Studying clonal dynamics in response to cancer therapy using high-complexity barcoding

被引:371
作者
Bhang, Hyo-eun C. [1 ]
Ruddy, David A. [2 ]
Radhakrishna, Viveksagar Krishnamurthy [1 ]
Caushi, Justina X. [1 ]
Zhao, Rui [3 ,4 ]
Hims, Matthew M. [1 ]
Singh, Angad P. [1 ]
Kao, Iris [2 ]
Rakiec, Daniel [2 ]
Shaw, Pamela [2 ]
Balak, Marissa [2 ]
Raza, Alina [1 ]
Ackley, Elizabeth [2 ]
Keen, Nicholas [1 ]
Schlabach, Michael R. [1 ]
Palmer, Michael [2 ]
Leary, Rebecca J. [1 ]
Chiang, Derek Y. [1 ]
Sellers, William R. [1 ]
Michor, Franziska [3 ,4 ]
Cooke, Vesselina G. [1 ]
Korn, Joshua M. [1 ]
Stegmeier, Frank [1 ]
机构
[1] Novartis Inst Biomed Res, Oncol Dis Area, Cambridge, MA 02139 USA
[2] Novartis Inst Biomed Res, Translat Clin Oncol, Cambridge, MA USA
[3] Dana Farber Canc Inst, Dept Biostat & Computat Biol, Boston, MA 02115 USA
[4] Harvard Univ, Sch Publ Hlth, Dept Biostat, Boston, MA 02115 USA
关键词
CHRONIC MYELOID-LEUKEMIA; ABL KINASE DOMAIN; BCR-ABL; ACQUIRED-RESISTANCE; LUNG-CANCER; MET AMPLIFICATION; EGFR INHIBITORS; DRUG-SENSITIVITY; RARE MUTATIONS; GENE-MUTATIONS;
D O I
10.1038/nm.3841
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
070307 [化学生物学]; 071010 [生物化学与分子生物学];
摘要
Resistance to cancer therapies presents a significant clinical challenge. Recent studies have revealed intratumoral heterogeneity as a source of therapeutic resistance. However, it is unclear whether resistance is driven predominantly by pre-existing or de novo alterations, in part because of the resolution limits of next-generation sequencing. To address this, we developed a high-complexity barcode library, ClonTracer, which enables the high-resolution tracking of more than 1 million cancer cells under drug treatment. In two clinically relevant models, ClonTracer studies showed that the majority of resistant clones were part of small, pre-existing subpopulations that selectively escaped under therapeutic challenge. Moreover, the ClonTracer approach enabled quantitative assessment of the ability of combination treatments to suppress resistant clones. These findings suggest that resistant clones are present before treatment, which would make up-front therapeutic combinations that target non-overlapping resistance a preferred approach. Thus, ClonTracer barcoding may be a valuable tool for optimizing therapeutic regimens with the goal of curative combination therapies for cancer.
引用
收藏
页码:440 / U207
页数:13
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