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Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target

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Zeitschriftentitel: Clinical Cancer Research
Personen und Körperschaften: Koshkin, Vadim S., Garcia, Jorge A., Reynolds, Jordan, Elson, Paul, Magi-Galluzzi, Cristina, McKenney, Jesse K., Isse, Kumiko, Bishop, Evan, Saunders, Laura R., Balyimez, Aysegul, Rashid, Summya, Hu, Ming, Stephenson, Andrew J., Fergany, Amr F., Lee, Byron H., Haber, Georges-Pascal, Dowlati, Afshin, Gilligan, Timothy, Ornstein, Moshe C., Rini, Brian I., Abazeed, Mohamed E., Mian, Omar Y., Grivas, Petros
In: Clinical Cancer Research, 25, 2019, 1, S. 210-221
Format: E-Article
Sprache: Englisch
veröffentlicht:
American Association for Cancer Research (AACR)
Schlagwörter:
author_facet Koshkin, Vadim S.
Garcia, Jorge A.
Reynolds, Jordan
Elson, Paul
Magi-Galluzzi, Cristina
McKenney, Jesse K.
Isse, Kumiko
Bishop, Evan
Saunders, Laura R.
Balyimez, Aysegul
Rashid, Summya
Hu, Ming
Stephenson, Andrew J.
Fergany, Amr F.
Lee, Byron H.
Haber, Georges-Pascal
Dowlati, Afshin
Gilligan, Timothy
Ornstein, Moshe C.
Rini, Brian I.
Abazeed, Mohamed E.
Mian, Omar Y.
Grivas, Petros
Koshkin, Vadim S.
Garcia, Jorge A.
Reynolds, Jordan
Elson, Paul
Magi-Galluzzi, Cristina
McKenney, Jesse K.
Isse, Kumiko
Bishop, Evan
Saunders, Laura R.
Balyimez, Aysegul
Rashid, Summya
Hu, Ming
Stephenson, Andrew J.
Fergany, Amr F.
Lee, Byron H.
Haber, Georges-Pascal
Dowlati, Afshin
Gilligan, Timothy
Ornstein, Moshe C.
Rini, Brian I.
Abazeed, Mohamed E.
Mian, Omar Y.
Grivas, Petros
author Koshkin, Vadim S.
Garcia, Jorge A.
Reynolds, Jordan
Elson, Paul
Magi-Galluzzi, Cristina
McKenney, Jesse K.
Isse, Kumiko
Bishop, Evan
Saunders, Laura R.
Balyimez, Aysegul
Rashid, Summya
Hu, Ming
Stephenson, Andrew J.
Fergany, Amr F.
Lee, Byron H.
Haber, Georges-Pascal
Dowlati, Afshin
Gilligan, Timothy
Ornstein, Moshe C.
Rini, Brian I.
Abazeed, Mohamed E.
Mian, Omar Y.
Grivas, Petros
spellingShingle Koshkin, Vadim S.
Garcia, Jorge A.
Reynolds, Jordan
Elson, Paul
Magi-Galluzzi, Cristina
McKenney, Jesse K.
Isse, Kumiko
Bishop, Evan
Saunders, Laura R.
Balyimez, Aysegul
Rashid, Summya
Hu, Ming
Stephenson, Andrew J.
Fergany, Amr F.
Lee, Byron H.
Haber, Georges-Pascal
Dowlati, Afshin
Gilligan, Timothy
Ornstein, Moshe C.
Rini, Brian I.
Abazeed, Mohamed E.
Mian, Omar Y.
Grivas, Petros
Clinical Cancer Research
Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
Cancer Research
Oncology
author_sort koshkin, vadim s.
spelling Koshkin, Vadim S. Garcia, Jorge A. Reynolds, Jordan Elson, Paul Magi-Galluzzi, Cristina McKenney, Jesse K. Isse, Kumiko Bishop, Evan Saunders, Laura R. Balyimez, Aysegul Rashid, Summya Hu, Ming Stephenson, Andrew J. Fergany, Amr F. Lee, Byron H. Haber, Georges-Pascal Dowlati, Afshin Gilligan, Timothy Ornstein, Moshe C. Rini, Brian I. Abazeed, Mohamed E. Mian, Omar Y. Grivas, Petros 1078-0432 1557-3265 American Association for Cancer Research (AACR) Cancer Research Oncology http://dx.doi.org/10.1158/1078-0432.ccr-18-1278 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Transcriptomic profiling can shed light on the biology of small-cell bladder cancer (SCBC), nominating biomarkers, and novel therapeutic targets.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Sixty-three patients with SCBC had small-cell histology confirmed and quantified by a genitourinary pathologist. Gene expression profiling was performed for 39 primary tumor samples, 1 metastatic sample, and 6 adjacent normal urothelium samples (46 total) from the same cohort. Protein levels of differentially expressed therapeutic targets, DLL3 and PDL1, and also CD56 and ASCL1, were confirmed by IHC. A SCBC PDX model was utilized to assess in vivo efficacy of DLL3-targeting antibody–drug conjugate (ADC).</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>Unsupervised hierarchical clustering of 46 samples produced 4 clusters that correlated with clinical phenotypes. Patients whose tumors had the most “normal-like” pattern of gene expression had longer overall survival (OS) compared with the other 3 clusters while patients with the most “metastasis-like” pattern had the shortest OS (P = 0.047). Expression of DLL3, PDL1, ASCL1, and CD56 was confirmed by IHC in 68%, 30%, 52%, and 81% of tissue samples, respectively. In a multivariate analysis, DLL3 protein expression on &amp;gt;10% and CD56 expression on &amp;gt;30% of tumor cells were both prognostic of shorter OS (P = 0.03 each). A DLL3-targeting ADC showed durable antitumor efficacy in a SCBC PDX model.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>Gene expression patterns in SCBC are associated with distinct clinical phenotypes ranging from more indolent to aggressive disease. Overexpression of DLL3 mRNA and protein is common in SCBC and correlates with shorter OS. A DLL3-targeted ADC demonstrated in vivo efficacy superior to chemotherapy in a PDX model of SCBC.</jats:p> </jats:sec> Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target Clinical Cancer Research
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title Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_unstemmed Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_full Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_fullStr Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_full_unstemmed Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_short Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_sort transcriptomic and protein analysis of small-cell bladder cancer (scbc) identifies prognostic biomarkers and dll3 as a relevant therapeutic target
topic Cancer Research
Oncology
url http://dx.doi.org/10.1158/1078-0432.ccr-18-1278
publishDate 2019
physical 210-221
description <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Transcriptomic profiling can shed light on the biology of small-cell bladder cancer (SCBC), nominating biomarkers, and novel therapeutic targets.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Sixty-three patients with SCBC had small-cell histology confirmed and quantified by a genitourinary pathologist. Gene expression profiling was performed for 39 primary tumor samples, 1 metastatic sample, and 6 adjacent normal urothelium samples (46 total) from the same cohort. Protein levels of differentially expressed therapeutic targets, DLL3 and PDL1, and also CD56 and ASCL1, were confirmed by IHC. A SCBC PDX model was utilized to assess in vivo efficacy of DLL3-targeting antibody–drug conjugate (ADC).</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>Unsupervised hierarchical clustering of 46 samples produced 4 clusters that correlated with clinical phenotypes. Patients whose tumors had the most “normal-like” pattern of gene expression had longer overall survival (OS) compared with the other 3 clusters while patients with the most “metastasis-like” pattern had the shortest OS (P = 0.047). Expression of DLL3, PDL1, ASCL1, and CD56 was confirmed by IHC in 68%, 30%, 52%, and 81% of tissue samples, respectively. In a multivariate analysis, DLL3 protein expression on &amp;gt;10% and CD56 expression on &amp;gt;30% of tumor cells were both prognostic of shorter OS (P = 0.03 each). A DLL3-targeting ADC showed durable antitumor efficacy in a SCBC PDX model.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>Gene expression patterns in SCBC are associated with distinct clinical phenotypes ranging from more indolent to aggressive disease. Overexpression of DLL3 mRNA and protein is common in SCBC and correlates with shorter OS. A DLL3-targeted ADC demonstrated in vivo efficacy superior to chemotherapy in a PDX model of SCBC.</jats:p> </jats:sec>
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author Koshkin, Vadim S., Garcia, Jorge A., Reynolds, Jordan, Elson, Paul, Magi-Galluzzi, Cristina, McKenney, Jesse K., Isse, Kumiko, Bishop, Evan, Saunders, Laura R., Balyimez, Aysegul, Rashid, Summya, Hu, Ming, Stephenson, Andrew J., Fergany, Amr F., Lee, Byron H., Haber, Georges-Pascal, Dowlati, Afshin, Gilligan, Timothy, Ornstein, Moshe C., Rini, Brian I., Abazeed, Mohamed E., Mian, Omar Y., Grivas, Petros
author_facet Koshkin, Vadim S., Garcia, Jorge A., Reynolds, Jordan, Elson, Paul, Magi-Galluzzi, Cristina, McKenney, Jesse K., Isse, Kumiko, Bishop, Evan, Saunders, Laura R., Balyimez, Aysegul, Rashid, Summya, Hu, Ming, Stephenson, Andrew J., Fergany, Amr F., Lee, Byron H., Haber, Georges-Pascal, Dowlati, Afshin, Gilligan, Timothy, Ornstein, Moshe C., Rini, Brian I., Abazeed, Mohamed E., Mian, Omar Y., Grivas, Petros, Koshkin, Vadim S., Garcia, Jorge A., Reynolds, Jordan, Elson, Paul, Magi-Galluzzi, Cristina, McKenney, Jesse K., Isse, Kumiko, Bishop, Evan, Saunders, Laura R., Balyimez, Aysegul, Rashid, Summya, Hu, Ming, Stephenson, Andrew J., Fergany, Amr F., Lee, Byron H., Haber, Georges-Pascal, Dowlati, Afshin, Gilligan, Timothy, Ornstein, Moshe C., Rini, Brian I., Abazeed, Mohamed E., Mian, Omar Y., Grivas, Petros
author_sort koshkin, vadim s.
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container_title Clinical Cancer Research
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description <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Transcriptomic profiling can shed light on the biology of small-cell bladder cancer (SCBC), nominating biomarkers, and novel therapeutic targets.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Sixty-three patients with SCBC had small-cell histology confirmed and quantified by a genitourinary pathologist. Gene expression profiling was performed for 39 primary tumor samples, 1 metastatic sample, and 6 adjacent normal urothelium samples (46 total) from the same cohort. Protein levels of differentially expressed therapeutic targets, DLL3 and PDL1, and also CD56 and ASCL1, were confirmed by IHC. A SCBC PDX model was utilized to assess in vivo efficacy of DLL3-targeting antibody–drug conjugate (ADC).</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>Unsupervised hierarchical clustering of 46 samples produced 4 clusters that correlated with clinical phenotypes. Patients whose tumors had the most “normal-like” pattern of gene expression had longer overall survival (OS) compared with the other 3 clusters while patients with the most “metastasis-like” pattern had the shortest OS (P = 0.047). Expression of DLL3, PDL1, ASCL1, and CD56 was confirmed by IHC in 68%, 30%, 52%, and 81% of tissue samples, respectively. In a multivariate analysis, DLL3 protein expression on &amp;gt;10% and CD56 expression on &amp;gt;30% of tumor cells were both prognostic of shorter OS (P = 0.03 each). A DLL3-targeting ADC showed durable antitumor efficacy in a SCBC PDX model.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>Gene expression patterns in SCBC are associated with distinct clinical phenotypes ranging from more indolent to aggressive disease. Overexpression of DLL3 mRNA and protein is common in SCBC and correlates with shorter OS. A DLL3-targeted ADC demonstrated in vivo efficacy superior to chemotherapy in a PDX model of SCBC.</jats:p> </jats:sec>
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spelling Koshkin, Vadim S. Garcia, Jorge A. Reynolds, Jordan Elson, Paul Magi-Galluzzi, Cristina McKenney, Jesse K. Isse, Kumiko Bishop, Evan Saunders, Laura R. Balyimez, Aysegul Rashid, Summya Hu, Ming Stephenson, Andrew J. Fergany, Amr F. Lee, Byron H. Haber, Georges-Pascal Dowlati, Afshin Gilligan, Timothy Ornstein, Moshe C. Rini, Brian I. Abazeed, Mohamed E. Mian, Omar Y. Grivas, Petros 1078-0432 1557-3265 American Association for Cancer Research (AACR) Cancer Research Oncology http://dx.doi.org/10.1158/1078-0432.ccr-18-1278 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Transcriptomic profiling can shed light on the biology of small-cell bladder cancer (SCBC), nominating biomarkers, and novel therapeutic targets.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Sixty-three patients with SCBC had small-cell histology confirmed and quantified by a genitourinary pathologist. Gene expression profiling was performed for 39 primary tumor samples, 1 metastatic sample, and 6 adjacent normal urothelium samples (46 total) from the same cohort. Protein levels of differentially expressed therapeutic targets, DLL3 and PDL1, and also CD56 and ASCL1, were confirmed by IHC. A SCBC PDX model was utilized to assess in vivo efficacy of DLL3-targeting antibody–drug conjugate (ADC).</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>Unsupervised hierarchical clustering of 46 samples produced 4 clusters that correlated with clinical phenotypes. Patients whose tumors had the most “normal-like” pattern of gene expression had longer overall survival (OS) compared with the other 3 clusters while patients with the most “metastasis-like” pattern had the shortest OS (P = 0.047). Expression of DLL3, PDL1, ASCL1, and CD56 was confirmed by IHC in 68%, 30%, 52%, and 81% of tissue samples, respectively. In a multivariate analysis, DLL3 protein expression on &amp;gt;10% and CD56 expression on &amp;gt;30% of tumor cells were both prognostic of shorter OS (P = 0.03 each). A DLL3-targeting ADC showed durable antitumor efficacy in a SCBC PDX model.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>Gene expression patterns in SCBC are associated with distinct clinical phenotypes ranging from more indolent to aggressive disease. Overexpression of DLL3 mRNA and protein is common in SCBC and correlates with shorter OS. A DLL3-targeted ADC demonstrated in vivo efficacy superior to chemotherapy in a PDX model of SCBC.</jats:p> </jats:sec> Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target Clinical Cancer Research
spellingShingle Koshkin, Vadim S., Garcia, Jorge A., Reynolds, Jordan, Elson, Paul, Magi-Galluzzi, Cristina, McKenney, Jesse K., Isse, Kumiko, Bishop, Evan, Saunders, Laura R., Balyimez, Aysegul, Rashid, Summya, Hu, Ming, Stephenson, Andrew J., Fergany, Amr F., Lee, Byron H., Haber, Georges-Pascal, Dowlati, Afshin, Gilligan, Timothy, Ornstein, Moshe C., Rini, Brian I., Abazeed, Mohamed E., Mian, Omar Y., Grivas, Petros, Clinical Cancer Research, Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target, Cancer Research, Oncology
title Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_full Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_fullStr Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_full_unstemmed Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_short Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
title_sort transcriptomic and protein analysis of small-cell bladder cancer (scbc) identifies prognostic biomarkers and dll3 as a relevant therapeutic target
title_unstemmed Transcriptomic and Protein Analysis of Small-cell Bladder Cancer (SCBC) Identifies Prognostic Biomarkers and DLL3 as a Relevant Therapeutic Target
topic Cancer Research, Oncology
url http://dx.doi.org/10.1158/1078-0432.ccr-18-1278