Patient-tailored design for selective co-inhibition of leukemic cell subpopulations
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Patient-tailored design for selective co-inhibition of leukemic cell subpopulations. / Ianevski, Aleksandr; Lahtela, Jenni; Javarappa, Komal K.; Sergeev, Philipp; Ghimire, Bishwa R.; Gautam, Prson; Vähä-Koskela, Markus; Turunen, Laura; Linnavirta, Nora; Kuusanmäki, Heikki; Kontro, Mika; Porkka, Kimmo; Heckman, Caroline A.; Mattila, Pirkko; Wennerberg, Krister; Giri, Anil K.; Aittokallio, Tero.
In: Science Advances, Vol. 7, No. 8, eabe4038, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Patient-tailored design for selective co-inhibition of leukemic cell subpopulations
AU - Ianevski, Aleksandr
AU - Lahtela, Jenni
AU - Javarappa, Komal K.
AU - Sergeev, Philipp
AU - Ghimire, Bishwa R.
AU - Gautam, Prson
AU - Vähä-Koskela, Markus
AU - Turunen, Laura
AU - Linnavirta, Nora
AU - Kuusanmäki, Heikki
AU - Kontro, Mika
AU - Porkka, Kimmo
AU - Heckman, Caroline A.
AU - Mattila, Pirkko
AU - Wennerberg, Krister
AU - Giri, Anil K.
AU - Aittokallio, Tero
PY - 2021
Y1 - 2021
N2 - The extensive drug resistance requires rational approaches to design personalized combinatorial treatments that exploit patient-specific therapeutic vulnerabilities to selectively target disease-driving cell subpopulations. To solve the combinatorial explosion challenge, we implemented an effective machine learning approach that prioritizes patient-customized drug combinations with a desired synergy-efficacy-toxicity balance by combining single-cell RNA sequencing with ex vivo single-agent testing in scarce patient-derived primary cells. When applied to two diagnostic and two refractory acute myeloid leukemia (AML) patient cases, each with a different genetic background, we accurately predicted patient-specific combinations that not only resulted in synergistic cancer cell co-inhibition but also were capable of targeting specific AML cell subpopulations that emerge in differing stages of disease pathogenesis or treatment regimens. Our functional precision oncology approach provides an unbiased means for systematic identification of personalized combinatorial regimens that selectively co-inhibit leukemic cells while avoiding inhibition of nonmalignant cells, thereby increasing their likelihood for clinical translation.
AB - The extensive drug resistance requires rational approaches to design personalized combinatorial treatments that exploit patient-specific therapeutic vulnerabilities to selectively target disease-driving cell subpopulations. To solve the combinatorial explosion challenge, we implemented an effective machine learning approach that prioritizes patient-customized drug combinations with a desired synergy-efficacy-toxicity balance by combining single-cell RNA sequencing with ex vivo single-agent testing in scarce patient-derived primary cells. When applied to two diagnostic and two refractory acute myeloid leukemia (AML) patient cases, each with a different genetic background, we accurately predicted patient-specific combinations that not only resulted in synergistic cancer cell co-inhibition but also were capable of targeting specific AML cell subpopulations that emerge in differing stages of disease pathogenesis or treatment regimens. Our functional precision oncology approach provides an unbiased means for systematic identification of personalized combinatorial regimens that selectively co-inhibit leukemic cells while avoiding inhibition of nonmalignant cells, thereby increasing their likelihood for clinical translation.
U2 - 10.1126/sciadv.abe4038
DO - 10.1126/sciadv.abe4038
M3 - Journal article
C2 - 33608276
AN - SCOPUS:85101307422
VL - 7
JO - Science advances
JF - Science advances
SN - 2375-2548
IS - 8
M1 - eabe4038
ER -
ID: 257744067