A systems biology approach to define mechanisms, phenotypes, and drivers in PanNETs with a personalized perspective

Abstract Pancreatic neuroendocrine tumors (PanNETs) are a rare tumor entity with largely unpredictable progression and increasing incidence in developed countries. Molecular pathways involved in PanNETs development are still not elucidated, and specific biomarkers are missing. Moreover, the heteroge...

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Main Authors: Silke D. Werle, Nensi Ikonomi, Ludwig Lausser, Annika M. T. U. Kestler, Felix M. Weidner, Julian D. Schwab, Julia Maier, Malte Buchholz, Thomas M. Gress, Angelika M. R. Kestler, Hans A. Kestler
Format: Article
Language:English
Published: Nature Portfolio 2023-06-01
Series:npj Systems Biology and Applications
Online Access:https://doi.org/10.1038/s41540-023-00283-8
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author Silke D. Werle
Nensi Ikonomi
Ludwig Lausser
Annika M. T. U. Kestler
Felix M. Weidner
Julian D. Schwab
Julia Maier
Malte Buchholz
Thomas M. Gress
Angelika M. R. Kestler
Hans A. Kestler
author_facet Silke D. Werle
Nensi Ikonomi
Ludwig Lausser
Annika M. T. U. Kestler
Felix M. Weidner
Julian D. Schwab
Julia Maier
Malte Buchholz
Thomas M. Gress
Angelika M. R. Kestler
Hans A. Kestler
author_sort Silke D. Werle
collection DOAJ
description Abstract Pancreatic neuroendocrine tumors (PanNETs) are a rare tumor entity with largely unpredictable progression and increasing incidence in developed countries. Molecular pathways involved in PanNETs development are still not elucidated, and specific biomarkers are missing. Moreover, the heterogeneity of PanNETs makes their treatment challenging and most approved targeted therapeutic options for PanNETs lack objective responses. Here, we applied a systems biology approach integrating dynamic modeling strategies, foreign classifier tailored approaches, and patient expression profiles to predict PanNETs progression as well as resistance mechanisms to clinically approved treatments such as the mammalian target of rapamycin complex 1 (mTORC1) inhibitors. We set up a model able to represent frequently reported PanNETs drivers in patient cohorts, such as Menin-1 (MEN1), Death domain associated protein (DAXX), Tuberous Sclerosis (TSC), as well as wild-type tumors. Model-based simulations suggested drivers of cancer progression as both first and second hits after MEN1 loss. In addition, we could predict the benefit of mTORC1 inhibitors on differentially mutated cohorts and hypothesize resistance mechanisms. Our approach sheds light on a more personalized prediction and treatment of PanNET mutant phenotypes.
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spelling doaj.art-4ccc6dba9fcc4072b055b2958bdc14262023-06-04T11:32:01ZengNature Portfolionpj Systems Biology and Applications2056-71892023-06-019111710.1038/s41540-023-00283-8A systems biology approach to define mechanisms, phenotypes, and drivers in PanNETs with a personalized perspectiveSilke D. Werle0Nensi Ikonomi1Ludwig Lausser2Annika M. T. U. Kestler3Felix M. Weidner4Julian D. Schwab5Julia Maier6Malte Buchholz7Thomas M. Gress8Angelika M. R. Kestler9Hans A. Kestler10Institute of Medical Systems Biology, Ulm UniversityInstitute of Medical Systems Biology, Ulm UniversityInstitute of Medical Systems Biology, Ulm UniversityInstitute of Medical Systems Biology, Ulm UniversityInstitute of Medical Systems Biology, Ulm UniversityInstitute of Medical Systems Biology, Ulm UniversityInstitute of Medical Systems Biology, Ulm UniversityDepartment of Gastroenterology, Endocrinology and Metabolism, Philipps-University MarburgDepartment of Gastroenterology, Endocrinology and Metabolism, Philipps-University MarburgDepartment of Internal Medicine I, University Hospital UlmInstitute of Medical Systems Biology, Ulm UniversityAbstract Pancreatic neuroendocrine tumors (PanNETs) are a rare tumor entity with largely unpredictable progression and increasing incidence in developed countries. Molecular pathways involved in PanNETs development are still not elucidated, and specific biomarkers are missing. Moreover, the heterogeneity of PanNETs makes their treatment challenging and most approved targeted therapeutic options for PanNETs lack objective responses. Here, we applied a systems biology approach integrating dynamic modeling strategies, foreign classifier tailored approaches, and patient expression profiles to predict PanNETs progression as well as resistance mechanisms to clinically approved treatments such as the mammalian target of rapamycin complex 1 (mTORC1) inhibitors. We set up a model able to represent frequently reported PanNETs drivers in patient cohorts, such as Menin-1 (MEN1), Death domain associated protein (DAXX), Tuberous Sclerosis (TSC), as well as wild-type tumors. Model-based simulations suggested drivers of cancer progression as both first and second hits after MEN1 loss. In addition, we could predict the benefit of mTORC1 inhibitors on differentially mutated cohorts and hypothesize resistance mechanisms. Our approach sheds light on a more personalized prediction and treatment of PanNET mutant phenotypes.https://doi.org/10.1038/s41540-023-00283-8
spellingShingle Silke D. Werle
Nensi Ikonomi
Ludwig Lausser
Annika M. T. U. Kestler
Felix M. Weidner
Julian D. Schwab
Julia Maier
Malte Buchholz
Thomas M. Gress
Angelika M. R. Kestler
Hans A. Kestler
A systems biology approach to define mechanisms, phenotypes, and drivers in PanNETs with a personalized perspective
npj Systems Biology and Applications
title A systems biology approach to define mechanisms, phenotypes, and drivers in PanNETs with a personalized perspective
title_full A systems biology approach to define mechanisms, phenotypes, and drivers in PanNETs with a personalized perspective
title_fullStr A systems biology approach to define mechanisms, phenotypes, and drivers in PanNETs with a personalized perspective
title_full_unstemmed A systems biology approach to define mechanisms, phenotypes, and drivers in PanNETs with a personalized perspective
title_short A systems biology approach to define mechanisms, phenotypes, and drivers in PanNETs with a personalized perspective
title_sort systems biology approach to define mechanisms phenotypes and drivers in pannets with a personalized perspective
url https://doi.org/10.1038/s41540-023-00283-8
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