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Circulating Tumor Cell-informed RADioresponse Assessment from heme-axis signatuRes

Project description

Predictive biomarkers of prostate cancer radiotherapy response

Prostate cancer frequently spreads to the bone, representing one of the most challenging aspects of the disease. Radium-223 is the only approved radioactive therapy that extends survival. However, predicting which patients will benefit remains impossible with current tools. Identifying reliable blood-based biomarkers is therefore an urgent clinical need. With the support of the Marie Skłodowska-Curie Actions programme, the CTC-RADAR project focuses on circulating tumour cells in the blood to identify molecular signatures that predict response to radium-223. Researchers have discovered a promising metabolic pathway linked to treatment resistance and will investigate its mechanistic role using genetic and pharmacological tools. The goal is to develop the first validated biomarker panel for radiotherapy outcome prediction in prostate cancer.

Objective

Bone metastases are a hallmark of castration-resistant prostate cancer (CRPC) and remain a major therapeutic challenge. Ra-223 is the only approved alpha-emitting radiopharmaceutical that prolongs survival in this setting. Radiographic monitoring is difficult and PSA responses are uncommon, underscoring the need for predictive biomarkers. Despite this clinical need, no blood-based biomarker panel currently exists to stratify patients for Ra-223 or to mechanistically inform radioresponse.

CTC-RADAR (Circulating Tumor Cell-informed RADioresponse Assessment from heme-axis signatuRes) addresses this gap by leveraging CTC transcriptomes to define functional biomarkers. Analyses of pre-Ra-223 CTCs compared between responders and non-responders revealed strong enrichment of heme-metabolism programs (NES > 4) in the non-responder group. Within this enrichment, MFRN1 and FECH emerged as leading-edge genes, nominating the MFRN1–FECH axis as a candidate determinant of radioresponse.

Building on these findings, CTC-RADAR will (i) define a CTC-based heme signature from responder vs non-responder comparisons, (ii) test the mechanistic role of the MFRN1–FECH axis through genetic and pharmacologic perturbations, and (iii) identify DNA damage–repair liabilities using a focused CRISPR dropout screen in heme-high, non-responder–like models. By integrating patient-derived CTC transcriptomes with functional assays, CTC-RADAR will deliver the first systematic evaluation of radioresponse defined by a CTC-driven heme signature and uncover clinically actionable DDR vulnerabilities with translational relevance for therapy development. In the longer term, prospective clinical studies could be designed to test and validate this signature, paving the way for its integration into patient care.

Fields of science (EuroSciVoc)

Keywords

Programme(s)

Topic(s)

Funding Scheme

HORIZON-TMA-MSCA-PF-GF - HORIZON TMA MSCA Postdoctoral Fellowships - Global Fellowships

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Call for proposal

(opens in new window) HORIZON-MSCA-2025-PF

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Coordinator

KOC UNIVERSITY
Net EU contribution
€ 398 612,04
Address
RUMELI FENERI YOLU SARIYER
34450 Istanbul
Türkiye
Region
İstanbul İstanbul İstanbul
Activity type
Higher or Secondary Education Establishments
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Total cost
No data

Partners (1)