From multi‐omics to cancer digital twins: Novel paradigm in cancer research and treatment response
Year: 2025
Type: article
Abstract: Integrating multi-omics in cancer research has expanded our understanding of the intricate molecular mechanisms underlying malignancies.Traditional single-omics approaches, while informative, only capture one molecular layer at a time. 1 However, cancer is a multifaceted disease driven by genetic, epigenetic, metabolic and signalling interactions.In addition, the crosstalk between tumour cells and their environment, whether occurring during malignancies or modulated through therapy, is inherently multiscale.For instance, the crosstalk spans molecular-, cellular-and systems-level processes, operating across temporal and spatial scales.Such complexity renders the tumour ecosystem an archetype of a hierarchical system, requiring integrative approaches to fully comprehend and address. 2 Multi-omics bridges this gap by integrating diverse data types from the same patients to provide a multidimensional view of the tumour ecosystem.Each of these modalities contributes unique insights into the core tumour; for example, genomics focuses on the mutational landscape, transcriptomics highlights aberrant gene expression, proteomics elucidates protein interactions, epigenomics reveals regulatory mechanisms, metabolomics uncovers metabolic reprogramming and spatial omics map biomolecules directly onto the physical position of tumour niches.3 Together, these multiple modalities resume tumours' molecular and functional dynamics, improving applications such as precision medicine, biomarker discovery, drug target identification and patient stratification (Figure 1).Integrating multi-omics requires sophisticated computational methods capable of handling high-dimensional datasets.4 To tackle these challenges, artificial intelligence (AI), machine learning (ML) and deep learning (DL) have emerged as powerful tools.The AI-and ML/DL-based models facilitate the fusion of multiple modalities into a unified framework, addressing the challenges of disparate data types that vary in size, scales, formats, distributions and noise levels.Its ability to process and harmonize
DOI: 10.1002/ctd2.70035
Authors: Sara Sadat Aghamiri, Rada Amin
Institution: University of Nebraska–Lincoln
Language: English
Subfield: Cancer Research
Domain: Life Sciences
Open Access status: gold
Estimated APC paid: $2,420
OpenAlex ID: W4407669755
