Pharmacogenomic signatures that predict drug response andresistance in high-grade serous ovarian cancer using patient-derived organoids and their exosomes

Abstract

High-grade serous ovarian carcinoma (HGSC) is the most common and lethal subtype of ovarian cancer due to the advanced stage at diagnosis and high rate of relapse with platinum resistance. Currently, individualized therapy is unattainable due to limited knowledge of early markers of drug resistance. Repetitive tumor sampling is an invasive approach and fails to account for tumor heterogeneity and the evolution of drug resistance. Better models for identifying patients that may develop chemotherapy resistance are required to make progress in treating patients with ovarian cancer. The hypothesis is that patient-derived organoids (PDOs) can be used to identify effective new therapies for HGSC and that analysis of responding and non-responding PDOs and their secreted exosomes can be used to identify markers that predict treatment response or resistance in patients. This will be addressed with the following aims: Aim 1 will determine the sensitivity and resistance of HGSC PDOs to NCI-IND drugs as single agents and in combination with standard of care, Aim 2 will determine miRNA signatures that predict drug response from PDOs and their secreted exosomes, while Aim 3 will determine whether organoid response and drug response signatures from PDOs and their secreted exosomes correlate with actual patient response.

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Document Details

Document Type
Technical Report
Publication Date
Jun 01, 2020
Accession Number
AD1104203

Entities

People

  • Kelsi Andrade

Organizations

  • University of Oklahoma Health Sciences Center

Tags

DTIC Thesaurus Topics

  • Biomedical Research
  • Cancer
  • Chemotherapy
  • Covid-19
  • Drug Resistance
  • Gynecologic Cancers
  • Medical Personnel
  • Neoplasms
  • Oklahoma
  • Organoids
  • Ovarian Cancer
  • Sampling
  • Sensitivity
  • Standards
  • Therapy
  • Tissues
  • United States

Fields of Study

  • Biology
  • Medicine

Readers

  • Molecular Biology and Genetics
  • Women's Health and Cancer Risk Research: African American Women and Pregnancy Outcomes.