify potential biomarkers associated with clinical outcomes. Tumor tissue was obtained from 38 patients with resectable EAC before and after 2 cycles of oxaliplatin-fluorouracil chemotherapy. Pre-treatment mRNA expression of 280 DNA repair (DNAR) genes was tested for association with histopathological regression at surgery, disease-free survival (DFS) and overall survival (OS). High expression of 13 DNA damage repair genes was associated with DFS less than one year (P < 0.05); expression of 11 DNAR genes were associated with worse OS (P < 0.05). From clinical associations with outcomes, two genes, ERCC1 and EME1, were identified as candidate biomarkers. In cell lines in vitro, we showed the mechanism of action related to repair of oxaliplatin-induced DNA damage by depletion and knockout of protein binding partners of the candidate biomarkers, XPF and MUS81 respectively. In clinical samples from the clinical trial, pre-treatment XPF protein levels were associated with pathological response, and MUS81 protein was associated with 1-year DFS. XPF and MUS81 merit further validation in prospective clinical trials as biomarkers that may predict clinical response of EAC to oxaliplatin-based chemotherapy.
format article
author T. P. MacGregor
R. Carter
R. S. Gillies
J. M. Findlay
C. Kartsonaki
F. Castro-Giner
N. Sahgal
L. M. Wang
R. Chetty
N. D. Maynard
J. B. Cazier
F. Buffa
P. J. McHugh
I. Tomlinson
M. R. Middleton
R. A. Sharma
author_facet T. P. MacGregor
R. Carter
R. S. Gillies
J. M. Findlay
C. Kartsonaki
F. Castro-Giner
N. Sahgal
L. M. Wang
R. Chetty
N. D. Maynard
J. B. Cazier
F. Buffa
P. J. McHugh
I. Tomlinson
M. R. Middleton
R. A. Sharma
author_sort T. P. MacGregor
title Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_short Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_full Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_fullStr Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_full_unstemmed Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_sort translational study identifies xpf and mus81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/4d0870d7f2504c6cb7bd6fa3f5792e59
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