Hmmier, Abduladim (2018) Identification of Lung Carcinoma Biomarkers Associated with Tumour Development and Drug Resistance. PhD thesis, National University of Ireland Maynooth.
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Abstract
Lung cancer is the most common cause of death from cancer worldwide, estimated to
be responsible for nearly one in five (1.59 million deaths, 19.4% of the total). Lung
cancer is acknowledged as a complex and heterogeneous disease, not only at the
biochemical level (genes, proteins, metabolites) but also at the tissue, organism, and
population level. In the past decade, with the advancements in high-throughput
profiling technologies, a huge amount of work has been done to derive biomarkers to
supplement clinical diagnosis. The levels of a variety of different biomarkers, such as
proteins and metabolites, in biological fluid or tissue/cells could potentially detect
cancer at an early stage, determine cancer subtype, or monitor the sensitivity/resistance
to cancer treatment.
The research in this thesis aims to discover new biomarkers, using proteomic
techniques, with the potential to supplement current clinical criteria for the
management of lung cancer patients. Label-free mass spectrometry of bronchoalveolar
lavage fluid (BALF), blood (serum), tissue and cell lines was performed to identify
candidate biomarkers and perturbed cellular pathways. Validation of significant results
was performed using immunological methods and biochemical assays.
These studies have yielded valuable information that has unravelled several key
molecular events of lung cancer tumorigenesis, including proteomic signature of lung
cancer in BALF, tissue and blood. BALF analysis identified a promising signature
distinguish between adenocarcinoma of the lung and squamous cell carcinoma of the
lung. Many proteins found to be significant changed in abundance in BALF also
displayed similar trends in tissue specimens. Tumour heterogeneity was also evident
when examining tumour specimens, reinforcing the need for panels of biomarkers and
multiple sampling. At strong metabolic pattern was also evident during proteomics based investigations of clinical material, a result that was confirmed using
metabolomics platforms to screen patient samples. Drug resistant protein patterns were
also identified using label-free mass spectrometry on cell lines models demonstrating
resistance to Apitolisib (GDC-0980), a dual phosphatidylinositol-3-kinase and
mammalian target of rapamycin kinase inhibitor. Early in vitro data on resistant
mechanisms associated with new lung cancer treatments is crucial to allow resistance
to be detected in patients and to understand and potentially target resistant pathways.
The molecular analysis of a variety of biospecimens has allowed the discovery of
relevant candidate biomarkers and consequently the identification of novel proteins
that may have a role in the development of lung cancer and establishment of drug
resistance. There is a need for incorporating findings from multiple discovery
platforms and multiple sample types into a lung cancer specific data framework that
can improve our level of understanding of the disease process.
Item Type: | Thesis (PhD) |
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Keywords: | Identification; Lung Carcinoma; Biomarkers; Tumour Development; Drug Resistance; |
Academic Unit: | Faculty of Science and Engineering > Biology |
Item ID: | 12119 |
Depositing User: | IR eTheses |
Date Deposited: | 08 Jan 2020 15:33 |
URI: | https://mural.maynoothuniversity.ie/id/eprint/12119 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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