» Articles » PMID: 36241710

A Proliferative Subtype of Colorectal Liver Metastases Exhibits Hypersensitivity to Cytotoxic Chemotherapy

Abstract

Personalized treatment approaches for patients with limited liver metastases from colorectal cancer are critically needed. By leveraging three large, independent cohorts of patients with colorectal liver metastases (n = 336), we found that a proliferative subtype associated with elevated CIN70 scores is linked to immune exclusion, increased metastatic proclivity, and inferior overall survival in colorectal liver metastases; however, high CIN70 scores generate a therapeutic vulnerability to DNA-damaging therapies leading to improved treatment responses. We propose CIN70 as a candidate biomarker to personalize systemic treatment options for patients with metastatic colorectal cancer. These findings are potentially broadly applicable to other human cancers.

Citing Articles

Cell Migration-Proliferation Dichotomy in Cancer: Biological Fact or Experimental Artefact?.

Alfahed A Biology (Basel). 2024; 13(10).

PMID: 39452063 PMC: 11504154. DOI: 10.3390/biology13100753.


TAS-102, Irinotecan, and bevacizumab in pre-treated metastatic colorectal cancer (TABAsCO), a phase II clinical trial.

Boland P, Mukherjee S, Imanirad I, Vijayvergia N, Cohen S, Gupta M Br J Cancer. 2024; 131(8):1290-1297.

PMID: 39244627 PMC: 11473817. DOI: 10.1038/s41416-024-02845-x.


SBRT for Liver Tumors: What the Interventional Radiologist Needs to Know.

Gutman M, Serra L, Koshy M, Katipally R Semin Intervent Radiol. 2024; 41(1):1-10.

PMID: 38495259 PMC: 10940045. DOI: 10.1055/s-0043-1778657.


Transcriptomic Maps of Colorectal Liver Metastasis: Machine Learning of Gene Activation Patterns and Epigenetic Trajectories in Support of Precision Medicine.

Ashekyan O, Shahbazyan N, Bareghamyan Y, Kudryavzeva A, Mandel D, Schmidt M Cancers (Basel). 2023; 15(15).

PMID: 37568651 PMC: 10417131. DOI: 10.3390/cancers15153835.

References
1.
Pitroda S, Khodarev N, Huang L, Uppal A, Wightman S, Ganai S . Integrated molecular subtyping defines a curable oligometastatic state in colorectal liver metastasis. Nat Commun. 2018; 9(1):1793. PMC: 5935683. DOI: 10.1038/s41467-018-04278-6. View

2.
Nordlinger B, Sorbye H, Glimelius B, Poston G, Schlag P, Rougier P . Perioperative FOLFOX4 chemotherapy and surgery versus surgery alone for resectable liver metastases from colorectal cancer (EORTC 40983): long-term results of a randomised, controlled, phase 3 trial. Lancet Oncol. 2013; 14(12):1208-15. DOI: 10.1016/S1470-2045(13)70447-9. View

3.
Nordlinger B, Sorbye H, Glimelius B, Poston G, Schlag P, Rougier P . Perioperative chemotherapy with FOLFOX4 and surgery versus surgery alone for resectable liver metastases from colorectal cancer (EORTC Intergroup trial 40983): a randomised controlled trial. Lancet. 2008; 371(9617):1007-16. PMC: 2277487. DOI: 10.1016/S0140-6736(08)60455-9. View

4.
Chen T, Sun Y, Ji P, Kopetz S, Zhang W . Topoisomerase IIα in chromosome instability and personalized cancer therapy. Oncogene. 2014; 34(31):4019-31. PMC: 4404185. DOI: 10.1038/onc.2014.332. View

5.
Kanas G, Taylor A, Primrose J, Langeberg W, Kelsh M, Mowat F . Survival after liver resection in metastatic colorectal cancer: review and meta-analysis of prognostic factors. Clin Epidemiol. 2012; 4:283-301. PMC: 3496330. DOI: 10.2147/CLEP.S34285. View