Early cancer detection saves lives, yet common solid tumors—including pancreatic, ovarian, and lung cancers—are frequently diagnosed only after spreading to distant organs when surgical cure is impossible.
Liquid biopsies searching for circulating tumor DNA (ctDNA) often fail in early-stage localized disease because tiny millimeter-scale tumors shed almost negligible amounts of DNA into liters of circulating blood.
This iScience breakthrough harnesses blood platelets: as platelets circulate through tumor microenvironments, they ingest tumor-derived RNA and proteins, becoming 'tumor-educated platelets' (TEPs). By training machine learning classifiers on platelet RNA-seq profiles, the algorithm detects early-stage malignancies with over eighty-five percent sensitivity across multiple cancer types.
Tumor-educated platelet screening offers a non-invasive, low-cost liquid biopsy blood test that enables population-level early cancer detection years before radiological detection.
Machine learning algorithms develop a tumor-educated platelets-related gene signature to predict colorectal cancer prognosis and therapy response
Summary Tumor-educated platelets (TEPs) have recently emerged as an important component of liquid biopsy, yet the clinical relevance in colorectal cancer (CRC) remains unclear. Here, we employed 10 machine learning algorithms to develop a stable, accurate TEP-related gene signature (TEPGS) to explore its links to tumor-associated macrophages (TAMs) and spatial platelet abundance. TEPGS correlated strongly with poor prognosis and outperformed 71 published gene signatures in predicting CRC overall survival. Multi-omics analysis displayed that high TEPGs were marked by increased TP53 mutations, copy number alterations, diminished immune features, enrichment of pro-tumor SPP1+/FCN1+ TAMs, and elevated spatial platelet abundance. Patients with high TEPGS exhibited resistance to immunotherapy but responded to a BRAF V600E inhibitor, while TEPGS showed tentative value for predicting cetuximab response and preliminary utility for bevacizumab. Functional assays confirmed ARPC1B as an oncogene. Our findings establish TEPGS as a valuable biomarker for prognostic stratification and tailored therapy selection in CRC.
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