Cited by 378Cell death mechanisms and regulationCancer-related Molecular PathwaysMitochondrial Function and Pathology

Drug-Induced Death Signaling Strategy Rapidly Predicts Cancer Response to Chemotherapy

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Montero, Joan, Sarosiek, Kristopher A., DeAngelo, Joseph D., Maertens, Ophélia, Ryan, Jeremy, Ercan, Dalia, Piao, Huiying, Horowitz, Neil S. +7 more·2015·Cell

Abstract

There is a lack of effective predictive biomarkers to precisely assign optimal therapy to cancer patients. While most efforts are directed at inferring drug response phenotype based on genotype, there is very focused and useful phenotypic information to be gained from directly perturbing the patient's living cancer cell with the drug(s) in question. To satisfy this unmet need, we developed the Dynamic BH3 Profiling technique to measure early changes in net pro-apoptotic signaling at the mitochondrion ("priming") induced by chemotherapeutic agents in cancer cells, not requiring prolonged ex vivo culture. We find in cell line and clinical experiments that early drug-induced death signaling measured by Dynamic BH3 Profiling predicts chemotherapy response across many cancer types and many agents, including combinations of chemotherapies. We propose that Dynamic BH3 Profiling can be used as a broadly applicable predictive biomarker to predict cytotoxic response of cancers to chemotherapeutics in vivo.

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Crossref · 10.1016/j.cell.2015.01.042

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  • BH3 profiling demonstrated that cytochrome c release following mitochondrial exposure to pro-apoptotic BH3-only peptides (e.g. BIM BH3, PUMA BH3) was similar in control and Tbk1-null B16 cells.

    “BCL2-homology domain (BH3) profiling 41 demonstrated that cytochrome c release following mitochondrial exposure to pro-apoptotic BH3-only peptides (e.g. BIM BH3, PUMA BH3) was similar in control and Tbk1-null B16 cells (Extended Data Fig. 9a).”
  • Dynamic BH3 profiling strongly predicted patient responses to specific therapies across several cancer types.

    “Dynamic BH3 profiling robustly predicted which patients would respond to a given therapy across multiple cancer types.”
  • Montero et al. described dynamic BH3 profiling, where drugs are applied to cell lines or clinical tumor isolates and the fraction of cells undergoing MOMP is measured after adding a pro-apoptotic BH3 peptide.

    “Montero et al. recently reported a functional approach called ‘dynamic BH3 profiling’, in which therapeutics are applied to cell lines or clinical tumor isolates, and then the percentage of cells that undergo mitochondrial outer membrane permeabilization (MOMP) is measured after introduction of a pro-apoptotic BH3 peptide29.”

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Authors
Montero, J., Sarosiek, K. A., DeAngelo, J. D., Maertens, O., Ryan, J., Ercan, D., Piao, H., Horowitz, N. S., Berkowitz, R. S., Matulonis, U., Jänne, P. A., Amrein, P. C., Cichowski, K., Drapkin, R., & Letai, A.
Affiliations
  • Harvard University (US)
  • Brigham and Women's Hospital (US)
  • Massachusetts General Hospital (US)
Corresponding author
Letai, Anthony
Venue
Cell
Publisher
Elsevier BV
Published
2015-02
Volume
160
Issue
5
Pages
977-989
ISSN
0092-8674 (ISSN-L)
OpenAlex
W2165056381
Cited by
378
References
35
Citations by year
2026: 19 · 2025: 19 · 2024: 19 · 2023: 31 · 2022: 37 · 2021: 36 · 2020: 37 · 2019: 44 · 2018: 40 · 2017: 39 · 2016: 38 · 2015: 16
FWCI
19.26
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (U01CA152990, K99CA188679, P01CA139980, P01CA068484, R01CA129974, R01CA135257, R21CA188858, R00CA188679)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
  • Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
Keywords
chemotherapy response prediction, predictive biomarkers, apoptosis signaling, drug-induced cell death, combination chemotherapy, cytotoxicity
MeSH terms
Carcinoma, Non-Small-Cell Lung, Cell Line, Female, Humans, Mitochondria, Neoplasms, Ovarian Neoplasms, Signal Transduction, Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Cell Death, Precision Medicine

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