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The role of PDGFRA as a therapeutic target in young colorectal cancer patients.


ABSTRACT:

Background

Young patients with colorectal cancer (CRC) exhibit poor prognoses compared to older patients due to the difficulty in early diagnosis and treatment. However, the underlying molecular characteristics are still unclear.

Methods

We conducted a comprehensive analysis of 49 CRC patients without hereditary CRC using the whole-exome and RNA sequencing with tumor and matched normal samples. A total of 594 TCGA samples and 4 patient-derived cells were utilized for validation.

Results

Consensus molecular subtype 4 (CMS4) (53.85%) and CMS2 (38.46%) were enriched in the young (≤ 40 years) and old (> 60 years) age groups, respectively. A CMS4-associated gene, platelet-derived growth factor receptor α (PDGFRA), was significantly upregulated in young patients with CRC (FC = 3.21, p = 0.0001) and was negatively correlated with age (p = 0.0001, R = - 0.526). Moreover, PDGFRA showed a positive co-expression with metastasis-related genes in young CRC patients. In vitro validation confirmed that young patient-derived cells (PDCs) showed an enriched expression of PDGFRA compared to old PDCs and a reduced proliferation rate by knockdown of PDGFRA. Furthermore, young CRC patients were more sensitive to regorafenib, a PDGFRA-targeting drug, than old CRC patients.

Conclusions

Our study suggests that CRC in young patients is associated with CMS4 and PDGFRA. In addition, PDGFRA may serve potential of novel therapeutic strategies and represent a predictive biomarker of response to regorafenib for young CRC patients.

SUBMITTER: Kim TW 

PROVIDER: S-EPMC8546951 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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The role of PDGFRA as a therapeutic target in young colorectal cancer patients.

Kim Tae Won TW   Hong Hye Kyung HK   Lee Chung C   Kim Sunmin S   Lee Woo Yong WY   Yun Seong Hyeon SH   Kim Hee Cheol HC   Huh Jung Wook JW   Park Yoon Ah YA   Joung Je-Gun JG   Park Woong-Yang WY   Cho Yong Beom YB  

Journal of translational medicine 20211026 1


<h4>Background</h4>Young patients with colorectal cancer (CRC) exhibit poor prognoses compared to older patients due to the difficulty in early diagnosis and treatment. However, the underlying molecular characteristics are still unclear.<h4>Methods</h4>We conducted a comprehensive analysis of 49 CRC patients without hereditary CRC using the whole-exome and RNA sequencing with tumor and matched normal samples. A total of 594 TCGA samples and 4 patient-derived cells were utilized for validation.<h  ...[more]

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