RasGRP1 is a potential biomarker to stratify anti-EGFR therapy response in colorectal cancer.

Details

Serval ID
serval:BIB_3AFCE6869632
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
RasGRP1 is a potential biomarker to stratify anti-EGFR therapy response in colorectal cancer.
Journal
JCI insight
Author(s)
Gbenedio O.M., Bonnans C., Grun D., Wang C.Y., Hatch A.J., Mahoney M.R., Barras D., Matli M., Miao Y., Garcia K.C., Tejpar S., Delorenzi M., Venook A.P., Nixon A.B., Warren R.S., Roose J.P., Depeille P.
ISSN
2379-3708 (Electronic)
ISSN-L
2379-3708
Publication state
Published
Issued date
25/06/2019
Peer-reviewed
Oui
Volume
5
Pages
e127552
Language
english
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Colorectal cancer (CRC) is the third most frequent neoplastic disorder and is a main cause of tumor-related mortality as many patients progress to stage IV metastatic CRC. Standard care consists of combination chemotherapy (FOLFIRI or FOLFOX). Patients with WT KRAS typing are eligible to receive anti-EGFR therapy combined with chemotherapy. Unfortunately, predicting efficacy of CRC anti-EGFR therapy has remained challenging. Here we uncover that the EGFR-pathway component RasGRP1 acts as CRC tumor suppressor in the context of aberrant Wnt signaling. We find that RasGRP1 suppresses EGF-driven proliferation of colonic epithelial organoids. Having established that RasGRP1 dosage levels impacts biology, we focused on CRC patients next. Mining five different data platforms, we establish that RasGRP1 expression levels decrease with CRC progression and predict poor clinical outcome of patients. Lastly, deletion of one or two Rasgrp1 alleles makes CRC spheroids more susceptible to EGFR inhibition. Retrospective analysis of the CALGB80203 clinical trial shows that addition of anti-EGFR therapy to chemotherapy significantly improves outcome for CRC patients when tumors express low RasGRP1 suppressor levels. In sum, RasGRP1 is a unique biomarker positioned in the EGFR pathway and of potential relevance to anti-EGFR therapy for CRC patients.
Keywords
Animals, Antineoplastic Agents, Immunological/pharmacology, Antineoplastic Agents, Immunological/therapeutic use, Biomarkers, Tumor/analysis, Biomarkers, Tumor/genetics, Biomarkers, Tumor/metabolism, Cell Proliferation/drug effects, Cetuximab/pharmacology, Cetuximab/therapeutic use, Clinical Trials as Topic, Colorectal Neoplasms/drug therapy, Colorectal Neoplasms/mortality, Colorectal Neoplasms/pathology, Computational Biology, DNA-Binding Proteins/analysis, DNA-Binding Proteins/genetics, DNA-Binding Proteins/metabolism, Datasets as Topic, Disease Models, Animal, Disease Progression, Disease-Free Survival, ErbB Receptors/antagonists & inhibitors, ErbB Receptors/metabolism, Guanine Nucleotide Exchange Factors/analysis, Guanine Nucleotide Exchange Factors/genetics, Guanine Nucleotide Exchange Factors/metabolism, Humans, Kaplan-Meier Estimate, Mice, Mice, Knockout, Primary Cell Culture, Prognosis, Signal Transduction/drug effects, Spheroids, Cellular, Tumor Cells, Cultured, Tumor Suppressor Proteins/analysis, Tumor Suppressor Proteins/genetics, Tumor Suppressor Proteins/metabolism, Colorectal cancer, Drug therapy, Gastroenterology, Signal transduction, Therapeutics
Pubmed
Web of science
Open Access
Yes
Create date
19/08/2019 10:58
Last modification date
01/11/2020 6:23
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