Predicting clinical response to everolimus in ER+ breast cancers using machine-learning

Endocrine therapy remains the primary treatment choice for ER+ breast cancers. However, most advanced ER+ breast cancers ultimately develop resistance to endocrine. This acquired resistance to endocrine therapy is often driven by the activation of the PI3K/AKT/mTOR signaling pathway. Everolimus, a d...

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Main Authors: Aritro Nath, Patrick A. Cosgrove, Jeffrey T. Chang, Andrea H. Bild
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Molecular Biosciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmolb.2022.981962/full
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author Aritro Nath
Patrick A. Cosgrove
Jeffrey T. Chang
Andrea H. Bild
author_facet Aritro Nath
Patrick A. Cosgrove
Jeffrey T. Chang
Andrea H. Bild
author_sort Aritro Nath
collection DOAJ
description Endocrine therapy remains the primary treatment choice for ER+ breast cancers. However, most advanced ER+ breast cancers ultimately develop resistance to endocrine. This acquired resistance to endocrine therapy is often driven by the activation of the PI3K/AKT/mTOR signaling pathway. Everolimus, a drug that targets and inhibits the mTOR complex has been shown to improve clinical outcomes in metastatic ER+ breast cancers. However, there are no biomarkers currently available to guide the use of everolimus in the clinic for progressive patients, where multiple therapeutic options are available. Here, we utilized gene expression signatures from 9 ER+ breast cancer cell lines and 23 patients treated with everolimus to develop and validate an integrative machine learning biomarker of mTOR inhibitor response. Our results show that the machine learning biomarker can successfully distinguish responders from non-responders and can be applied to identify patients that will most likely benefit from everolimus treatment.
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spelling doaj.art-12b7c7e610184dfe834172148ac48ce32022-12-22T03:30:42ZengFrontiers Media S.A.Frontiers in Molecular Biosciences2296-889X2022-10-01910.3389/fmolb.2022.981962981962Predicting clinical response to everolimus in ER+ breast cancers using machine-learningAritro Nath0Patrick A. Cosgrove1Jeffrey T. Chang2Andrea H. Bild3City of Hope Comprehensive Cancer Center, Department of Medical Oncology and Therapeutics, Monrovia, CA, United StatesCity of Hope Comprehensive Cancer Center, Department of Medical Oncology and Therapeutics, Monrovia, CA, United StatesDepartment of Integrative Biology and Pharmacology, University of Texas Health Science Center at Houston, Houston, TX, United StatesCity of Hope Comprehensive Cancer Center, Department of Medical Oncology and Therapeutics, Monrovia, CA, United StatesEndocrine therapy remains the primary treatment choice for ER+ breast cancers. However, most advanced ER+ breast cancers ultimately develop resistance to endocrine. This acquired resistance to endocrine therapy is often driven by the activation of the PI3K/AKT/mTOR signaling pathway. Everolimus, a drug that targets and inhibits the mTOR complex has been shown to improve clinical outcomes in metastatic ER+ breast cancers. However, there are no biomarkers currently available to guide the use of everolimus in the clinic for progressive patients, where multiple therapeutic options are available. Here, we utilized gene expression signatures from 9 ER+ breast cancer cell lines and 23 patients treated with everolimus to develop and validate an integrative machine learning biomarker of mTOR inhibitor response. Our results show that the machine learning biomarker can successfully distinguish responders from non-responders and can be applied to identify patients that will most likely benefit from everolimus treatment.https://www.frontiersin.org/articles/10.3389/fmolb.2022.981962/fullmachine-learningbiomarkereverolimusestrogen receptor positive breast cancerprognostic modelrandom forest
spellingShingle Aritro Nath
Patrick A. Cosgrove
Jeffrey T. Chang
Andrea H. Bild
Predicting clinical response to everolimus in ER+ breast cancers using machine-learning
Frontiers in Molecular Biosciences
machine-learning
biomarker
everolimus
estrogen receptor positive breast cancer
prognostic model
random forest
title Predicting clinical response to everolimus in ER+ breast cancers using machine-learning
title_full Predicting clinical response to everolimus in ER+ breast cancers using machine-learning
title_fullStr Predicting clinical response to everolimus in ER+ breast cancers using machine-learning
title_full_unstemmed Predicting clinical response to everolimus in ER+ breast cancers using machine-learning
title_short Predicting clinical response to everolimus in ER+ breast cancers using machine-learning
title_sort predicting clinical response to everolimus in er breast cancers using machine learning
topic machine-learning
biomarker
everolimus
estrogen receptor positive breast cancer
prognostic model
random forest
url https://www.frontiersin.org/articles/10.3389/fmolb.2022.981962/full
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AT andreahbild predictingclinicalresponsetoeverolimusinerbreastcancersusingmachinelearning