Drug repositioning for esophageal squamous cell carcinoma

Esophageal cancer (EC) remains a significant challenge globally, having the 8th highest incidence and 6th highest mortality worldwide. Esophageal squamous cell carcinoma (ESCC) is the most common form of EC in Asia. Crucially, more than 90% of EC cases in China are ESCC. The high mortality rate of E...

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Main Authors: Adam N. Bennett, Rui Xuan Huang, Qian He, Nikki P. Lee, Wing-Kin Sung, Kei Hang Katie Chan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2022.991842/full
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author Adam N. Bennett
Rui Xuan Huang
Qian He
Nikki P. Lee
Wing-Kin Sung
Kei Hang Katie Chan
Kei Hang Katie Chan
Kei Hang Katie Chan
author_facet Adam N. Bennett
Rui Xuan Huang
Qian He
Nikki P. Lee
Wing-Kin Sung
Kei Hang Katie Chan
Kei Hang Katie Chan
Kei Hang Katie Chan
author_sort Adam N. Bennett
collection DOAJ
description Esophageal cancer (EC) remains a significant challenge globally, having the 8th highest incidence and 6th highest mortality worldwide. Esophageal squamous cell carcinoma (ESCC) is the most common form of EC in Asia. Crucially, more than 90% of EC cases in China are ESCC. The high mortality rate of EC is likely due to the limited number of effective therapeutic options. To increase patient survival, novel therapeutic strategies for EC patients must be devised. Unfortunately, the development of novel drugs also presents its own significant challenges as most novel drugs do not make it to market due to lack of efficacy or safety concerns. A more time and cost-effective strategy is to identify existing drugs, that have already been approved for treatment of other diseases, which can be repurposed to treat EC patients, with drug repositioning. This can be achieved by comparing the gene expression profiles of disease-states with the effect on gene-expression by a given drug. In our analysis, we used previously published microarray data and identified 167 differentially expressed genes (DEGs). Using weighted key driver analysis, 39 key driver genes were then identified. These driver genes were then used in Overlap Analysis and Network Analysis in Pharmomics. By extracting drugs common to both analyses, 24 drugs are predicted to demonstrate therapeutic effect in EC patients. Several of which have already been shown to demonstrate a therapeutic effect in EC, most notably Doxorubicin, which is commonly used to treat EC patients, and Ixazomib, which was recently shown to induce apoptosis and supress growth of EC cell lines. Additionally, our analysis predicts multiple psychiatric drugs, including Venlafaxine, as repositioned drugs. This is in line with recent research which suggests that psychiatric drugs should be investigated for use in gastrointestinal cancers such as EC. Our study shows that a drug repositioning approach is a feasible strategy for identifying novel ESCC therapies and can also improve the understanding of the mechanisms underlying the drug targets.
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spelling doaj.art-033db0cb18bf4e38bb33e0dcc6408dda2022-12-22T03:48:20ZengFrontiers Media S.A.Frontiers in Genetics1664-80212022-09-011310.3389/fgene.2022.991842991842Drug repositioning for esophageal squamous cell carcinomaAdam N. Bennett0Rui Xuan Huang1Qian He2Nikki P. Lee3Wing-Kin Sung4Kei Hang Katie Chan5Kei Hang Katie Chan6Kei Hang Katie Chan7Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Kowloon, Hong Kong SAR, ChinaDepartment of Electrical Engineering, City University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Biomedical Sciences, City University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Surgery, The University of Hong Kong, Pokfulam, Hong Kong SAR, ChinaDepartment of Computer Sciences, National University of Singapore, Singapore, SingaporeDepartment of Electrical Engineering, City University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Biomedical Sciences, City University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Epidemiology, Centre for Global Cardiometabolic Health, Brown University, Providence, RI, United StatesEsophageal cancer (EC) remains a significant challenge globally, having the 8th highest incidence and 6th highest mortality worldwide. Esophageal squamous cell carcinoma (ESCC) is the most common form of EC in Asia. Crucially, more than 90% of EC cases in China are ESCC. The high mortality rate of EC is likely due to the limited number of effective therapeutic options. To increase patient survival, novel therapeutic strategies for EC patients must be devised. Unfortunately, the development of novel drugs also presents its own significant challenges as most novel drugs do not make it to market due to lack of efficacy or safety concerns. A more time and cost-effective strategy is to identify existing drugs, that have already been approved for treatment of other diseases, which can be repurposed to treat EC patients, with drug repositioning. This can be achieved by comparing the gene expression profiles of disease-states with the effect on gene-expression by a given drug. In our analysis, we used previously published microarray data and identified 167 differentially expressed genes (DEGs). Using weighted key driver analysis, 39 key driver genes were then identified. These driver genes were then used in Overlap Analysis and Network Analysis in Pharmomics. By extracting drugs common to both analyses, 24 drugs are predicted to demonstrate therapeutic effect in EC patients. Several of which have already been shown to demonstrate a therapeutic effect in EC, most notably Doxorubicin, which is commonly used to treat EC patients, and Ixazomib, which was recently shown to induce apoptosis and supress growth of EC cell lines. Additionally, our analysis predicts multiple psychiatric drugs, including Venlafaxine, as repositioned drugs. This is in line with recent research which suggests that psychiatric drugs should be investigated for use in gastrointestinal cancers such as EC. Our study shows that a drug repositioning approach is a feasible strategy for identifying novel ESCC therapies and can also improve the understanding of the mechanisms underlying the drug targets.https://www.frontiersin.org/articles/10.3389/fgene.2022.991842/fulldrug repositioningdrug repurposingesophageal squamous cell carcinomaESCC treatmentcancer biology
spellingShingle Adam N. Bennett
Rui Xuan Huang
Qian He
Nikki P. Lee
Wing-Kin Sung
Kei Hang Katie Chan
Kei Hang Katie Chan
Kei Hang Katie Chan
Drug repositioning for esophageal squamous cell carcinoma
Frontiers in Genetics
drug repositioning
drug repurposing
esophageal squamous cell carcinoma
ESCC treatment
cancer biology
title Drug repositioning for esophageal squamous cell carcinoma
title_full Drug repositioning for esophageal squamous cell carcinoma
title_fullStr Drug repositioning for esophageal squamous cell carcinoma
title_full_unstemmed Drug repositioning for esophageal squamous cell carcinoma
title_short Drug repositioning for esophageal squamous cell carcinoma
title_sort drug repositioning for esophageal squamous cell carcinoma
topic drug repositioning
drug repurposing
esophageal squamous cell carcinoma
ESCC treatment
cancer biology
url https://www.frontiersin.org/articles/10.3389/fgene.2022.991842/full
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