Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma

Oxaliplatin-based chemotherapy is used to treat patients with esophageal adenocarcinoma (EAC), but no biomarkers are currently available for patient selection. We performed a prospective, clinical trial to identify potential biomarkers associated with clinical outcomes. Tumor tissue was obtained fro...

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Main Authors: MacGregor, T, Carter, R, Gillies, R, Findlay, J, Kartsonaki, C, Castro-Giner, F, Sahgal, N, Wang, L, Chetty, R, Maynard, N, Cazier, J, Buffa, F, McHugh, P, Tomlinson, I, Middleton, M, Sharma, R
Format: Journal article
Language:English
Published: Nature Publishing Group 2018
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author MacGregor, T
Carter, R
Gillies, R
Findlay, J
Kartsonaki, C
Castro-Giner, F
Sahgal, N
Wang, L
Chetty, R
Maynard, N
Cazier, J
Buffa, F
McHugh, P
Tomlinson, I
Middleton, M
Sharma, R
author_facet MacGregor, T
Carter, R
Gillies, R
Findlay, J
Kartsonaki, C
Castro-Giner, F
Sahgal, N
Wang, L
Chetty, R
Maynard, N
Cazier, J
Buffa, F
McHugh, P
Tomlinson, I
Middleton, M
Sharma, R
author_sort MacGregor, T
collection OXFORD
description Oxaliplatin-based chemotherapy is used to treat patients with esophageal adenocarcinoma (EAC), but no biomarkers are currently available for patient selection. We performed a prospective, clinical trial to identify potential biomarkers associated with clinical outcomes. Tumor tissue was obtained from 38 patients with resectable EAC before and after 2 cycles of oxaliplatin-fluorouracil chemotherapy. Pre-treatment mRNA expression of 280 DNA repair (DNAR) genes was tested for association with histopathological regression at surgery, disease-free survival (DFS) and overall survival (OS). High expression of 13 DNA damage repair genes was associated with DFS less than one year (P < 0.05); expression of 11 DNAR genes were associated with worse OS (P < 0.05). From clinical associations with outcomes, two genes, ERCC1 and EME1, were identified as candidate biomarkers. In cell lines in vitro, we showed the mechanism of action related to repair of oxaliplatin-induced DNA damage by depletion and knockout of protein binding partners of the candidate biomarkers, XPF and MUS81 respectively. In clinical samples from the clinical trial, pre-treatment XPF protein levels were associated with pathological response, and MUS81 protein was associated with 1-year DFS. XPF and MUS81 merit further validation in prospective clinical trials as biomarkers that may predict clinical response of EAC to oxaliplatin-based chemotherapy.
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spelling oxford-uuid:52d1b797-0d1e-4e4a-a69f-a3640907a2532022-03-26T16:27:44ZTranslational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinomaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:52d1b797-0d1e-4e4a-a69f-a3640907a253EnglishSymplectic Elements at OxfordNature Publishing Group2018MacGregor, TCarter, RGillies, RFindlay, JKartsonaki, CCastro-Giner, FSahgal, NWang, LChetty, RMaynard, NCazier, JBuffa, FMcHugh, PTomlinson, IMiddleton, MSharma, ROxaliplatin-based chemotherapy is used to treat patients with esophageal adenocarcinoma (EAC), but no biomarkers are currently available for patient selection. We performed a prospective, clinical trial to identify potential biomarkers associated with clinical outcomes. Tumor tissue was obtained from 38 patients with resectable EAC before and after 2 cycles of oxaliplatin-fluorouracil chemotherapy. Pre-treatment mRNA expression of 280 DNA repair (DNAR) genes was tested for association with histopathological regression at surgery, disease-free survival (DFS) and overall survival (OS). High expression of 13 DNA damage repair genes was associated with DFS less than one year (P < 0.05); expression of 11 DNAR genes were associated with worse OS (P < 0.05). From clinical associations with outcomes, two genes, ERCC1 and EME1, were identified as candidate biomarkers. In cell lines in vitro, we showed the mechanism of action related to repair of oxaliplatin-induced DNA damage by depletion and knockout of protein binding partners of the candidate biomarkers, XPF and MUS81 respectively. In clinical samples from the clinical trial, pre-treatment XPF protein levels were associated with pathological response, and MUS81 protein was associated with 1-year DFS. XPF and MUS81 merit further validation in prospective clinical trials as biomarkers that may predict clinical response of EAC to oxaliplatin-based chemotherapy.
spellingShingle MacGregor, T
Carter, R
Gillies, R
Findlay, J
Kartsonaki, C
Castro-Giner, F
Sahgal, N
Wang, L
Chetty, R
Maynard, N
Cazier, J
Buffa, F
McHugh, P
Tomlinson, I
Middleton, M
Sharma, R
Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_full Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_fullStr Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_full_unstemmed Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_short Translational study identifies XPF and MUS81 as predictive biomarkers for oxaliplatin-based peri-operative chemotherapy in patients with esophageal adenocarcinoma
title_sort translational study identifies xpf and mus81 as predictive biomarkers for oxaliplatin based peri operative chemotherapy in patients with esophageal adenocarcinoma
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