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In vitro analysis of ovarian cancer response to cisplatin, carboplatin, and paclitaxel identifies common pathways that are also associated with overall patient survival
Journal article   Open access   Peer reviewed

In vitro analysis of ovarian cancer response to cisplatin, carboplatin, and paclitaxel identifies common pathways that are also associated with overall patient survival

E Bicaku, Y Xiong, D C Marchion, H S Chon, X B Stickles, N Chen, P L Judson, A Hakam, J Gonzalez-Bosquet, R M Wenham, …
British journal of cancer, Vol.106(12), pp.1967-1975
06/05/2012
DOI: 10.1038/bjc.2012.207
PMCID: PMC3388569
PMID: 22596241
url
https://doi.org/10.1038/bjc.2012.207View
Published (Version of record) Open Access

Abstract

Carboplatin and cisplatin, alone or in combination with paclitaxel, have similar efficacies against ovarian cancer (OVCA) yet exhibit different toxicity profiles. We characterised the common and unique cellular pathways that underlie OVCA response to these drugs and analyse whether they have a role in OVCA survival. Ovarian cancer cell lines (n=36) were treated with carboplatin, cisplatin, paclitaxel, or carboplatin-paclitaxel (CPTX). For each cell line, IC(50) levels were quantified and pre-treatment gene expression analyses were performed. Genes demonstrating expression/IC(50) correlations (measured by Pearson; P<0.01) were subjected to biological pathway analysis. An independent OVCA clinico-genomic data set (n=142) was evaluated for clinical features associated with represented pathways. Cell line sensitivity to carboplatin, cisplatin, paclitaxel, and CPTX was associated with the expression of 77, 68, 64, and 25 biological pathways (P<0.01), respectively. We found three common pathways when drug combinations were compared. Expression of one pathway ('Transcription/CREB pathway') was associated with OVCA overall survival. The identification of the Transcription/CREB pathway (associated with OVCA cell line platinum sensitivity and overall survival) could improve patient stratification for treatment with current therapies and the rational selection of future OVCA therapy agents targeted to these pathways.
Signal Transduction Humans Carboplatin - administration & dosage Treatment Outcome Ovarian Neoplasms - mortality Cisplatin - administration & dosage Antineoplastic Combined Chemotherapy Protocols - therapeutic use Cell Line, Tumor - immunology Female Ovarian Neoplasms - metabolism Cyclic AMP Response Element-Binding Protein Paclitaxel - administration & dosage Ovarian Neoplasms - drug therapy

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