Synthetic lethality-mediated precision oncology via the tumor transcriptome

Joo Sang Lee*, Nishanth Ulhas Nair, Gal Dinstag, Lesley Chapman, Youngmin Chung, Kun Wang, Sanju Sinha, Hongui Cha, Dasol Kim, Alexander V. Schperberg, Ajay Srinivasan, Vladimir Lazar, Eitan Rubin, Sohyun Hwang, Raanan Berger, Tuvik Beker, Ze'ev Ronai, Sridhar Hannenhalli, Mark R. Gilbert, Razelle KurzrockSe Hoon Lee, Kenneth Aldape, Eytan Ruppin*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

55 Scopus citations

Abstract

Precision oncology has made significant advances, mainly by targeting actionable mutations in cancer driver genes. Aiming to expand treatment opportunities, recent studies have begun to explore the utility of tumor transcriptome to guide patient treatment. Here, we introduce SELECT (synthetic lethality and rescue-mediated precision oncology via the transcriptome), a precision oncology framework harnessing genetic interactions to predict patient response to cancer therapy from the tumor transcriptome. SELECT is tested on a broad collection of 35 published targeted and immunotherapy clinical trials from 10 different cancer types. It is predictive of patients’ response in 80% of these clinical trials and in the recent multi-arm WINTHER trial. The predictive signatures and the code are made publicly available for academic use, laying a basis for future prospective clinical studies.

Original languageEnglish
Pages (from-to)2487-2502.e13
JournalCell
Volume184
Issue number9
DOIs
StatePublished - 29 Apr 2021
Externally publishedYes

Funding

FundersFunder number
Pangea Therapeutics
Sanna Madan
National Institutes of Health
National Cancer InstituteZIABC011802
National Cancer Institute
Genentech
EMD Serono
Sungkyunkwan University
National Research Foundation of KoreaNRF-2020R1A2C2007652
National Research Foundation of Korea
Institute for Information and Communications Technology Promotion
Ministry of Science and ICT, South Korea2019-0-00421
Ministry of Science and ICT, South Korea

    Keywords

    • cancer immunotherapy
    • patient stratification
    • precision oncology
    • synthetic lethality
    • synthetic rescues
    • transcriptomics

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