Functionalizing Genomic Data for Clinical Applications Kartiki V
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Functionalizing Genomic Data for Clinical Applications Kartiki V
Functionalizing Genomic Data for Clinical Applications Kartiki V. Desai National Institute of Biomedical Genomics, Kalyani Indo-Global Healthcare Summit & Expo 2014, Hyderabad June 21st, 2014 Collaborators Antara Biswas, Sugandha Basu, Tajnoor Fatima, Yifang Lee, Xiu Bin Chan Priyanka Pandey, Lance Miller, Ed Liu, Krishna Karuturi Funding DBT BioCare Program, NIBMG intramural Consultant Oncostem Diagnostics, Bangalore Aspiring Students(http://www.nibmg.ac.in/NIBMG-DOCTORAL-RESEARCH-2014.pdf) Last date for online application is June 20th 2014 Genomics and Cancer Platforms to Patterns in disease 1. Classification of tumors leading to patient stratification (Microarray) 2. Genetic susceptibility to disease and response to treatment(GWAS) 3. Chromosomal abnormalities (Karyotyping and aCGH) 4. Epigenetic modifications (Methylation arrays, Histone modifications (ChIP) 5. All (Next-generation sequencing) including point mutations, chromosomal aberrations etc THAT CANCER IS CLONAL AND IT EVOLVES M Greaves, CC Maley - Nature, 2012 481: 306-313 COMPARE PRIMARY AND METS AND MODELS Primary tumor Met Xenograft L Ding et al. Nature 464, 999-1005 (2010) doi:10.1038/nature08989 Classification of breast cancer samples, treatment, response Breast Cancer ER positive Luminal B Luminal A Tamoxifen ER negative TNBCs Erbb2+ Chemo Normal like Ab TWO PROBLEMS IN ALL CANCERs- RESISTANCE ER/PR+ Hormone therapy NR Drug Treatment Options for Breast Cancer R Drug Resistance HER2+ Immunotherapy Triplenegative Chemotherapy Toxic TWO PROBLEMS IN ALL CANCERs-METASTASIS Stage at Diagnosis Stage Distribution (%) 5-year Relative Survival (%) Localized (confined to primary site) 60 98.6 Regional (spread to regional lymphnodes) 33 83.8 Distant (cancer has metastasized) 5 23.3 Unknown (unstaged) 2 52.4 OBJECTIVE USE OUTPUT FROM INTEGRATIVE ANALYSIS OF GENOMIC DATA TO FIND BIOMARKERS, THERAPEUTIC TARGETS IN ADVANCED BREAST CANCER BREAST, OVARIAN cancer STRATEGY • RE-MINE DATA USING STATISTICAL METHODS and CLINICAL ANNOTATION • HIGHTHROUGHPUT SCREEN FOR CANCER PHENOTYPES • DETAILED FUNCTIONAL VALIDATION GENE EXPRESSION DATA 14 cohorts 2027 patients… (Lance Miller, Krishna Karuturi et al) Gene ontology Receptors Secretory Proteins Growth factors Enzymes Cox proportional Hazards Disease-Metastasis free (DFMS) 32 candidates Primary screen : SiRNA based 96 well plate assay 3 independent siRNAs per gene/target, 2 cell lines 1. Change in proliferation-WST assay 2. Apoptosis assay- change in caspase 3 activation and PARP cleavage 3. Soft agar colony formation assay Secondary screen 1. 2. Cell motility and invasion-Boyden Chamber assay 3T3 transformation assay Gain of function screen Over-express candidate to revert the phenotypes observed Mouse xenograft/tail vein assay UPSTREAM REGULATORS OF CANCER CIRCUITRY SPINK1 JMJD6 JMJD6 TGF-β, TFs JMJD6 PMCH CCNE, ER SPINK1 Casp3, Bcl2 Hannahan and Weinberg, 2011 JMJD6- Jumanji Domain Containing Protein 6 Annotated as Phosphotidylserine receptor (PTDSR) Single JMJC domain at the C-terminal Histone arginine demethylase, hydroxylase, interacts with U2AF65 and may influence alternate splicing Recently shown to bind SSRNA JMJD6 and TUMORIGENESIS ? JMJD6 associates with high grade, poorly differentiated tumors JMJD6 and Cell Proliferation JMJD6 increases proliferation of BrCa cells Over-Expression SiRNA mediated knock-down JMJD6 increases cell motility but not cell invasion JMJD6 induces cyclin E1, suppresses the TGF-β axis JMJD6 ATF2 p38MAPK Cyclin E TGF-β pathway TGF-β1,TGF-β2, Smad 2, Smad 4 Type IIR Lee et al, Breast Cancer Research, 2012, 14(3):R85. Cellular relationship could be extrapolated to patient samples CCNE TGF-β2 JMJD6 (avg of: 212723_at, 212722_s_at) Signal Intensity (log2) 12 p= 5 x 10E-39 10 8 6 4 p=5.2x10-08 2 6 7 8 9 10 11 TGFB2 (avg of: 209909_s_at, 220407_s_at, 209908_s_at) Signal Intensity (log2) J6 J6 12 JMJD6 displays higher levels of expression in aggressive subtypes Poor prognosis ER+, especially LumAs, typically have better survival due to SERMs Does J6 predicts poor prognosis in ER+ patients? ER+ LUMINAL A TAMOXIFEN Gene Set Enrichment Analysis Gene Set Name CHARAFE BREAST_CANCER_LUM_VS_BASAL_UP CREIGHTON ENDOCRINE THERAPY RESIST_1 CREIGHTON_ENDOCRINE_THERAPY_RESIST_4 CREIGHTON_ENDOCRINE_THERAPY_RESIST_5 DOANE_BREAST_CANCER_ESR1_UP FARMER_BREAST_CANCER_APOCRINE VS LUM FARMER_BREAST_CANCER_BASAL_VS_LUM FARMER_BREAST_CANCER_BASAL_VS_LUM GOZGIT_ESR1_TARGETS_DN GOZGIT_ESR1_TARGETS_DN MASSARWEH_TAMOXIFEN_RESISTANCE_DN MASSARWEH_TAMOXIFEN_RESISTANCE_UP SMID_BREAST_CANCER_BASAL_DN TGCCTTA,MIR-124A TTGCACT,MIR-130A,MIR-301,MIR-130B TTTGCAC,MIR-19A,MIR-19B Total 383 526 308 482 114 329 335 335 776 776 253 579 713 482 341 448 Overlap 39 50 36 43 21 41 35 38 83 94 37 52 65 42 43 46 Description UP luminal-like VS basal-like cells ER+ acquired TAMR ER+ acquired TAMR ER+ acquired TAMR UP ER positive vs ER negative Discriminate ESR1- AR+ Vs ESR1+ AR+ Discriminate ESR1- AR Vs ESR1+ AR+ Discriminate ESR1- AR Vs ESR1+ AR+ DN in ER-TMX2-28 cells DN in ER-TMX2-28 cells DN in MCF-7 xenografts TamR UP MCF-7 xenografts TamR DN basal subtype Targets of MIR-124A Targets of MIR-130A,MIR-301,MIR-130B Targets MIR-19A,MIR-19B J E2 Tam 9/18 ↑TamR NRIP1 TPBG Propose this model ER+ low JMJD6 ER+ High JMJD6 TAM Cyclin D high, low TGF-b X Cell proliferation Cyclin D/E high, low TGF-b X Cell proliferation FUTURE….. 1. We have generated an assay system and a screen for potential inhibitors of JMJD6: cell-based loss in cell proliferation and a biochemical assay to measure secreted TGF-beta. 2. Collaborating- Stapled peptides (BII, Singapore)/small molecules (Indian Consortium IICB, JNACSR, Bose Institute) HOPE We may be able to treat TamR patients THANK YOU