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Seppänen, H.

Publications and source records attributed to Seppänen, H..

3 recordsLinked to original sources

Site-Dependent Decoupling of Drug-Biomarker Associations in Clear Cell Renal Cell Carcinoma Revealed by Functional Profiling of Patient-Derived Cell Models

Clear cell renal cell carcinoma (ccRCC) frequently exhibits primary and acquired resistance to standard-of-care therapies, underscoring the need for improved strategies to predict therapeutic response and prioritize patient-specific treatments. Although recent multi-omic and single-cell studies have provided insight into the molecular landscape of ccRCC, molecular alterations alone incompletely predict drug sensitivity. We prospectively profiled tumors from 28 patients with localized and metastatic ccRCC by integrating molecular characterization, functional drug sensitivity and resistance testing in patient-derived cell models, and longitudinal clinical data. Although genomic biomarkers suggested potentially actionable therapies in 27/28 patients, functional testing revealed discordance between genomic actionability and ex vivo drug sensitivity, whereas linear mixed-effects modelling uncovered 16 novel copy-number-based features associated with sensitivity to 11 drugs. Genotype-drug response associations were largely preserved between primary tumors and vena cava thrombi but frequently disrupted in distant metastases. Integrating functional drug testing with multi-omic profiling reveals vulnerabilities not apparent from genomic data alone, refines therapeutic actionability, captures interpatient and intersite heterogeneity in ccRCC, and provides a scalable framework for individualized treatment prioritization.

cancer biology↗

Predicting Pre-treatment Resistance or Post-treatment Effect? A Systematic Benchmarking of Single-Cell Drug Response Models

Intratumoral heterogeneity drives variable drug responses in cancer. Single-cell RNA sequencing (scRNA-seq) enables characterization of such heterogeneity and prediction of drug response at single-cell resolution. Accordingly, various computational models have been developed to infer drug response from scRNA-seq data. However, their performance, robustness, and generalizability across different biological contexts remain insufficiently evaluated. To address this gap, we benchmarked representative single-cell drug response prediction models using 26 curated datasets comprising over 760,000 cells across 12 cancer types and 21 therapeutic agents. We constructed balanced and imbalanced scenarios to reflect realistic drug-response label distributions. To address the lack of ground-truth labels in conventional scRNA-seq datasets, we incorporated lineage-tracing data with experimentally validated drug-response annotations, enabling evaluation in a clinically relevant pre-treatment prediction setting. Our results show that prediction performance was markedly higher in cell lines than in tissue samples. Under imbalanced conditions, most methods exhibited sharp performance declines, whereas scDEAL demonstrated the highest robustness. Independent validation using an in-house pancreatic ductal adenocarcinoma dataset further confirmed scDEALs robustness and ability to capture biologically meaningful state transitions. Label-substitution experiment revealed that this robustness was partially driven by the models specific training-label construction. However, benchmarking with lineage-tracing data revealed a fundamental limitation: most models capture drug-induced transcriptional changes but struggled to predict intrinsic resistance before treatment. In summary, our study defines the performance boundaries of current approaches and highlights their limitations in addressing intratumoral heterogeneity, class imbalance, and intrinsic resistance prediction, emphasizing the need for the next-generation single-cell drug response models with stronger clinical relevance.

bioinformatics↗

Efficacy and safety of glycosphingolipid SSEA-4 targeting CAR-T cells in solid tumors

Chimeric antigen receptor (CAR) T-cell immunotherapies for solid tumors face critical challenges such as heterogeneous antigen expression. We characterized SSEA-4 cell-surface glycolipid as a target for CAR-T cell therapy. SSEA-4 is mainly expressed during embryogenesis but is also found in several cancer types making it an attractive tumor-associated antigen. Anti-SSEA-4 CAR-T cells were generated and assessed pre-clinically in vitro and in vivo for anti-tumor response and safety. SSEA-4 CAR-T cells effectively eliminated SSEA-4 positive cells in all tested cancer cell lines whereas SSEA-4 negative cells lines were not targeted. In vivo efficacy and safety studies using NSG mice and the high-grade serous ovarian cancer cell line OVCAR4 demonstrated a remarkable and specific anti-tumor response at all CAR-T cell doses used. At high T cell doses, CAR-T cell-treated mice showed signs of health deterioration after a follow-up period. However, severity of toxicity was reduced with delayed onset when lower CAR-T cell doses were used. Our data demonstrate the efficacy of anti-SSEA-4 CAR-T therapy; however, safety strategies, such as dose-limiting and/or equipping CAR-T cells with combinatorial antigen recognition should be implemented for its potential clinical translation.

cancer biology↗