An overview of multiomics: a powerful tool applied in cancer molecular subtyping for cancer therapy

Yazhu Zou, Zitong Zhao, Yongmei Song
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Abstract

During the process of carcinogenesis and tumor progression, various molecular alternations occur in different omics levels. In recent years, multiomics approaches including genomics, epigenetics, transcriptomics, proteomics, metabolomics, single-cell omics, and spatial omics have been applied in mapping diverse omics profiles of cancers. The development of high-throughput technologies such as sequencing and mass spectrometry has revealed different omics levels of tumor cells or tissues separately. While focusing on a single omics level results in a lack of accuracy, joining multiple omics approaches together undoubtedly benefits accurate molecular subtyping and precision medicine for cancer patients. With the deepening of tumor research in recent years, taking pathological classification as the only criterion of diagnosis and predicting prognosis and treatment response is found to be not accurate enough. Therefore, identifying precise molecular subtypes by exploring the molecular alternations during tumor occurrence and development is of vital importance. The review provides an overview of the advanced technologies and recent progress in multiomics applied in cancer molecular subtyping and detailedly explains the application of multiomics in identifying cancer driver genes and metastasis-related genes, exploring tumor microenvironment, and selecting liquid biopsy biomarkers and potential therapeutic targets.

Abstract Image

多组学概述:应用于癌症分子亚型分析以促进癌症治疗的强大工具
在癌变和肿瘤进展过程中,不同的组学水平会发生各种分子变化。近年来,包括基因组学、表观遗传学、转录组学、蛋白质组学、代谢组学、单细胞组学和空间组学在内的多组学方法已被应用于绘制癌症的各种组学图谱。测序和质谱等高通量技术的发展分别揭示了肿瘤细胞或组织的不同 omics 水平。只关注单一的 omics 水平会导致准确性不足,而将多种 omics 方法结合在一起,无疑有利于对癌症患者进行准确的分子亚型分析和精准医疗。近年来,随着肿瘤研究的不断深入,将病理分类作为诊断和预测预后及治疗反应的唯一标准已显得不够准确。因此,通过探索肿瘤发生和发展过程中的分子变异来确定精确的分子亚型至关重要。本综述概述了应用于癌症分子亚型鉴定的多组学先进技术和最新进展,并详细阐述了多组学在鉴定癌症驱动基因和转移相关基因、探索肿瘤微环境、选择液体生物标记物和潜在治疗靶点等方面的应用。
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