Cancer Type |
Test |
Therapeutic Impact |
‘Omic Category |
Breast Cancer |
HER2 by FISH |
Response to trastuzumab [9,10] |
Genomics |
HER2 by IHC |
Response to trastuzumab [9,10] |
Pathology/Proteomics |
ER/PR by RT-PCR |
Response to hormonal therapies [88-90] |
Transcriptomics |
DPD by PCR |
Fluorouracil toxicity [91] |
Genomics |
PIK3CA Mutation Analysis |
Resistance to trastuzumab in HER2 positive tumors [92] |
Genomics |
Colorectal Cancer |
KRAS mutation analysis |
Response to panitumamab, cetuximab [13] |
Genomics |
BRAF mutation analysis |
Response to panitumamab, cetuximab [15] |
Genomics |
EGFR amplication by FISH |
Response to cetuximab [93] |
Genomics |
Thymidylate synthase by IHC |
Resistance to fluorouracil or related agents [94] |
Pathology/Proteomics |
UGT1A1 Molecular Assay |
Increased risk of severe irinotecan toxcity [95] |
Genomics |
DPD by PCR |
Fluorouracil toxicity [91,96] |
Genomics |
PIK3CA Mutation analysis |
Resistance to cetuximab salvage therapy [97] |
Genomics |
Non-Small Cell Lung Cancer |
EGFR Mutation analysis |
Response to gefitinib, erlotinib [98] |
Genomics |
KRAS Mutation |
Resistance to gefitinib, erlotinib [14] |
Genomics |
ALK by FISH |
Sensitivity to crizotinib [99] |
Genomics |
ERCC1 by IHC |
Resistance to platinum-based chemotherapeutics [100] |
Pathology/Proteomics |
EGFR Amplication by FISH |
Resistance to gefitinib, erlotinib, cetuximab plus paclitaxel, and carboplatin [101] |
Genomics |
EGFR by IHC |
Response to cetuximab plus chemotherapy [102] |
Pathology/Proteomics |
TS by RT-PCR |
Resistance to pemetrexed [103] |
Transcriptomics |
UGT1A1 Molecular Assay |
Irinotecan toxicity [104] |
Genomics |
ALK by FISH |
Response to crizotinib in metastatic disease [105] |
Genomics |
Gastric Cancer |
HER2 by FISH |
Response to trastuzumab [11] |
Genomics |
HER2 by IHC |
Response to trastuzumab [106,107] |
Pathology/Proteomics |
ERCC1 by IHC |
Resistance to platinum-based chemotherapies [108] |
Pathology/Proteomics |
Melanoma |
BRAF Mutation Analysis |
Response to vemurafenib [16] |
Genomics |
Brain Cancer |
MGMT methylation |
Response to temozolomide [109] |
Epigenomics |
Head and Neck Cancers |
DPD status |
Fluorouracil toxicity and efficacy [110] |
Metabolomics |
CLL |
17p by FISH |
Resistance to fludarabine based regimens |
Genomics |
|
P53 Mutation analysis |
Resistance to fludarabine based regimens [111] |
Genomics |
CML |
BCR-ABL |
Recommended imatinib [112] |
Genomics |
BCR-ABL KD Mutation V299L, T315A, F17L/V/I/C |
Response to nilotinib rather than dasatinib [41] |
Genomics |
BCR-ABL KD Mutation Y253H, E255K/V, F359V/C/I |
Response to dasatinib rather than nilotinib [41] |
Genomics |
BCR-ABL transcript mass by RQ-PCR |
Response tyrosine kinase inhibitors after therapy ihas been intiated [113] |
Transcriptomics |
Myelodysplastic Syndrome |
Deletion 5q |
Response to lenalidomide [114] |
Genomics |
Platelet derived growth factor receptor beta |
Indication for imatinib [115,116] |
Genomics |
Non-Hodgkin’s Lymphoma |
MYC translocations |
Resistance to retuximab plus cyclophosphamide, doxorubicin, vincristine and prednisone (R-CHOP) in diffuse B-cell lymphoma [117] |
Genomics |
HER2: Human epidermal growth receptor 2