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Potential of using transcriptome sequencing data in choosing therapy for patients with colorectal cancer

https://doi.org/10.15829/1728-8800-2024-4174

EDN: YWSGPM

Abstract

Aim. To study the applicability of RNA (ribonucleic acid) sequencing with master regulator identification for predicting the effectiveness of targeted therapy in patients with colorectal cancer.

Materials and methods. Tissue samples from three patients with colorectal cancer obtained from postoperative material were used. All patients received palliative antitumor therapy in standard regimens in accordance with the tumor location and the status of RAS and BRAF gene mutations. The transcriptome of tumor and healthy tissue of each patient was sequenced, and master regulators in the tumor tissue were analyzed.

Results. A list of master regulators was found for each patient and possible therapeutic agents most suitable for suppressing the tumor process were predicted.

Conclusion. The potential of computer analysis of the molecular profile of colorectal adenocarcinoma in predicting the effectiveness of therapy is shown. However, to determine the clinical potential of this technique, a study on a wider sample is required.

About the Authors

S. V. Apalko
Kurortny District Сity Hospital № 40; Saint Petersburg State University
Russian Federation

Saint Petersburg



V. S. Shimansky
Kurortny District Сity Hospital № 40; Saint Petersburg State University
Russian Federation

Saint Petersburg



A. Kel
geneXplain GmbH
Germany

Wolfenbüttel



N. N. Sushentseva
Kurortny District Сity Hospital № 40; Saint Petersburg State University
Russian Federation

Saint Petersburg



N. V. Tyukavina
Kurortny District Сity Hospital № 40
Russian Federation

Saint Petersburg



S. A. Kovalenko
Kurortny District Сity Hospital № 40
Russian Federation

Saint Petersburg



S. G. Shcherbak
Kurortny District Сity Hospital № 40; Saint Petersburg State University
Russian Federation

Saint Petersburg



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Supplementary files

What is already known about the subject?

  • RNA sequencing is currently the priority method for identifying differentially expressed genes and obtaining valuable information for assessing pathological conditions.
  • Identification of master regulator (MR) genes can be the basis for developing novel therapies.

What might this study add?

  • The fundamental potential of RNA sequencing with MR identification in choosing targeted therapy for patients with colorectal cancer is shown.
  • Therapy prescribed without taking into account MR analysis may not be optimal.

Review

For citations:


Apalko S.V., Shimansky V.S., Kel A., Sushentseva N.N., Tyukavina N.V., Kovalenko S.A., Shcherbak S.G. Potential of using transcriptome sequencing data in choosing therapy for patients with colorectal cancer. Cardiovascular Therapy and Prevention. 2024;23(11):4174. (In Russ.) https://doi.org/10.15829/1728-8800-2024-4174. EDN: YWSGPM

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)