PMID- 22658458 OWN - NLM STAT- MEDLINE DCOM- 20130507 LR - 20211203 IS - 1938-0674 (Electronic) IS - 1533-0028 (Print) IS - 1533-0028 (Linking) VI - 11 IP - 4 DP - 2012 Dec TI - Multiplexed protein signal pathway mapping identifies patients with rectal cancer that responds to neoadjuvant treatment. PG - 268-74 LID - S1533-0028(12)00068-0 [pii] LID - 10.1016/j.clcc.2012.05.003 [doi] AB - BACKGROUND: Currently there is no reliable technique for predicting clinical or pathologic complete tumor response after radiochemotherapy (RCT) in patients with rectal cancer. We applied reverse phase protein microarray (RPMA) technology to find a signal pathway that may predict the response to preoperative treatment. PATIENTS AND METHODS: Fifteen rectal cancer samples were collected during preoperative RCT. Seven patients had a good response to preoperative therapy (Mandard grade I-II) and 8 patients had a poor response (Mandard grade III-V). Using laser capture microdissection (LCM) and RPMA analysis, we measured the phosphorylation level of nearly 80 end points and analyzed the signaling pathways. RESULTS: We identified 4 signaling proteins whose phosphorylation levels were significantly different (P < .05) between the good vs. poor responders; CHK2 and beta-catenin were more highly phosphorylated in poor responders, whereas PDK1 and glycogen synthase kinase (GSK)-3alpha/beta had lower phosphorylation levels in poor responders. Interestingly GSK-3alpha/beta, beta-catenin, and PDK1 are all present in the phosphatidylinositol-3-kinase (PI3K)-AKT signaling pathway. CONCLUSIONS: Based on our results, we hypothesize that the activating state of the PI3K-AKT pathway can stratify patients who could benefit most from neoadjuvant treatment. Moreover, identification of theranostic targets has the potential to pinpoint new therapeutic strategies for the nonresponsive population. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Mammano, Enzo AU - Mammano E AD - Clinica Chirurgica II, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy. texaua@libero.it FAU - Galdi, Francesca AU - Galdi F FAU - Pierobon, Mariaelena AU - Pierobon M FAU - Tessari, Emanuela AU - Tessari E FAU - Deng, Jianghong AU - Deng J FAU - Pucciarelli, Salvatore AU - Pucciarelli S FAU - Agostini, Marco AU - Agostini M FAU - De Marchi, Francesco AU - De Marchi F FAU - Canzonieri, Vincenzo AU - Canzonieri V FAU - De Paoli, Antonino AU - De Paoli A FAU - Belluco, Claudio AU - Belluco C FAU - Liotta, Lance AU - Liotta L FAU - Petricoin, Emanuel AU - Petricoin E FAU - Pilati, Pierluigi AU - Pilati P FAU - Nitti, Donato AU - Nitti D LA - eng GR - R21 CA125698/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20120602 PL - United States TA - Clin Colorectal Cancer JT - Clinical colorectal cancer JID - 101120693 RN - 0 (Biomarkers, Tumor) RN - 0 (PDK1 protein, human) RN - 0 (Pyruvate Dehydrogenase Acetyl-Transferring Kinase) RN - 0 (beta Catenin) RN - EC 2.7.1.11 (Checkpoint Kinase 2) RN - EC 2.7.11.1 (CHEK2 protein, human) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.26 (Glycogen Synthase Kinase 3) RN - EC 2.7.11.26 (glycogen synthase kinase 3 alpha) SB - IM MH - Adult MH - Aged MH - Biomarkers, Tumor/*metabolism MH - Checkpoint Kinase 2 MH - Female MH - Follow-Up Studies MH - Glycogen Synthase Kinase 3/metabolism MH - Humans MH - Male MH - Middle Aged MH - *Neoadjuvant Therapy MH - Neoplasm Grading MH - Phosphorylation MH - Prognosis MH - Protein Array Analysis MH - Protein Serine-Threonine Kinases/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Pyruvate Dehydrogenase Acetyl-Transferring Kinase MH - Rectal Neoplasms/drug therapy/*metabolism/pathology MH - *Signal Transduction MH - beta Catenin/metabolism PMC - PMC3786114 MID - NIHMS477152 EDAT- 2012/06/05 06:00 MHDA- 2013/05/08 06:00 PMCR- 2013/09/29 CRDT- 2012/06/05 06:00 PHST- 2011/08/02 00:00 [received] PHST- 2012/03/05 00:00 [revised] PHST- 2012/05/02 00:00 [accepted] PHST- 2012/06/05 06:00 [entrez] PHST- 2012/06/05 06:00 [pubmed] PHST- 2013/05/08 06:00 [medline] PHST- 2013/09/29 00:00 [pmc-release] AID - S1533-0028(12)00068-0 [pii] AID - 10.1016/j.clcc.2012.05.003 [doi] PST - ppublish SO - Clin Colorectal Cancer. 2012 Dec;11(4):268-74. doi: 10.1016/j.clcc.2012.05.003. Epub 2012 Jun 2.