Tag Archives: genomics

Genomic landscape of metastatic cancer

Integrative genomics sheds new light on metastatic cancer

A new study from the University of Michigan Comprehensive Cancer Center has just been released that represents an in-depth look at the genomics of metastatic cancer, as opposed to primary tumors.   This work involved DNA- and RNA-Seq of solid metastatic tumors of 500 adult patients, as well as matched normal tissue sequencing for detection of somatic vs. germline variants.

tl;dr:

A good overview of the study at the level of scientific layperson can be found in this press release.  It summarizes the key findings (many of which are striking and novel):

  • A significant increase in mutational burden of metastatic tumors vs. primary tumors.
  • A long-tailed distribution of mutational frequencies (i.e., few genes were mutated at a high rate, yet many genes were mutated).
  • About twelve percent of patients harbored germline variants that are suspected to predispose to cancer and metastasis, and 75% of those variants were in DNA repair pathways.
  • Across the cohort, 37% of patient tumors harbored gene fusions that either drove metastasis or suppressed the cells anti-tumor functions.
  • RNA-Seq showed that metastatic tumors are significantly de-differentiated, and fall into two classes:  proliferative and EMT-like (endothelial-to-mesenchymal transition).

 A brief look at the data

This study provides a high-level view onto the mutational burden of metastatic cancer vis-a-vis primary tumors.  Figure 1C from the paper shows the comparison of mutation rates in different tumor types in the TCGA (The Cancer Genome Atlas) primary tumors and the MET500 (metastatic cohort).

Mutational burden in metastatic cancer compared to primary tumors.

 

Here we can see that in most cases (colored bars), metastatic cancers had statistically significant increases in mutational rates.   The figure shows that tumors with low mutational rates “sped up” a lot as compared with those primary tumor types that already had high rates.

Supplemental Figure 1d (below) shows how often key tumor suppressor and oncogenes are altered in metastatic cancer vs. primary tumors.  TP53 is found to be altered more frequently in metastatic thyroid, colon, lung, prostate, breast, and bladder cancers.   PTEN is mutated more in prostate tumors.  GNAS and PIK3CA are mutated more in thymoma, although this finding doesn’t reach significance in this case.  KRAS is altered more in colon and esophagus cancers, but again, these findings don’t reach significance after multiple correction.

Comparison of genetic alteration frequencies in metastatic and primary tumors.

 

One other figure I’d like to highlight briefly is Figure 3C from the paper, shown below:

Molecular structure of novel, potentially activating gene fusions in the metastatic tumors.

I wanted to mention this figure to illustrate the terrifying complexity of cancer.   Knowing which oncogenes are mutated, in which positions, and the effects of those mutations on gene expression networks is not enough to understand tumor evolution and metastasis.  There are also new genes being created that do totally new things, and these are unique on a per tumor basis.   None of the above structures have ever been observed before, and yet they were all seen from a survey of just 500 cancers.   In fact, ~40% of the tumors in the study cohort harbored at least one fusion suspected to be pathogenic.

There is much more to this work, but I will leave it to interested readers to go read the entire study.   I think this work is obviously tremendously important and novel, and represents the future of personalized medicine.  That is, a patient undergoing treatment for cancer will have their tumor or tumors biopsied and sequenced cumulatively over time to understand how the disease has evolved and is evolving, and to ascertain what weaknesses can be exploited for successful treatment.

My favorite talks from GLBIO2017 in Chicago

GLBIO2017

I just got back from Great Lakes Bio 2017 (GLBIO2017) at the University of Illinois-Chicago (UIC) campus.  It was a great meeting and I really enjoyed the quality of the research presented as well as the atmosphere of the campus and neighborhood.

I was very surprised by just how nice the Chicago “West Loop” neighborhood near Randolph Street and down towards Greektown really is.  I had some great meals, including a memorable Italian dinner at Formentos.

But the purpose of this post is to briefly describe a few of my favorite talks from the meeting.  So here goes, in no particular order:

Kevin White, Tempus Labs:

I was really impressed with Kevin White’s GLBIO2017 talk and demo of his company’s technology (despite the ongoing technical A/V issues!)  Tempus labs is a clinical sequencing company but also an informatics company focused on cancer treatment that seeks to pull together all of the disparate pieces of patient data that float around in EHR databases and are oftentimes not connected in meaningful ways.

The company sequences patient samples (whole exome and whole genome) and then also hoovers up reams of patient EHR data using Optical Character Recognition (OCR), Natural Language Processing (NLP), and human expert curation to turn the free-form flat text of medical records from different clinics and systems into a form of “tidy data” that can be accessed from an internal database.

Then, clinical and genomic data are combined for each patient in a deep-learning system that looks at treatments and outcomes for other similar patients and presents the clinician with charts that show how patients in similar circumstances fared with varying treatments, given certain facts of genotype and tumor progression, etc…  The system is pitched as “decision support” rather than artificial “decision making.”  That is, a human doctor is still the primary decider of treatment for each patient, but the Tempus deep learning system will provide expert support and suggest probabilities for success at each critical care decision point.

The system also learns and identifies ongoing clinical trials, and will present relevant trials to the clinician so that patients can be informed of possibly beneficial trials that they can join.

Murat Eren,  merenlab.org

Murat Eren’s talk on tracking microbial colonization in fecal microbiome transplantation (i.e., “poop pills”) was excellent and very exciting.  Although the “n” was small (just 4 donors and 2 recipients) he showed some very interesting results from transferring fecal microbiota (FM) from healthy individuals to those with an inflammatory bowel disease.

Among the interesting results are the fact that he was able to assemble 97 metagenomes in the 4 donor samples.  Following the recipients at 4 and 8-weeks post FM transplant showed that the microbial genomes could be classed into those that transfer and colonize permissively (both recipients), those that colonize one or the other recipient, and those that fail to colonize both.  Taxa alone did not explain why some microbes colonized easily, while other failed to colonize.

He also showed that 8 weeks post FM transplant, the unhealthly recipients had improved symptoms but also showed that in a PCA analysis of the composition of the recipient gut and the healthy human gut from 151 human microbiome project (HMP) samples, the recipients moved into the “healthy” HMP cluster from being extreme outliers on day 0.

He also investigated differential gene function enrichment between the permissive colonizers and the microbes that never colonized recipient’s guts and found that sporulation genes may be a negative factor driving the failure (or success) of transplantation.   He proposed that the recent and notable failure of the Seres microbiome drug in clinical trials may be owing to the fact that the company killed the live cultures in favor of more stable spore-forming strains when formulating the drug.  His work would suggest that these strains are less successful at colonizing new hosts.

Bo Zhang, 3D genome browser

With the ever-increasing volume of genomic and regulatory data and the complexity of that data, there is a need for accessible interfaces to it.   Bo Zhang’s group at Penn State has worked to make a new type of genome browser available that focuses on the 3D structure of the genome, pulling together disparate datatypes including chromatin interaction data, ChIP-Seq, RNA-Seq, etc…  You can also browse a complete view of the regulatory landscape and 3D architecture of any region of the genome.  You can also check the expression of any queried gene across hundreds of tissue/cell types measured by the ENCODE consortium.  On the virtual 4C page, they provide multiple methods to link distal cis-regulatory elements with their potential target genes, including virtual 4C, ChIA-PET and cross-cell-type correlation of proximal and distal DHSs.

The 3D Genome Browser flow chart.

 

All in all, GLBIO2017 was a very enjoyable and informative meeting where I met a lot of great colleagues and learned much.  I am looking forward to next year!