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Oncology Diagnostic Technologies at the University of Chicago Available for download at tech.uchicago.edu/areas Gene signatures and biomarkers Glucocorticoid and androgen receptor test to predict response to HSP90 inhibitors Four-gene signature for assaying utility of breast and lung cancer treatments Dr. Philip Connell has identified four genes involved in DNA repair – Rif1, PARI, RAD51, and Ku80 – for which expression level indicates prognosis and response to a variety of therapies in breast or lunch cancer. These expression of these four genes can be quantified to yield a Recombination Proficiency Score (RPS). Low RPS patients have a poor prognosis that can be counteracted by adjuvant chemotherapy; high RPS patients, who have a good prognosis, do not benefit from chemotherapy Seven-gene signature for treatment response in breast cancer Dr. Ralph Weichselbaum’s team has performed retrospective studies to demonstrate the ability of seven genes -- IFIT3, STAT1, IFIT1, OAS1, IF144, MX1, and G1P2 – to identify which patients are likely to respond to adjuvant chemotherapy or radiation. The signature has been termed the Interferon-Related DNA-damage-resistance Signature (IRDS). The assay can be performed on formalin-fixed paraffinembedded tumor samples. Several commercially-available genetic tests provide prognostic information about the risk of recurrence for given tumor types. However, they are not designed to predict individual patient outcomes in response to specific courses of treatment, for which IRDS is the only true predictive test. Dr. Suzanne Conzen has documented differential tumor expression of the glucocorticoid and androgen receptors in breast cancer cells. Data to date demonstrates that the levels of glucocorticoid and androgen receptor expression in tumor cell lines predict responsiveness to HSP90 inhibitors The technology provides a method to identify patients that will benefit from newly emerging therapies that inhibit HSP90. Tumor gene signature to identify immune responsive and non-responsive tumors • • • Dr. Thomas Gajewski has identified an EGR2-based gene signature that differentiates between immune responsive and non-responsive tumors. Validated studies comparing gene expression profiling have identified a key set of genes involved in the immune response to cancer. This diagnostic would be useful for identification of patients in need of immune-stimulating therapy for successful treatment of cancers. Gene signatures and biomarkers, cont’d DNA hypermethylation prognostic fourgene breast cancer signature A 4-gene expression signature of DNA hypermethylation in breast cancer tumors is (i) prognostic of 7-year metastasis-free survival (p=0.005); and (2) predictive of response to DNA methyltransferase (DNMT) inhibitors. The signature is independent of cancer subtype. Data indicate that 10% of breast cancer patients have high oncogene HMGA2 expression and low tumor suppressor TET1 and HOXA7/HOXA7 expression, with a 60% 7-year survival (poor prognosis). This subset of patients may benefit from treatment with a DNMT inhibitor. A distinct 10% of breast cancer patients have low oncogene activity, high tumor suppressor activity, and a 90% 7-year survival (good prognosis). Tumor-stroma prognostic signature for triple-negative breast cancer A 4-component gene expression signature using genes from both tumor and stroma is prognostic for metastasis-free survival in triple negative breast cancer patients. The signature highlights the importance of tumorstromal crosstalk in the progression of triple-negative breast cancers. Several of the genes in the signature are potential therapeutic targets in the early stages of testing. Prognostic signature for triple-negative breast cancer metastasis A novel prognostic thirty-gene DNA expression signature (BACH1 Pathway Metastasis Signature, BPMS) identifies patients with the most lethal metastatic forms of triplenegative breast cancer, a disease which requires aggressive and innovative treatment. The prognostic power of the thirty-gene signature was validated in a retrospective study of 3600 human breast cancer patients. Signature complements information provided by the Mammaprint, OncotypeDX, PAM50, and four other breast cancer prognostic multi-gene expression signatures. Provides prognosis for patients with more advanced or difficult-totreat cancers, and identifies the most at-risk subgroup for the development of targeted therapies Molecular diagnostic imaging technologies Prolactin receptor-mediated imaging of ovarian cancer Ovarian cancer is largely asymptomatic, and patients are often diagnosed at a late stage of disease with metastases to the omentum and peritoneum. Effective diagnosis and imaging of ovarian cancer is critical for treating ovarian cancer. Prolactin receptor is highly expressed on ovarian cancer cells and labeling of the prolactin receptor ligand human placental lactogen (hPL) can be used as a tool to image ovarian cancer. Drs. Ernst Lengyel and Joseph Picirilli have developed a method to utilize hPL as an MRI contrast agent for ovarian cancer imaging. Pre-clinical tests have shown significant advantages over existing MRI contrast agents. Molecular diagnostic platform technologies Affinity clamps: Engineered affinity reagents for detection of peptide motifs Dr. Shohei Koide has identified a novel protein engineering platform based directed domain-interface evolution for developing renewable, high affinity and high specificity antibody-like proteins to diverse and difficult targets, such as post-translational modifications. The level of affinity and the mode of target recognition of affinity clamps parallel peptide–major histocompatibility complex interactions. Because of the simple and modular architecture, affinity clamps are particularly well suited as building blocks for designing more complex functionalities, such as biosensors. Dr. Koide has developed affinity clamps against protein-specific phospho-tyrosines that may be used for the diagnosis of chronic myelogenous leukemia and Noonan syndrome. First-in-Class recombinant antibodies for the enablement of chromatin-based diagnostics High-quality, reliable antibodies are needed for chromatinbased diagnostics. Investigators have made technological breakthroughs that enable the creation of high-quality recombinant antibodies to histone post-translational modifications. A series of recombinant antibodies have been generated against trimethylated residues on histones 3 and 4 that may be useful for the diagnosis of facioscapulohumeral muscular dystrophy, breast cancer, and renal cell carcinoma. Clinical studies for the diagnosis of facioscapulohumeral muscular dystrophy are underway. Diagnostic imaging technologies Better Image Reconstruction with Less Patient X-Ray Dose 3D Imaging for Histology Dr. Patrick La Riviere has developed x-ray visible stains and computational imaging tools that combines the key benefits of 3D X-ray imaging with histology. Markets include: pathology examination of surgical samples and research tool applications. Dr. Xiaochuan Pan has developed advanced 3D reconstruction algorithms for x-ray based imaging. Enables new imaging modalities. E.g. in surgical suite, dental office. Can reduce patient times in CT machines and reduce X-ray dose to patients. Available Diagnostic Technologies Oncology Diagnostics: Gene signatures and Biomarkers UCHI 2228 (Rosner) Prognostic gene signature for survival of triple negative breast cancer UCHI 2232 (Gajewski) An EGR2-based gene signature for the identification of patients who would benefit from immune-stimulating anti-cancer therapy UCHI 1374 A genetic signature which correlates with the response of breast cancer patients to both radiotherapy and chemotherapy Initial retrospective studies have confirmed the signature, a larger scale analysis is planned UCHI 2280 (Conzen) Glucocorticoid and androgen receptor expression as predictive assay for breast cancer patient response to treatment with Hsp90 inhibitors Data in triple negative breast cancer cell lines ; follow-up studies are ongoing UCHI 2273 (Connell) Four-gene prognostic and predictive signature for breast/lung cancer Predicts response to adjuvant chemotherapy and DNA damaging therapies UCHI 2241 (Rosner) Prognostic four-gene breast cancer signature for metastasis-free survival Predicts response to DNMT inhibitors UCHI 2383 (Rosner) Tumor-stroma prognostic signature for triple-negative breast cancer Prognostic for metastasis-free survival in triple negative breast cancer patients (Weichselbaum) Further stratification of patients identified as having a poor prognosis by the Mammaprint and Oncotype clinical tests Validated preclinical studies comparing gene expression profiling have identified a key set of genes involved in the immune response to cancer, and additional in vivo confirmation is ongoing Available Diagnostics Technologies Molecular Diagnostic Imaging Technologies UCHI 1418 (Lengyel) Labeled prolactin as an MRI contrast agent for ovarian cancer imaging Pre-clinical tests have shown significant advantages over existing MRI contrast agents Molecular Diagnostic Platform Technologies UCHI 2225 (Koide) Affinity clamps for peptide motifs UCHI 2089 (Koide) Recombinant antibodies High affinity and high specificity antibody-like proteins to diverse and difficult targets First-in-class molecules, identify post-translational modifications Diagnostic Imaging Technologies UCHI 2088 (La Riviere) UCHI 1343 (Pan) 3D imaging for histology Combines the key benefits of 3D X-ray imaging with histology Image reconstruction with lower x-ray dose Reduces patient time in CT machines, allows for lower x-ray dose How to Partner with the University of Chicago Contact UChicagoTech, the Center for Technology Development & Ventures, to learn more. We build strong industry partnerships to successfully bring innovation to the marketplace. UChicagoTech can connect you to emerging technologies and fieldadvancing researchers that may inform and enrich your own innovation efforts. We value your involvement at every stage of the invention pipeline, from idea to tangible asset. For more information, visit us at tech.uchicago.edu or contact anyone on the Oncology team. Steven Kuemmerle, PhD Deputy Director Phone: 773-834-3211 [email protected] Divya Varshney, MBA Chief Marketing Officer Phone: 773-702-8696 [email protected] Margaret Fleetwood, PhD Project Manager Phone: 773-834-4619 [email protected]