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In situ profiling reveals metabolic alterations in the tumor microenvironment of ovarian cancer after chemotherapy
Journal article   Open access   Peer reviewed

In situ profiling reveals metabolic alterations in the tumor microenvironment of ovarian cancer after chemotherapy

Sara Corvigno, Sunil Badal, Meredith L. Spradlin, Michael Keating, Igor Pereira, Elaine Stur, Emine Bayraktar, Katherine I. Foster, Nicholas W. Bateman, Waleed Barakat, …
NPJ precision oncology, Vol.7(1), 115
11/03/2023
DOI: 10.1038/s41698-023-00454-0
PMCID: PMC10624842
PMID: 37923835
url
https://doi.org/10.1038/s41698-023-00454-0View
Published (Version of record) Open Access

Abstract

In this study, we investigated the metabolic alterations associated with clinical response to chemotherapy in patients with ovarian cancer. Pre- and post-neoadjuvant chemotherapy (NACT) tissues from patients with high-grade serous ovarian cancer (HGSC) who had poor response (PR) or excellent response (ER) to NACT were examined. Desorption electrospray ionization mass spectrometry (DESI-MS) was performed on sections of HGSC tissues collected according to a rigorous laparoscopic triage algorithm. Quantitative MS-based proteomics and phosphoproteomics were performed on a subgroup of pre-NACT samples. Highly abundant metabolites in the pre-NACT PR tumors were related to pyrimidine metabolism in the epithelial regions and oxygen-dependent proline hydroxylation of hypoxia-inducible factor alpha in the stromal regions. Metabolites more abundant in the epithelial regions of post-NACT PR tumors were involved in the metabolism of nucleotides , and metabolites more abundant in the stromal regions of post-NACT PR tumors were related to aspartate and asparagine metabolism , phenylalanine and tyrosine metabolism , nucleotide biosynthesis , and the urea cycle . A predictive model built on ions with differential abundances allowed the classification of patients’ tumor responses as ER or PR with 75% accuracy (10-fold cross-validation ridge regression model). These findings offer new insights related to differential responses to chemotherapy and could lead to novel actionable targets.

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