Selecting colorectal cancer (CRC) patients likely to respond to therapy remains a
clinical challenge. The objectives of this study were to establish which genes were
differentially expressed with respect to treatment sensitivity and relate this to
copy number in a panel of 15 CRC cell lines. Copy number variations of the identified
genes were assessed in a cohort of CRCs. IC50’s were measured for
5-fluorouracil, oxaliplatin, and BEZ-235, a PI3K/mTOR inhibitor. Cell lines were
profiled using array comparative genomic hybridisation, Illumina gene expression
analysis, reverse phase protein arrays, and targeted sequencing of
KRAS hotspot mutations. Frequent gains were observed at 2p, 3q,
5p, 7p, 7q, 8q, 12p, 13q, 14q, and 17q and losses at 2q, 3p, 5q, 8p, 9p, 9q, 14q,
18q, and 20p. Frequently gained regions contained EGFR,
PIK3CA, MYC, SMO,
TRIB1, FZD1, and BRCA2, while
frequently lost regions contained FHIT and MACROD2.
TRIB1 was selected for further study. Gene enrichment analysis
showed that differentially expressed genes with respect to treatment response were
involved in Wnt signalling, EGF receptor signalling, apoptosis, cell cycle, and
angiogenesis. Stepwise integration of copy number and gene expression data yielded 47
candidate genes that were significantly correlated. PDCD6 was
differentially expressed in all three treatment responses. Tissue microarrays were
constructed for a cohort of 118 CRC patients and TRIB1 and
MYC amplifications were measured using fluorescence in
situ hybridisation. TRIB1 and MYC were
amplified in 14.5% and 7.4% of the cohort, respectively, and these amplifications
were significantly correlated (p≤0.0001). TRIB1 protein
expression in the patient cohort was significantly correlated with pERK, Akt, and
Caspase 3 expression. In conclusion, a set of candidate predictive biomarkers for
5-fluorouracil, oxaliplatin, and BEZ235 are described that warrant further study.
Amplification of the putative oncogene TRIB1 has been described for
the first time in a cohort of CRC patients.