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Panomics reveals patient individuality as the major driver of colorectal cancer progression

ABSTRACT: Colorectal cancer (CRC) is one of the most prevalent cancers, with over one million new cases per year. Overall, prognosis of CRC largely depends on the disease stage and metastatic status. As precision oncology for patients with CRC continues to improve, this study aimed to integrate genomic, transcriptomic, and proteomic analyses to identify significant differences in expression during CRC progression using a unique set of paired patient samples while considering tumour heterogeneity.We analysed fresh-frozen tissue samples prepared under strict cryogenic conditions of matched healthy colon mucosa, colorectal carcinoma, and liver metastasis from the same patients. Somatic mutations of known cancer-related genes were analysed using Illumina's TruSeq Amplicon Cancer Panel; the transcriptome was assessed comprehensively using Clariom D microarrays. The global proteome was evaluated by liquid chromatography-coupled mass spectrometry (LC‒MS/MS) and validated by two-dimensional difference in-gel electrophoresis. Subsequent unsupervised principal component clustering, statistical comparisons, and gene set enrichment analyses were calculated based on differential expression results.Although panomics revealed low RNA and protein expression of CA1, CLCA1, MATN2, AHCYL2, and FCGBP in malignant tissues compared to healthy colon mucosa, no differentially expressed RNA or protein targets were detected between tumour and metastatic tissues. Subsequent intra-patient comparisons revealed highly specific expression differences (e.g., SRSF3, OLFM4, and CEACAM5) associated with patient-specific transcriptomes and proteomes.Our research results highlight the importance of inter- and intra-tumour heterogeneity as well as individual, patient-paired evaluations for clinical studies. In addition to changes among groups reflecting CRC progression, we identified significant expression differences between normal colon mucosa, primary tumour, and liver metastasis samples from individuals, which might accelerate implementation of precision oncology in the future.

INSTRUMENT(S): Q Exactive

ORGANISM(S): Homo Sapiens (human)

TISSUE(S): Epithelial Cell, Colon

DISEASE(S): Colon Cancer

SUBMITTER: Thorben Sauer

LAB HEAD: Timo Gemoll

PROVIDER: PXD036434 | Pride | 2023-03-11

REPOSITORIES: Pride

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Panomics reveals patient individuality as the major driver of colorectal cancer progression.

Praus Friederike F Künstner Axel A Sauer Thorben T Kohl Michael M Kern Katharina K Deichmann Steffen S Végvári Ákos Á Keck Tobias T Busch Hauke H Habermann Jens K JK Gemoll Timo T

Journal of translational medicine 20230123 1

<h4>Background</h4>Colorectal cancer (CRC) is one of the most prevalent cancers, with over one million new cases per year. Overall, prognosis of CRC largely depends on the disease stage and metastatic status. As precision oncology for patients with CRC continues to improve, this study aimed to integrate genomic, transcriptomic, and proteomic analyses to identify significant differences in expression during CRC progression using a unique set of paired patient samples while considering tumour hete ...[more]

PMID: 36691026

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Project description:Colorectal cancer (CRC) is one of the major causes of cancer-related death worldwide, for which diagnosis and prognosis are still inadequate mainly due to local recurrence and metastasis, although medical and surgical treatment in cancer therapy advanced. Diagnosis is frequently late, the high capacity of CRC to infiltrate and develop metastasis has the consequence that 40% of patients with CRC have metastasis in liver already at the time of diagnosis. The prognosis of CRC is closely related to the stage, but classification of patients is affected by a great variability in response to therapy and clinical outcome. The localization of the tumor determines a huge inter-tumoral heterogeneity and the intra-tumoral heterogeneity connected to the tumor microenvironment increases the complexity. The heterogeneity typical of CRC is also associated to the several oncogenic signaling pathways, among them the glucose-related pathways, indeed, the glucose metabolic reprogramming of cancer cells appears to be implicated in the malignant progression of CRC. This metabolic alteration seems to be associated to the epithelial-mesenchymal transition (EMT), which is considered the main event promoting the invasion and migration of CRC cells. However, the comprehensive understanding of the molecular mechanisms associated to EMT in CRC is still a challenge and despite decades of research, the process of tumor dissemination is insufficiently understood. Therefore, it is necessary to identify novel biomarkers associated with the prevention, diagnosis and treatment of CRC, as well as potential therapeutic targets. In this context, we performed a large-scale shotgun proteomic investigation on CRC with the aim of discover novel potential protein hallmarks able to distinguish with high specificity and sensitivity tumoral tissue from the health one, and to classify the superficial and the internal deep tumoral tissues. The EMT process is driven by the deep tumoral cells in CRC, therefore, to find significant differences at proteomic levels with respect to the peripheric tumoral tissue and to the healthy mucosa, and to identify specific classifying factors can be useful to individuate potential biomarkers of CRC invasiveness and potential therapy targets. Moreover, the functional enrichment analysis of proteomic data can provide information on biological processes implicated and associated to the variations of the protein profiles, and thus, help to understand the molecular mechanism associated to the CRC progression and malignance. Our approaches coupling high-throughput proteomic strategy with highly accurate statistical and enrichments analysis highlighted not only confirmation on potential biomarkers already proposed in other studies but also novel biomarkers able to distinguish with high sensitivity and specificity the deep tumor from the superficial one and to the healthy mucosa. Our investigation suggested a strong contribution of proteins implicated in metabolic pathways as catalytic and regulatory activities, some of them with high classifying power and potentially useful as biomarker and therapeutic target.

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Panomics reveals patient individuality as the major driver of colorectal cancer progression

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Panomics reveals patient individuality as the major driver of colorectal cancer progression.

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