Abstract
Background
In the past decades, cancer enigmatical heterogeneity at distinct expression levels could interpret disparities in therapeutic response and prognosis. It built hindrances to precision medicine, a tactic to tailor customized treatment informed by the tumors’ molecular profile. Single-omics analysis dissected the biological features associated with carcinogenesis to some extent but still failed to revolutionize cancer treatment as expected. Integrated omics analysis incorporated tumor biological networks from diverse layers and deciphered a holistic overview of cancer behaviors, yielding precise molecular classification to facilitate the evolution and refinement of precision medicine.
Conclusion
This review outlined the biomarkers at multiple expression layers to tutor molecular classification and pinpoint tumor diagnosis, and explored the paradigm shift in precision therapy: from single- to multi-omics-based subtyping to optimize therapeutic regimens. Ultimately, we firmly believe that by parsing molecular characteristics, omics-based typing will be a powerful assistant for precision oncology.
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Data availability
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Abbreviations
- NGS:
-
Next-generation sequencing
- SNV:
-
Single nucleotide variations
- CNV:
-
Copy number variation
- MSI:
-
Microsatellite instability
- CRC:
-
Colorectal cancer
- MMR:
-
Mismatch repair
- NSCLC:
-
Non-small cell lung cancer
- RNA-seq:
-
RNA sequencing
- NRG1:
-
Neuregulin-1
- ncRNAs:
-
Non-coding RNAs
- TCGA:
-
The Cancer Genome Atlas Program
- OC:
-
Ovarian cancer
- HGSOC:
-
High-grade serous ovarian cancer
- TNM:
-
Tumor-node-metastasis
- MS:
-
Mass spectrometry
- OLFM4:
-
Olfactomedin-4
- iTRAQ:
-
Isobaric tags for relative and absolute quantitation
- LCMS:
-
Liquid chromatography-tandem mass spectrometry
- LUAD:
-
Lung adenocarcinoma
- PTM:
-
Post-translational modification
- ENO1:
-
Alpha-enolase 1
- CEA:
-
Carcinoembryonic antigen
- PON1:
-
Paraoxonase/amylase 1
- CTCs:
-
Circulating tumor cells
- ctDNA:
-
Circulating tumor DNA
- EVs:
-
Extracellular vesicles
- EFGR:
-
Epidermal growth factor receptor
- LSLC:
-
Lung adenocarcinoma stemlike cells
- LBCs:
-
Lung adenocarcinoma bulk cells
- TME:
-
Tumor microenvironment
- POLEmut:
-
POLE ultra-mutated
- MMRd:
-
Mismatch repair defects
- NSMP:
-
No specific molecular profile
- RFS:
-
Recurrence-free survival
- HRD:
-
Homologous recombination defect
- PARP:
-
Poly ADP-ribose polymerase
- ICB:
-
Immune checkpoint blockade
- PD-L1:
-
Programmed death receptor-ligand 1
- TMB:
-
Tumor mutational load
- MSI-H:
-
Microsatellite high instability
- TNBC:
-
Triple-negative breast cancer
- LAR:
-
Luminal androgen receptor
- IM:
-
Immunomodulatory
- BLIS:
-
Basal-like immunosuppression
- MES:
-
Mesenchymal-like
- CDK4/6:
-
Cyclin-dependent kinases4/6
- MS:
-
Mass spectrometry
- SOAT1:
-
Sterol O-acyltransferase 1
- EC:
-
Esophageal cancer
- EMT:
-
Epithelial-mesenchymal transition
- DSP:
-
Digital Spatial Profiling
- PDAC:
-
Pancreatic ductal adenocarcinoma
- ALCHEMIST:
-
Adjuvant Lung Cancer Enrichment Marker Identification and Sequencing Trial
- Lung-MAP:
-
Lung Cancer Master Protocol
- I-PREDICT:
-
Investigation of profile-related evidence determining individualized cancer therapy
- DFS:
-
Disease-free survival rate
- AI:
-
Artificial intelligence
- 3D:
-
Three-dimensional
References
L. Zhao, V.H.F. Lee, M.K. Ng, H. Yan, M.F. Bijlsma, Molecular subtyping of cancer: current status and moving toward clinical applications. Brief Bioinform. 20(2), 572–584 (2019)
R.A. Burrell, N. McGranahan, J. Bartek, C. Swanton, The causes and consequences of genetic heterogeneity in cancer evolution. Nature 501(7467), 338–345 (2013)
N. McGranahan, C. Swanton, Biological and therapeutic impact of intratumor heterogeneity in cancer evolution. Cancer Cell 27(1), 15–26 (2015)
J. Souglakos, J. Philips, R. Wang, et al., Prognostic and predictive value of common mutations for treatment response and survival in patients with metastatic colorectal cancer. Br. J. Cancer 101(3), 465–472 (2009)
Y. Lei, R. Tang, J. Xu, et al., Applications of single-cell sequencing in cancer research: progress and perspectives. J. Hematol. Oncol. 14(1), 91 (2021)
K.A. Hoadley, C. Yau, D.M. Wolf, et al., Multiplatform analysis of 12 cancer types reveals molecular classification within and across tissues of origin. Cell 158(4), 929–944 (2014)
L.R. Yates, J. Seoane, C. Le Tourneau, et al., The European Society for Medical Oncology (ESMO) Precision Medicine Glossary. Ann. Oncol. 29(1), 30–35 (2018)
National Research Council (US) Committee on A Framework for Developing a New Taxonomy of Disease, Toward Precision Medicine: Building a Knowledge Network for Biomedical Research and a New Taxonomy of Disease (2011)
N.A. Brown, K.S.J. Elenitoba-Johnson, Enabling precision oncology through precision diagnostics. Annu. Rev. Pathol. 15, 97–121 (2020)
X.S. Wang, S. Lee, H. Zhang, G. Tang, Y. Wang, An integral genomic signature approach for tailored cancer therapy using genome-wide sequencing data. Nat. Commun. 13(1), 2936 (2022)
T. Yap, A. Celentano, C. Seers, M.J. McCullough, C.S. Farah, Molecular diagnostics in oral cancer and oral potentially malignant disorders-a clinician’s guide. J. Oral Pathol. Med. 49(1), 1–8 (2020)
A.J. Vargas, C.C. Harris, Biomarker development in the precision medicine era: lung cancer as a case study. Nat. Rev. Cancer 16(8), 525–537 (2016)
V.A. Hristova, D.W. Chan, Cancer biomarker discovery and translation: proteomics and beyond. Expert Rev. Proteomics 16(2), 93–103 (2019)
A. Hackshaw, C.A. Clarke, A.R. Hartman, New genomic technologies for multi-cancer early detection: rethinking the scope of cancer screening. Cancer Cell 40(2), 109–113 (2022)
J. Wang, D.C. Dean, F.J. Hornicek, H. Shi, Z. Duan, RNA sequencing (RNA-Seq) and its application in ovarian cancer. Gynecol. Oncol. 152(1), 194–201 (2019)
M.F. Berger, E.R. Mardis, The emerging clinical relevance of genomics in cancer medicine. Nat. Rev. Clin. Oncol. 15(6), 353–365 (2018)
A.M. Tsimberidou, E. Fountzilas, M. Nikanjam, R. Kurzrock, Review of precision cancer medicine: evolution of the treatment paradigm. Cancer Treat Rev. 86, 102019 (2020)
G. Zhu, L. Pei, H. Xia, Q. Tang, F. Bi, Role of oncogenic KRAS in the prognosis, diagnosis and treatment of colorectal cancer. Mol. Cancer 20(1), 143 (2021)
X.B. Wan, A.Q. Wang, J. Cao, et al., Relationships among KRAS mutation status, expression of RAS pathway signaling molecules, and clinicopathological features and prognosis of patients with colorectal cancer. World J. Gastroenterol. 25(7), 808–823 (2019)
F. Zhang, W. Gu, M.E. Hurles, J.R. Lupski, Copy number variation in human health, disease, and evolution. Annu. Rev. Genomics Hum. Genet. 10, 451–481 (2009)
X. Wang, Y. Han, J. Li, et al., Multi-omics analysis of copy number variations of RNA regulatory genes in soft tissue sarcoma. Life Sci. 265, 118734 (2021)
R. Ren, Mechanisms of BCR-ABL in the pathogenesis of chronic myelogenous leukaemia. Nat. Rev. Cancer 5(3), 172–183 (2005)
M. Baretti, D.T. Le, DNA mismatch repair in cancer. Pharmacol. Ther. 189, 45–62 (2018)
R.J. Hause, C.C. Pritchard, J. Shendure, S.J. Salipante, Classification and characterization of microsatellite instability across 18 cancer types. Nat. Med. 22(11), 1342–1350 (2016)
A. Latham, P. Srinivasan, Y. Kemel, et al., Microsatellite instability is associated with the presence of Lynch syndrome pan-cancer. J. Clin. Oncol. 37(4), 286–295 (2019)
F. Gelsomino, M. Barbolini, A. Spallanzani, G. Pugliese, S. Cascinu, The evolving role of microsatellite instability in colorectal cancer: a review. Cancer Treat Rev. 51, 19–26 (2016)
R. Sugimoto, T. Sugai, W. Habano, et al., Clinicopathological and molecular alterations in early gastric cancers with the microsatellite instability-high phenotype. Int. J. Cancer 138(7), 1689–1697 (2016)
X. Yang, H. Han, D.D. De Carvalho, F.D. Lay, P.A. Jones, G. Liang, Gene body methylation can alter gene expression and is a therapeutic target in cancer. Cancer Cell 26(4), 577–590 (2014)
H. Guo, S. Zhou, L. Tan, X. Wu, Z. Wu, R. Ran, Clinicopathological significance of WIF1 hypermethylation in NSCLC, a meta-analysis and literature review. Oncotarget 8(2), 2550–2557 (2017)
Y. Baba, K. Nosho, K. Shima, et al., Hypomethylation of the IGF2 DMR in colorectal tumors, detected by bisulfite pyrosequencing, is associated with poor prognosis. Gastroenterology 139(6), 1855–1864 (2010)
J. Luo, Y.N. Li, F. Wang, W.M. Zhang, X. Geng, S-adenosylmethionine inhibits the growth of cancer cells by reversing the hypomethylation status of c-myc and H-ras in human gastric cancer and colon cancer. Int. J. Biol. Sci. 6(7), 784–795 (2010)
S.G. Zhao, W.S. Chen, H. Li, et al., The DNA methylation landscape of advanced prostate cancer. Nat. Genet. 52(8), 778–789 (2020)
S.T. Sizemore, G.M. Sizemore, C.N. Booth, et al., Hypomethylation of the MMP7 promoter and increased expression of MMP7 distinguishes the basal-like breast cancer subtype from other triple-negative tumors. Breast Cancer Res. Treat. 146(1), 25–40 (2014)
R. Uchi, Y. Takahashi, A. Niida, et al., Integrated multiregional analysis proposing a new model of colorectal cancer evolution. PLoS Genet. 12(2), e1005778 (2016)
W. Xu, J. Seok, M.N. Mindrinos, et al., Human transcriptome array for high-throughput clinical studies. Proc. Natl. Acad. Sci. U. S. A. 108(9), 3707–3712 (2011)
H. Wu, X. Li, H. Li, Gene fusions and chimeric RNAs, and their implications in cancer. Genes Dis. 6(4), 385–390 (2019)
A. Drilon, R. Somwar, B.P. Mangatt, et al., Response to ERBB3-directed targeted therapy in NRG1-rearranged cancers. Cancer Discov. 8(6), 686–695 (2018)
J. Laskin, S.V. Liu, K. Tolba, et al., NRG1 fusion-driven tumors: biology, detection, and the therapeutic role of afatinib and other ErbB-targeting agents. Ann. Oncol. 31(12), 1693–1703 (2020)
X. Zhou, L. Zhan, K. Huang, X. Wang, The functions and clinical significance of circRNAs in hematological malignancies. J. Hematol. Oncol. 13(1), 138 (2020)
Y. Liu, Z. Cheng, Y. Pang, et al., Role of microRNAs, circRNAs and long noncoding RNAs in acute myeloid leukemia. J. Hematol. Oncol. 12(1), 51 (2019)
Cancer Genome Atlas Research Network, Integrated genomic analyses of ovarian carcinoma. Nature 474(7353), 609–615 (2011)
P. Todeschini, E. Salviato, L. Paracchini, et al., Circulating miRNA landscape identifies miR-1246 as promising diagnostic biomarker in high-grade serous ovarian carcinoma: a validation across two independent cohorts. Cancer Lett. 388, 320–327 (2017)
M. Vitiello, A. Tuccoli, L. Poliseno, Long non-coding RNAs in cancer: implications for personalized therapy. Cell Oncol. 38(1), 17–28 (2015)
N. Bartonicek, J.L. Maag, M.E. Dinger, Long noncoding RNAs in cancer: mechanisms of action and technological advancements. Mol. Cancer 15(1), 43 (2016)
X. Lu, J. Wang, W. Wang, et al., Copy number amplification and SP1-activated lncRNA MELTF-AS1 regulates tumorigenesis by driving phase separation of YBX1 to activate ANXA8 in non-small cell lung cancer. Oncogene 41(23), 3222–3238 (2022)
J. Li, D. Sun, W. Pu, J. Wang, Y. Peng, Circular RNAs in cancer: biogenesis, function, and clinical significance. Trends Cancer 6(4), 319–336 (2020)
F. Long, Z. Lin, L. Li, et al., Comprehensive landscape and future perspectives of circular RNAs in colorectal cancer. Mol. Cancer 20(1), 26 (2021)
C. Shan, Y. Zhang, X. Hao, J. Gao, X. Chen, K. Wang, Biogenesis, functions and clinical significance of circRNAs in gastric cancer. Mol. Cancer 18(1), 136 (2019)
I. Valo, P. Raro, A. Boissard, et al., OLFM4 expression in ductal carcinoma in situ and in invasive breast cancer cohorts by a SWATH-based proteomic approach. Proteomics 19(21–22), e1800446 (2019)
C.E. Birse, R.J. Lagier, W. FitzHugh, et al., Blood-based lung cancer biomarkers identified through proteomic discovery in cancer tissues, cell lines and conditioned medium. Clin. Proteomics 12(1), 18 (2015)
C.H. Hsu, C.W. Hsu, C. Hsueh, et al., Identification and characterization of potential biomarkers by quantitative tissue proteomics of primary lung adenocarcinoma. Mol. Cell. Proteomics 15(7), 2396–2410 (2016)
P. Mertins, J.W. Qiao, J. Patel, et al., Integrated proteomic analysis of post-translational modifications by serial enrichment. Nat. Methods 10(7), 634–637 (2013)
Y. Hu, J. Pan, P. Shah, et al., Integrated proteomic and glycoproteomic characterization of human high-grade serous ovarian carcinoma. Cell Rep. 33(3), 108276 (2020)
L. Dai, Y. Qu, J. Li, et al., Serological proteome analysis approach-based identification of ENO1 as a tumor-associated antigen and its autoantibody could enhance the sensitivity of CEA and CYFRA 21-1 in the detection of non-small cell lung cancer. Oncotarget 8(22), 36664–36673 (2017)
Y. Jin, Y. Yang, Y. Su, et al., Identification a novel clinical biomarker in early diagnosis of human non-small cell lung cancer. Glycoconjugate J. 36(1), 57–68 (2019)
J. Yu, X. Zhai, X. Li, et al., Identification of MST1 as a potential early detection biomarker for colorectal cancer through a proteomic approach. Sci. Rep. 7(1), 14265 (2017)
S.D. Schully, D.M. Carrick, L.E. Mechanic, et al., Leveraging biospecimen resources for discovery or validation of markers for early cancer detection. J. Natl. Cancer Inst. 107(4), djv012 (2015)
D.F. Ransohoff, Proteomics research to discover markers: what can we learn from Netflix? Clin. Chem. 56(2), 172–176 (2010)
S. Perakis, M.R. Speicher, Emerging concepts in liquid biopsies. BMC Med. 15(1), 75 (2017)
G. Siravegna, S. Marsoni, S. Siena, A. Bardelli, Integrating liquid biopsies into the management of cancer. Nat. Rev. Clin. Oncol. 14(9), 531–548 (2017)
W. Li, J.B. Liu, L.K. Hou, et al., Liquid biopsy in lung cancer: significance in diagnostics, prediction, and treatment monitoring. Mol. Cancer 21(1), 25 (2022)
Q. Zhou, Q. Geng, L. Wang, et al., Value of folate receptor-positive circulating tumour cells in the clinical management of indeterminate lung nodules: a non-invasive biomarker for predicting malignancy and tumour invasiveness. EBioMedicine 41, 236–243 (2019)
Z. Liu, Y. Han, Q. Dang, et al., Roles of circulating tumor DNA in PD-1/PD-L1 immune checkpoint inhibitors: current evidence and future directions. Int. Immunopharmacol. 111, 109173 (2022)
S.G. Ramanand, Y. Chen, J. Yuan, et al., The landscape of RNA polymerase II-associated chromatin interactions in prostate cancer. J. Clin. Invest. 130(8), 3987–4005 (2020)
W. Feng, D.C. Dean, F.J. Hornicek, H. Shi, Z. Duan, Exosomes promote pre-metastatic niche formation in ovarian cancer. Mol. Cancer 18(1), 124 (2019)
S.A. Melo, L.B. Luecke, C. Kahlert, et al., Glypican-1 identifies cancer exosomes and detects early pancreatic cancer. Nature 523(7559), 177–182 (2015)
Y. Li, Q. Zheng, C. Bao, et al., Circular RNA is enriched and stable in exosomes: a promising biomarker for cancer diagnosis. Cell Res. 25(8), 981–984 (2015)
K.R. Jakobsen, B.S. Paulsen, R. Baek, K. Varming, B.S. Sorensen, M.M. Jorgensen, Exosomal proteins as potential diagnostic markers in advanced non-small cell lung carcinoma. J. Extracell. Vesicles 4, 26659 (2015)
H.T. Luo, Y.Y. Zheng, J. Tang, et al., Dissecting the multi-omics atlas of the exosomes released by human lung adenocarcinoma stem-like cells. NPJ Genom. Med. 6(1), 48 (2021)
O. Vaksman, C. Tropé, B. Davidson, R. Reich, Exosome-derived miRNAs and ovarian carcinoma progression. Carcinogenesis 35(9), 2113–2120 (2014)
X. He, X. Liu, F. Zuo, H. Shi, J. Jing, Artificial intelligence-based multi-omics analysis fuels cancer precision medicine. Semin. Cancer Biol. 88, 187–200 (2023)
J.D. Cohen, A.A. Javed, C. Thoburn, et al., Combined circulating tumor DNA and protein biomarker-based liquid biopsy for the earlier detection of pancreatic cancers. Proc. Natl. Acad. Sci. U. S. A. 114(38), 10202–10207 (2017)
Y. Wang, C. Zhang, P. Zhang, et al., Serum exosomal microRNAs combined with alpha-fetoprotein as diagnostic markers of hepatocellular carcinoma. Cancer Med. 7(5), 1670–1679 (2018)
X. Gongye, M. Tian, P. Xia, et al., Multi-omics analysis revealed the role of extracellular vesicles in hepatobiliary & pancreatic tumor. J. Control. Release 350, 11–25 (2022)
J.J. Adashek, V. Subbiah, R. Kurzrock, From tissue-agnostic to N-of-one therapies: (R) evolution of the precision paradigm. Trends Cancer 7(1), 15–28 (2021)
R. Dienstmann, L. Vermeulen, J. Guinney, S. Kopetz, S. Tejpar, J. Tabernero, Consensus molecular subtypes and the evolution of precision medicine in colorectal cancer. Nat. Rev. Cancer 17(2), 79–92 (2017)
A. Talhouk, M.K. McConechy, S. Leung, et al., Confirmation of ProMisE: a simple, genomics-based clinical classifier for endometrial cancer. Cancer 123(5), 802–813 (2017)
E. Stelloo, R.A. Nout, E.M. Osse, et al., Improved risk assessment by integrating molecular and clinicopathological factors in early-stage endometrial cancer-combined analysis of the PORTEC cohorts. Clin. Cancer Res. 22(16), 4215–4224 (2016)
S. Kommoss, M.K. McConechy, F. Kommoss, et al., Final validation of the ProMisE molecular classifier for endometrial carcinoma in a large population-based case series. Ann. Oncol. 29(5), 1180–1188 (2018)
A. Leon-Castillo, S.M. de Boer, M.E. Powell, et al., Molecular classification of the PORTEC-3 trial for high-risk endometrial cancer: impact on prognosis and benefit from adjuvant therapy. J. Clin. Oncol. 38(29), 3388–3397 (2020)
K. Tamura, K. Hasegawa, N. Katsumata, et al., Efficacy and safety of nivolumab in Japanese patients with uterine cervical cancer, uterine corpus cancer, or soft tissue sarcoma: multicenter, open-label phase 2 trial. Cancer Sci. 110(9), 2894–2904 (2019)
P.A. Konstantinopoulos, W. Luo, J.F. Liu, et al., Phase II study of avelumab in patients with mismatch repair deficient and mismatch repair proficient recurrent/persistent endometrial cancer. J. Clin. Oncol. 37(30), 2786–2794 (2019)
Y. Antill, P.S. Kok, K. Robledo, et al., Clinical activity of durvalumab for patients with advanced mismatch repair-deficient and repair-proficient endometrial cancer. A nonrandomized phase 2 clinical trial. J. Immunother. Cancer 9(6), e002255 (2021)
A. Oaknin, A.V. Tinker, L. Gilbert, et al., Clinical activity and safety of the anti-programmed death 1 monoclonal antibody dostarlimab for patients with recurrent or advanced mismatch repair-deficient endometrial cancer: a nonrandomized phase 1 clinical trial. JAMA Oncol. 6(11), 1766–1772 (2020)
Cancer Genome Atlas Research N, C. Kandoth, N. Schultz, et al., Integrated genomic characterization of endometrial carcinoma. Nature 497(7447), 67–73 (2013)
Y. Wang, W. Luo, Y. Wang, PARP-1 and its associated nucleases in DNA damage response. DNA Repair (Amst) 81, 102651 (2019)
Y. Li, J. Feng, C. Zhao, et al., A new strategy in molecular typing: the accuracy of an NGS panel for the molecular classification of endometrial cancers. Ann. Transl. Med. 10(16), 870 (2022)
L.P. Diggs, E.C. Hsueh, Utility of PD-L1 immunohistochemistry assays for predicting PD-1/PD-L1 inhibitor response. Biomark. Res. 5, 12 (2017)
R. Mandal, T.A. Chan, Personalized oncology meets immunology: the path toward precision immunotherapy. Cancer Discov. 6(7), 703–713 (2016)
N.A. Rizvi, M.D. Hellmann, A. Snyder, et al., Cancer immunology. Mutational landscape determines sensitivity to PD-1 blockade in non-small cell lung cancer. Science 348(6230), 124–128 (2015)
T. Shukuya, D.P. Carbone, Predictive markers for the efficacy of anti-PD-1/PD-L1 antibodies in lung cancer. J. Thorac. Oncol. 11(7), 976–988 (2016)
J. Rodon, J.C. Soria, R. Berger, et al., Genomic and transcriptomic profiling expands precision cancer medicine: the WINTHER trial. Nat. Med. 25(5), 751–758 (2019)
D. Varešlija, N. Priedigkeit, A. Fagan, et al., Transcriptome characterization of matched primary breast and brain metastatic tumors to detect novel actionable targets. J. Natl. Cancer Inst. 113(2), 218 (2021)
Z. Liu, L. Liu, S. Weng, et al., Machine learning-based integration develops an immune-derived lncRNA signature for improving outcomes in colorectal cancer. Nat. Commun. 13(1), 816 (2022)
Z. Zhou, Y. Zhang, J. Li, et al., Crosstalk between regulated cell death and immunity in redox dyshomeostasis for pancreatic cancer. Cell. Signal. 109, 110774 (2023)
J.J. Adashek, S. Kato, R. Parulkar, et al., Transcriptomic silencing as a potential mechanism of treatment resistance. JCI Insight 5(11), e134824 (2020)
Y.Z. Jiang, D. Ma, C. Suo, et al., Genomic and transcriptomic landscape of triple-negative breast cancers: subtypes and treatment strategies. Cancer Cell 35(3), 428–440 e425 (2019)
A.M. Newman, C.L. Liu, M.R. Green, et al., Robust enumeration of cell subsets from tissue expression profiles. Nat. Methods 12(5), 453–457 (2015)
M. Angelova, P. Charoentong, H. Hackl, et al., Characterization of the immunophenotypes and antigenomes of colorectal cancers reveals distinct tumor escape mechanisms and novel targets for immunotherapy. Genome Biol. 16(1), 64 (2015)
M.L. Telli, K.M. Timms, J. Reid, et al., Homologous recombination deficiency (HRD) score predicts response to platinum-containing neoadjuvant chemotherapy in patients with triple-negative breast cancer. Clin. Cancer Res. 22(15), 3764–3773 (2016)
J.M. Balko, L.J. Schwarz, N. Luo, et al., Triple-negative breast cancers with amplification of JAK2 at the 9p24 locus demonstrate JAK2-specific dependence. Sci. Transl. Med. 8(334), 334ra353 (2016)
A. Sonnenblick, S. Brohee, D. Fumagalli, et al., Constitutive phosphorylated STAT3-associated gene signature is predictive for trastuzumab resistance in primary HER2-positive breast cancer. BMC Med. 13, 177 (2015)
S. Myhre, O.C. Lingjaerde, B.T. Hennessy, et al., Influence of DNA copy number and mRNA levels on the expression of breast cancer related proteins. Mol. Oncol. 7(3), 704–718 (2013)
E.S. Park, R. Rabinovsky, M. Carey, et al., Integrative analysis of proteomic signatures, mutations, and drug responsiveness in the NCI 60 cancer cell line set. Mol. Cancer Ther. 9(2), 257–267 (2010)
L. Restrepo-Perez, C. Joo, C. Dekker, Paving the way to single-molecule protein sequencing. Nat. Nanotechnol. 13(9), 786–796 (2018)
J.B. Muller, P.E. Geyer, A.R. Colaco, et al., The proteome landscape of the kingdoms of life. Nature 582(7813), 592–596 (2020)
A.P. Diz, M. Martinez-Fernandez, E. Rolan-Alvarez, Proteomics in evolutionary ecology: linking the genotype with the phenotype. Mol. Ecol. 21(5), 1060–1080 (2012)
K. Krug, E.J. Jaehnig, S. Satpathy, et al., Proteogenomic landscape of breast cancer tumorigenesis and targeted therapy. Cell 183(5), 1436–1456 e1431 (2020)
M.A. Gillette, S. Satpathy, S. Cao, et al., Proteogenomic characterization reveals therapeutic vulnerabilities in lung adenocarcinoma. Cell 182(1), 200–225 e235 (2020)
N. Xu, Z. Yao, G. Shang, et al., Integrated proteogenomic characterization of urothelial carcinoma of the bladder. J. Hematol. Oncol. 15(1), 76 (2022)
Y. Jiang, A. Sun, Y. Zhao, et al., Proteomics identifies new therapeutic targets of early-stage hepatocellular carcinoma. Nature 567(7747), 257–261 (2019)
Cancer Genome Atlas Research Network, Comprehensive and integrative genomic characterization of hepatocellular carcinoma. Cell 169(7), 1327–1341 e1323 (2017)
A.X. Zhu, R.S. Finn, J. Edeline, et al., Pembrolizumab in patients with advanced hepatocellular carcinoma previously treated with sorafenib (KEYNOTE-224): a non-randomised, open-label phase 2 trial. Lancet Oncol. 19(7), 940–952 (2018)
W. Liu, L. Xie, Y.H. He, et al., Large-scale and high-resolution mass spectrometry-based proteomics profiling defines molecular subtypes of esophageal cancer for therapeutic targeting. Nat. Commun. 12(1), 4961 (2021)
A.S. Nam, R. Chaligne, D.A. Landau, Integrating genetic and non-genetic determinants of cancer evolution by single-cell multi-omics. Nat. Rev. Genet. 22(1), 3–18 (2021)
D. Lee, Y. Park, S. Kim, Towards multi-omics characterization of tumor heterogeneity: a comprehensive review of statistical and machine learning approaches. Brief Bioinform. 22(3), bbaa188 (2021)
C. Guo, Z. Liu, Y. Yu, et al., Integrated analysis of multi-omics alteration, immune profile, and pharmacological landscape of pyroptosis-derived lncRNA pairs in gastric cancer. Front. Cell Dev. Biol. 10, 816153 (2022)
D.R. Mani, K. Krug, B. Zhang, et al., Cancer proteogenomics: current impact and future prospects. Nat. Rev. Cancer 22(5), 298–313 (2022)
N. Lal, B.S. White, G. Goussous, et al., KRAS mutation and consensus molecular subtypes 2 and 3 are independently associated with reduced immune infiltration and reactivity in colorectal cancer. Clin. Cancer Res. 24(1), 224–233 (2018)
W. Liao, M.J. Overman, A.T. Boutin, et al., KRAS-IRF2 axis drives immune suppression and immune therapy resistance in colorectal cancer. Cancer Cell. 35(4), 559–572 (2019)
S. Hamarsheh, O. Gross, T. Brummer, R. Zeiser, Immune modulatory effects of oncogenic KRAS in cancer. Nat. Commun. 11(1), 5439 (2020)
W. Chong, X. Zhu, H. Ren, et al., Integrated multi-omics characterization of KRAS mutant colorectal cancer. Theranostics 12(11), 5138–5154 (2022)
Z. Liu, Y. Liu, L. Qian, et al., A proteomic and phosphoproteomic landscape of KRAS mutant cancers identifies combination therapies. Mol. Cell 81(19), 4076–4090 (2021)
D.K. Brubaker, J.A. Paulo, S. Sheth, et al., Proteogenomic network analysis of context-specific KRAS signaling in mouse-to-human cross-species translation. Cell Syst. 9(3), 258–270 e256 (2019)
L. Cao, C. Huang, D. Cui Zhou, et al., Proteogenomic characterization of pancreatic ductal adenocarcinoma. Cell 184(19), 5031–5052 (2021)
I. Sangrador, X. Molero, F. Campbell, et al., Zeb1 in stromal myofibroblasts promotes Kras-driven development of pancreatic cancer. Cancer Res. 78(10), 2624–2637 (2018)
D.H. Peng, S.T. Kundu, J.J. Fradette, et al., ZEB1 suppression sensitizes KRAS mutant cancers to MEK inhibition by an IL17RD-dependent mechanism. Sci. Transl. Med. 11(483), eaaq1238 (2019)
Y. Adachi, K. Ito, Y. Hayashi, et al., Epithelial-to-mesenchymal transition is a cause of both intrinsic and acquired resistance to KRAS G12C inhibitor in KRAS G12C-mutant non-small cell lung cancer. Clin. Cancer Res. 26(22), 5962–5973 (2020)
A. Kazi, L. Chen, S. Xiang, et al., Global phosphoproteomics reveal CDK suppression as a vulnerability to KRas addiction in pancreatic cancer. Clin. Cancer Res. 27(14), 4012–4024 (2021)
Y. Wu, Y. Cheng, X. Wang, J. Fan, Q. Gao, Spatial omics: navigating to the golden era of cancer research. Clin. Transl. Med. 12(1), e696 (2022)
H. Mi, S. Sivagnanam, C.B. Betts, et al., Quantitative spatial profiling of immune populations in pancreatic ductal adenocarcinoma reveals tumor microenvironment heterogeneity and prognostic biomarkers. Cancer Res. 82(23), 4359–4372 (2022)
K.L. McNamara, J.L. Caswell-Jin, R. Joshi, et al., Spatial proteomic characterization of HER2-positive breast tumors through neoadjuvant therapy predicts response. Nat. Cancer 2(4), 400–413 (2021)
W.L. Hwang, K.A. Jagadeesh, J.A. Guo, et al., Single-nucleus and spatial transcriptome profiling of pancreatic cancer identifies multicellular dynamics associated with neoadjuvant treatment. Nat. Genet. 54(8), 1178–1191 (2022)
H. Mi, W.J. Ho, M. Yarchoan, A.S. Popel, Multi-scale spatial analysis of the tumor microenvironment reveals features of cabozantinib and nivolumab efficacy in hepatocellular carcinoma. Front. Immunol. 13, 892250 (2022)
E. Fountzilas, A.M. Tsimberidou, H.H. Vo, R. Kurzrock, Clinical trial design in the era of precision medicine. Genome Med. 14(1), 101 (2022)
A. Marusyk, M. Janiszewska, K. Polyak, Intratumor heterogeneity: the Rosetta stone of therapy resistance. Cancer Cell 37(4), 471–484 (2020)
S. Kato, K.H. Kim, H.J. Lim, et al., Real-world data from a molecular tumor board demonstrates improved outcomes with a precision N-of-one strategy. Nat. Commun. 11(1), 4965 (2020)
J.K. Sicklick, S. Kato, R. Okamura, et al., Molecular profiling of cancer patients enables personalized combination therapy: the I-PREDICT study. Nat. Med. 25(5), 744–750 (2019)
A. Drilon, T.W. Laetsch, S. Kummar, et al., Efficacy of larotrectinib in TRK fusion-positive cancers in adults and children. N. Engl. J. Med. 378(8), 731–739 (2018)
R.C. Doebele, A. Drilon, L. Paz-Ares, et al., Entrectinib in patients with advanced or metastatic NTRK fusion-positive solid tumours: integrated analysis of three phase 1-2 trials. Lancet Oncol. 21(2), 271–282 (2020)
N.C. Turner, B. Kingston, L.S. Kilburn, et al., Circulating tumour DNA analysis to direct therapy in advanced breast cancer (plasmaMATCH): a multicentre, multicohort, phase 2a, platform trial. Lancet Oncol. 21(10), 1296–1308 (2020)
I-SPY2 Trial Consortium, D. Yee, A.M. DeMichele, et al., Association of event-free and distant recurrence-free survival with individual-level pathologic complete response in neoadjuvant treatment of stages 2 and 3 breast cancer: three-year follow-up analysis for the I-SPY2 adaptively randomized clinical trial. JAMA Oncol. 6(9), 1355–1362 (2020)
R. Govindan, S.J. Mandrekar, D.E. Gerber, et al., ALCHEMIST trials: a golden opportunity to transform outcomes in early-stage non-small cell lung cancer. Clin. Cancer Res. 21(24), 5439–5444 (2015)
M.W. Redman, V.A. Papadimitrakopoulou, K. Minichiello, et al., Biomarker-driven therapies for previously treated squamous non-small-cell lung cancer (Lung-MAP SWOG S1400): a biomarker-driven master protocol. Lancet Oncol. 21(12), 1589–1601 (2020)
E.R. Ahn, M. Rothe, P.K. Mangat, et al., Pertuzumab plus trastuzumab in patients with endometrial cancer with ERBB2/3 amplification, overexpression, or mutation: results from the TAPUR study. JCO Precis. Oncol. 7, e2200609 (2023)
N.S. Azad, R.J. Gray, M.J. Overman, et al., Nivolumab is effective in mismatch repair-deficient noncolorectal cancers: results from arm Z1D-A subprotocol of the NCI-MATCH (EAY131) study. J. Clin. Oncol. 38(3), 214–222 (2020)
A.M. Tsimberidou, D.S. Hong, S. Fu, et al., Precision medicine: preliminary results from the initiative for molecular profiling and advanced cancer therapy 2 (IMPACT2) study. NPJ Precis. Oncol. 5(1), 21 (2021)
C. Le Tourneau, J.P. Delord, A. Goncalves, et al., Molecularly targeted therapy based on tumour molecular profiling versus conventional therapy for advanced cancer (SHIVA): a multicentre, open-label, proof-of-concept, randomised, controlled phase 2 trial. Lancet Oncol. 16(13), 1324–1334 (2015)
J.K. Sicklick, S. Kato, R. Okamura, et al., Molecular profiling of advanced malignancies guides first-line N-of-1 treatments in the I-PREDICT treatment-naive study. Genome Med. 13(1), 155 (2021)
J.J.H. Park, G. Hsu, E.G. Siden, K. Thorlund, E.J. Mills, An overview of precision oncology basket and umbrella trials for clinicians. CA Cancer J. Clin. 70(2), 125–137 (2020)
A.J. Redig, P.A. Janne, Basket trials and the evolution of clinical trial design in an era of genomic medicine. J. Clin. Oncol. 33(9), 975–977 (2015)
K.T. Flaherty, R. Gray, A. Chen, et al., The molecular analysis for therapy choice (NCI-MATCH) trial: lessons for genomic trial design. J. Natl. Cancer Inst. 112(10), 1021–1029 (2020)
H.J. Johansson, F. Socciarelli, N.M. Vacanti, et al., Breast cancer quantitative proteome and proteogenomic landscape. Nat. Commun. 10(1), 1600 (2019)
B. Soldevilla, C. Carretero-Puche, G. Gomez-Lopez, et al., The correlation between immune subtypes and consensus molecular subtypes in colorectal cancer identifies novel tumour microenvironment profiles, with prognostic and therapeutic implications. Eur. J. Cancer 123, 118–129 (2019)
A. Prat, E. Pineda, B. Adamo, et al., Clinical implications of the intrinsic molecular subtypes of breast cancer. Breast 24(Suppl 2), S26–35 (2015)
F. Ades, D. Zardavas, I. Bozovic-Spasojevic, et al., Luminal B breast cancer: molecular characterization, clinical management, and future perspectives. J. Clin. Oncol. 32(25), 2794–2803 (2014)
P. Eroles, A. Bosch, J.A. Perez-Fidalgo, A. Lluch, Molecular biology in breast cancer: intrinsic subtypes and signaling pathways. Cancer Treat Rev. 38(6), 698–707 (2012)
C. Marchio, L. Annaratone, A. Marques, L. Casorzo, E. Berrino, A. Sapino, Evolving concepts in HER2 evaluation in breast cancer: heterogeneity, HER2-low carcinomas and beyond. Semin. Cancer Biol. 72, 123–135 (2021)
J. Guinney, R. Dienstmann, X. Wang, et al., The consensus molecular subtypes of colorectal cancer. Nat. Med. 21(11), 1350–1356 (2015)
A. Esteva, A. Robicquet, B. Ramsundar, et al., A guide to deep learning in healthcare. Nature Med. 25(1), 24–29 (2019)
B.H. Kann, A. Hosny, H. Aerts, Artificial intelligence for clinical oncology. Cancer Cell 39(7), 916–927 (2021)
K. Bera, K.A. Schalper, D.L. Rimm, V. Velcheti, A. Madabhushi, Artificial intelligence in digital pathology - new tools for diagnosis and precision oncology. Nat. Rev. Clin. Oncol. 16(11), 703–715 (2019)
A. Hosny, C. Parmar, J. Quackenbush, L.H. Schwartz, H. Aerts, Artificial intelligence in radiology. Nat. Rev. Cancer 18(8), 500–510 (2018)
B. Bhinder, C. Gilvary, N.S. Madhukar, O. Elemento, Artificial intelligence in cancer research and precision medicine. Cancer Discov. 11(4), 900–915 (2021)
H. Yang, L. Gan, R. Chen, D. Li, J. Zhang, Z. Wang, From multi-omics data to the cancer druggable gene discovery: a novel machine learning-based approach. Brief Bioinform. 24(1), bbac528 (2023)
E. Durinikova, K. Buzo, S. Arena, Preclinical models as patients’ avatars for precision medicine in colorectal cancer: past and future challenges. J. Exp. Clin. Cancer Res. 40(1), 185 (2021)
M. Jung, S. Ghamrawi, E.Y. Du, J.J. Gooding, M. Kavallaris, Advances in 3D bioprinting for cancer biology and precision medicine: from matrix design to application. Adv. Healthc. Mater. 11(24), e2200690 (2022)
A.T. Byrne, D.G. Alferez, F. Amant, et al., Interrogating open issues in cancer precision medicine with patient-derived xenografts. Nat. Rev. Cancer 17(4), 254–268 (2017)
H. Xu, X. Lyu, M. Yi, W. Zhao, Y. Song, K. Wu, Organoid technology and applications in cancer research. J. Hematol. Oncol. 11(1), 116 (2018)
H. Xu, D. Jiao, A. Liu, K. Wu, Tumor organoids: applications in cancer modeling and potentials in precision medicine. J. Hematol. Oncol. 15(1), 58 (2022)
J. Pape, M. Emberton, U. Cheema, 3D cancer models: the need for a complex stroma, compartmentalization and stiffness. Front. Bioeng. Biotechnol. 9, 660502 (2021)
A.M.K. Law, L. Rodriguez de la Fuente, T.J. Grundy, G. Fang, F. Valdes-Mora, D. Gallego-Ortega, Advancements in 3D cell culture systems for personalizing anti-cancer therapies. Front. Oncol. 11, 782766 (2021)
S. El Harane, B. Zidi, N. El Harane, K.H. Krause, T. Matthes, O. Preynat-Seauve, Cancer spheroids and organoids as novel tools for research and therapy: state of the art and challenges to guide precision medicine. Cells 12(7), 1001 (2023)
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ZKZ, ZQL, and XWH provided direction and guidance throughout the preparation of this manuscript. ZKZ and TL wrote and edited the manuscript. ZKZ reviewed and made significant revisions to the manuscript. SC, GZ, HJZ, YDX, AYZ, YYZ and SYW, collected and prepared the related papers. All authors read and approved the final manuscript.
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Zhou, Z., Lin, T., Chen, S. et al. Omics-based molecular classifications empowering in precision oncology. Cell Oncol. (2024). https://doi.org/10.1007/s13402-023-00912-8
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DOI: https://doi.org/10.1007/s13402-023-00912-8