Ontology highlight
ABSTRACT: Background
Cervical cancer (CC) remains a leading cause of gynaecological cancer-related mortality world wide and constitutes the third most common malignancy in women. The RAIDs consortium (http://www.raids-fp7.eu/) conducted a prospective European study [BioRAIDs (NCT02428842)] with the objective to stratify CC patients for innovative treatments. A "metagene" of genomic markers in the PI3K pathway and epigenetic regulators had been previously associated with poor outcome [2].Methods
To detect new, more specific, targets for treatment of patients who resist standard chemo-radiation, a high-dimensional Cox model was applied to define dominant molecular variants, copy number variations, and reverse phase protein arrays (RPPA).Findings
Survival analysis on 89 patients with all omics data available, suggested loss-of-function (LOF) or activating molecular alterations in nine genes to be candidate biomarkers for worse prognosis in patients treated by chemo-radiation while LOF of ATRX, MED13 as well as CASP8 were associated with better prognosis. When protein expression data by RPPA were factored in, the supposedly low molecular weight and nuclear form, of beta-catenin, phosphorylated in Ser552 (pβ-Cat552), ranked highest for good prognosis, while pβ-Cat675 was associated with worse prognosis.Interpretation
These findings call for molecularly targeted treatments involving p53, Wnt pathway, PI3K pathway, and epigenetic regulator genes. Pβ-Cat552 and pβ-Cat675 may be useful biomarkers to predict outcome to chemo-radiation, which targets the DNA repair axis.Funding
European Union's Seventh Program for research, technological development and demonstration (agreement N°304,810), the Fondation ARC pour la recherche contre le cancer.
SUBMITTER: Scholl SM
PROVIDER: S-EPMC7581879 | biostudies-literature | 2020 Nov
REPOSITORIES: biostudies-literature

Scholl Suzy M SM Beal Jonas J de Koning Leanne L Girard Elodie E Popovic Marina M de la Rochefordière Anne A Lecuru Fabrice F Fourchotte Virginie V Ngo Charlotte C Floquet Anne A Berns Els Mjj EM Kenter Gemma G Gestraud Pierre P von der Leyen Heiko H Lecerf Charlotte C Puard Vincent V Roman Sergio Roman SR Latouche Aurelien A Kereszt Attila A Balint Balazs B Rouzier Roman R Kamal Maud M
EBioMedicine 20201020
<h4>Background</h4>Cervical cancer (CC) remains a leading cause of gynaecological cancer-related mortality world wide and constitutes the third most common malignancy in women. The RAIDs consortium (http://www.raids-fp7.eu/) conducted a prospective European study [BioRAIDs (NCT02428842)] with the objective to stratify CC patients for innovative treatments. A "metagene" of genomic markers in the PI3K pathway and epigenetic regulators had been previously associated with poor outcome [2].<h4>Method ...[more]