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Machine Learning in Computational Biology CSC 2431 Lecture 11: Cancer Instructor: Anna Goldenberg Luminaries in the cancer field Burt Vogelstein Robert Weinberg Cancer – definition Neoplasm (from Ancient Greek νεοneo- "new" and πλάσμα plasma "formation, creation"), is an abnormal growth of tissue, and when also forming a mass is commonly referred to as a tumor or tumour. This abnormal growth (neoplasia) usually but not always forms a mass. Malignant neoplasms are called cancer Wikipedia =) Clonality of cancer Only one cell needs to become malignant Form clonal populations All genetically derived from a single clone population Weinberg, 2014 Functions important for cancer growth Uncontrolled cell proliferation Cancer cells require relatively few growth factors to proliferate. Why: Cancer cells themselves release growth factors into the medium and have a receptor for them as well, creating forward feedback loop (autocrine signaling or autocrine stimulation) ◦ Glioblastoma - PDGF ◦ Sarcoma – TGF-alpha, EGFR Overexpressed growth receptors 30-40% of epithileal growth receptors (EGFR) are overexpressed, causing random interactions and creating spontaneous signal (not needing the growth factor itself) Loss of Apoptosis Inhibitor of Apoptosis Protein (IAP) Bcl-2 family Unbalancing these factors prevents apoptosis Tissue invasion and metastasis 1. Paving the path Extracellular space MMP Tissue invasion and metastasis 2. Enter blood stream 3. Enter target tissue: a) Weak adhesion; b) Roll; c) Stronger Attachment; d) Enter Angiogenesis Additional vasculature Excrete proteins Stimulate blood vessel growth MMP Degrades the extracellular matrix MMP and other factors make the vessels more permuable Extracellular space Angiogenesis 1. VEGF – pro-angiogenic factor 2. Stimulates angiogenesis in the vessel 3. Activates proteins necessary for new blood vessels to form Angiogenesis result Allow more blood/nourishment into the tumor Invasiveness Invasiveness Hallmarks of cancer (Hanahan and Weinberg, 2000) Hallmarks of cancer (Hanahan and Weinberg, 2000) 1. 2. 3. 4. 5. 6. Unlimited proliferation Lack of response to inhibitory signals Resistance to programmed cell death Counting mechanism, embedded in the telomere. Stem cells and developing cells avoid that. Cancer cells figure out how to preserve telomere length as well Tumors in organs – tumors turn on angiogenesis Invasiveness, metastasis, immortalized proliferation. Co-opting processes and subverting standard functions to their own processes Updated hallmarks (Hanahan and Weinberg, 2011) No general counter-arguments that the original hallmarks were not correct Emerging hallmarks: ◦ Reprogramming of the cellular energetics of metabolism (e.g. in some cancers there are mutations that don’t effect cell division but do effect metabolism) ◦ Immune system may act as a barrier to cancer development in some cancers: Cytotoxic t-cells in cancers are good for prognosis Hallmarks Invasion Computational questions that are asked in the cancer field Cancer classification Subtyping of cancer ◦ Intra-tumor heterogeneity ◦ Inter-tumor heterogeneity Cancer biomarkers ◦ Associative ◦ Causal ◦ Single cell Evolution of cancer clonality Drug response ◦ Chemotherapy ◦ Targeted treatment ◦ Immunotherapies Metastasis, reoccurrence Prevention Cancer Classification Golub et al, Science, 1999 AML vs ALL Single gene rules Hoadley et al, Cell, 2014 12 cancers. 3000+ samples. Cluster of clusters Cancer Subtyping Perou et al, Nature 2000 Hierarchical Clustering Breast cancer (BC) Cancer Subtyping Perou et al, Nature 2000 Brunet et al, PNAS 2004 Hierarchical Clustering Breast cancer (BC) Non-negative matrix Factorization, Leukemia Cancer Subtyping Perou et al, Nature 2000 Brunet et al, PNAS 2004 Paquet, JNCI, 2015 Hierarchical Clustering Breast cancer (BC) Non-negative matrix Factorization, Leukemia Absolute Intrinsic Molecular Subtyping (AIMS), 4294 BC Biomarkers Biomarkers Ewing, 1921 Diffuse endothelioma of bone (1921) -> Ewing’s Sarcoma “A fourteen-year-old girl had been treated by an outside physician in 1918 for nasal discharge and occasional bleeding. In November, 1918, while pulling on a rope, a spontaneous fracture of the ulna occurred, followed by swelling which gradually subsided....” Radiograph and microscopic detected structures were nearly identical in 7 cases published in the study. “The main point of the present communication lies in the demonstration that there is a rather common tumor occurring in young subjects, commonly identified with osteogenic sarcoma, and usually called round cell sarcoma, which is really of endothelial origin, and which is marked by such peculiar gross anatomical, clinical, and therapeutic features as to constitute a specific neoplastic disease of bone.” Biomarkers Ewing, 1921 Diffuse endothelioma of bone (1921) -> Ewing’s Sarcoma “A fourteen-year-old girl had been treated by an outside physician in 1918 for nasal discharge and occasional bleeding. In November, 1918, while pulling on a rope, a spontaneous fracture of the ulna occurred, followed by swelling which gradually subsided....” Radiograph and microscopic detected structures were nearly identical in 7 cases published in the study. “The main point of the present communication lies in the demonstration that there is a rather common tumor occurring in young subjects, commonly identified with osteogenic sarcoma, and usually called round cell sarcoma, which is really of endothelial origin, and which is marked by such peculiar gross anatomical, clinical, and therapeutic features as to constitute a specific neoplastic disease of bone.” 2006: EWS gene on chromosome 22 and ETS-type Fli1 gene on chr 11 are implicated in more than 95% of Ewing's sarcomas. Fusions are used as biomarkers Chemicals can also cause cancer Weinberg, 2014 Carcinogenes induce cancer through mutations Weinberg, 2014 Weinberg, 2014 Biomarkers Chung et al, MSB, 2007 Hart et al, Nature Methods, 2015 Finds differentially expressed subnetworks, using Mutual Information based score Pareto analysis determines low dimensional polytope embedding to define ‘tasks’ Drivers vs Passengers Vogelstein, breakthroughs in cancer lecture Evolution of cancer clonality Clonal Theory of Cancer (Nowell 1976) Initial oncogenic driver mutation (but normal cell already has at least 50 passenger mutations) Slide credit: A Deshwar Brosnan & lacobuzioDonahue, 2012 Clonal Theory of Cancer (Nowell 1976) Initial oncogenic driver mutation (but normal cell already has at least 50 passenger mutations) 1st subclone. New mutation provides a selection advantage over ancestral subpopulation Subpopulation composition of the tumour Slide credit: A Deshwar Brosnan & lacobuzioDonahue, 2012 Clonal Theory of Cancer (Nowell 1976) 1st subclone. New mutation provides a selection advantage over ancestral subpopulation Subpopulation compositions of the tumour over time Slide credit: A Deshwar Initial oncogenic driver mutation (but normal cell already has at least 50 passenger mutations) Subsequent subclones gain further selection advantages and can arise in parallel Brosnan & lacobuzioDonahue, 2012 Tumour genome sequencing produces VAF clusters for simple somatic mutations (SSMs) # of SSMs" Mutation sets 0.1 0.2 0.3 0.4 0.5 Variant Allele Frequency " 0.6" Evolution of cancer clonality Roth et al, PyClone, Nature Methods, 2014 LDA-type model Evolution of cancer clonality Roth et al, PyClone, Nature Methods, 2014 LDA-type model Deshwar et al, PhyloWGS, arXiv, 2015 Phylogenetic tree, incorporates CNVs and mutations Evolution of cancer clonality The lifetime course of cancer Other computational tasks important in helping to fight cancer Diagnostic image analysis Differential networks Somatic variant detection ◦ Current accuracy is really low – 50% false positive rates (see DREAM challenges) ◦ Tools are also very computationally inefficient, taking weeks to run ◦ Structural aberrations – numerous and complex. Methods to find them - relatively simplistic Models of drug-target interactions The Thelifetime lifetimecourse courseofofcancer cancer Weinberg, 2014 Takes 30 years for the cancer to “start”. Best weapon is prevention! Burt Vogelstein Next class Discussion and conclusions Start preparing the final project reports