2016
DOI: 10.1093/annonc/mdw060
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Response to angiotensin blockade with irbesartan in a patient with metastatic colorectal cancer

Abstract: Personalised oncogenomics analysis revealed potential oncogene addiction of the AP-1 transcriptional complex in a chemo-refractory and MMR-deficient tumor from a patient with metastatic colon cancer. Based on this, treatment with the angiotensin receptor agonist irbesartan was initiated to target the renin–angiotensin system upstream of the AP-1 complex, leading to a profound and durable response.

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Cited by 40 publications
(25 citation statements)
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“…Paired-end reads (125 bp for genome sequencing, 75 bp for transcriptome sequencing) were generated on an Illumina HiSeq2500 sequencer (Illumina Inc.; ). Tumor biopsy and peripheral blood samples were sequenced to a depth of 93× and 46×, respectively, using established polymerase chain reaction (PCR)-free whole-genome sequencing and strand-specific RNA-seq protocols previously described ( Jones et al 2016 ). More than 267 million passed filter reads were obtained from the RNA-seq experiment.…”
Section: Methodsmentioning
confidence: 99%
“…Paired-end reads (125 bp for genome sequencing, 75 bp for transcriptome sequencing) were generated on an Illumina HiSeq2500 sequencer (Illumina Inc.; ). Tumor biopsy and peripheral blood samples were sequenced to a depth of 93× and 46×, respectively, using established polymerase chain reaction (PCR)-free whole-genome sequencing and strand-specific RNA-seq protocols previously described ( Jones et al 2016 ). More than 267 million passed filter reads were obtained from the RNA-seq experiment.…”
Section: Methodsmentioning
confidence: 99%
“…Its related biological functions are based on the inflammatory response, IL-6/JAK/Stat3/NRF2 signaling pathway, epithelial-mesenchymal transition process and autophagy [41,42]. JUN gene encodes a protein highly similar to the viral protein which was demonstrated to be involved in human malignant disease such as hepatocellular carcinoma, acute myeloid leukemia, colorectal cancer, breast cancer, B-cell lymphomas [43][44][45][46][47][48]. However, few reports associated with pancreatic cancer cells or PSCs which might be a novel research direction for PDAC.…”
Section: Discussionmentioning
confidence: 99%
“…The positive outcome of such approaches is already being realized in the field of oncology. For instance, a recent case report on a patient with metastatic colorectal cancer, treatment-related toxicity, and resistance to chemotherapy and radiation [24] seems particularly relevant in relation to drug repurposing. The patient underwent immunohistochemical analysis for expression of the MMR proteins MSH2, MSH6, PMS2, and MLH1 and the V600E mutant BRAF protein.…”
Section: Precision Medicinementioning
confidence: 99%