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Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division of Human Biology Fred Hutchinson Cancer Research Center 1) Substantial differences in molecular profiles of pediatric and adult AML 2) Identification of gliomas enriched for CAR T cell therapy

Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

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Page 1: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Integrative omics analyses for

tumor stratification and CAR T cell therapy

Hamid Bolouri

Division of Human Biology

Fred Hutchinson Cancer Research Center

1) Substantial differences in molecular profiles of pediatric and adult AML

2) Identification of gliomas enriched for CAR T cell therapy

Page 2: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

FHCRC (pediatric AML)

Soheil Meshinchi

Rhonda Ries

+ contractors at St Jude’s and BCCA

NIH

Daniela Gerhardt

Tanja Davidson,…

Todd Alonzo

Alan Gamis

Rob Gerbing

Phoenix Children’s (DNA.me)

Robert Arceci

Jason Farrar, …

Bioinformatics Working Group: Tim Triche Jr, Jason Farrar, Emilia Lim, HB

http://target.cancer.gov/

Page 3: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Data Overview Pediatric Acute Myeloid Leukemia 197 whole genome sequences (matched Dx & remission)

RNA-seq for 158 samples (500 more processed)

miRNA-seq for 637 samples

142 Infinium 450K methylation arrays (~600 more to come)

> 50 clinical data elements (incl. cytogenetics) per sample

Targeted sequencing of ~400 genes in

143 of the 197 whole-genome-sequenced samples

~ 650 additional ‘frequency validation’ samples

Plans/hopes for ‘full coverage’ of a total of ~2000 samples.

junctions

CNVs > 10Kbp

Indels ~ 1 – 10 bp

SNVs

Page 4: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

CompleteGenomics whole genome sequencing: 31- to 35-base mate-paired reads up to 700bp apart

Page 5: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

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T

hs a-m ir-10ahs a-m ir-100hs a-m ir-15b

hs a-m ir-155hs a-m ir-125ahs a-m ir-99b

hs a-le t-7ehs a-m ir-1468hs a-m ir-181a-1

hs a-m ir-181b-1hs a-m ir-181b-2hs a-m ir-181a-2

hs a-m ir-30dhs a-m ir-335hs a-m ir-181d

hs a-m ir-181chs a-m ir-146bhs a-m ir-146a

hs a-m ir-130ahs a-m ir-126hs a-m ir-424

hs a-m ir-542hs a-le t-7c

hs a-m ir-125b-1hs a-m ir-99ahs a-m ir-584

hs a-m ir-505hs a-m ir-331hs a-m ir-186

hs a-m ir-148bhs a-m ir-652hs a-m ir-576

hs a-m ir-128-1hs a-m ir-128-2hs a-m ir-361

hs a-m ir-4677hs a-m ir-1287hs a-m ir-23b

hs a-m ir-330hs a-m ir-132hs a-m ir-150

hs a-m ir-342hs a-m ir-4772hs a-m ir-379

hs a-m ir-4746hs a-m ir-942hs a-m ir-151a

hs a-m ir-22hs a-m ir-140hs a-m ir-103a-1

hs a-m ir-107hs a-m ir-185hs a-m ir-3653

hs a-m ir-486hs a-m ir-451ahs a-m ir-144

hs a-m ir-183hs a-m ir-182hs a-m ir-629

hs a-m ir-192hs a-m ir-194-2hs a-m ir-194-1

hs a-m ir-3130-1hs a-m ir-30ahs a-m ir-10b

hs a-m ir-145hs a-m ir-143hs a-m ir-338

hs a-le t-7a-2hs a-le t-7a-1hs a-le t-7a-3

hs a-le t-7bhs a-m ir-339

hs a-m ir-34ahs a-m ir-1976hs a-m ir-3074

hs a-m ir-501hs a-m ir-500ahs a-m ir-532

hs a-m ir-660hs a-m ir-582hs a-m ir-196b

hs a-m ir-9-1hs a-m ir-9-2hs a-m ir-148a

hs a-m ir-152hs a-m ir-874hs a-m ir-106a

hs a-m ir-210hs a-m ir-664bhs a-m ir-664a

hs a-m ir-191hs a-m ir-345hs a-m ir-106b

hs a-m ir-25hs a-m ir-93hs a-m ir-625

hs a-m ir-744hs a-m ir-1306hs a-m ir-3127

hs a-m ir-328hs a-m ir-324hs a-m ir-1307

hs a-m ir-3615hs a-m ir-484hs a-m ir-197

hs a-m ir-326hs a-m ir-193ahs a-m ir-574

hs a-m ir-92bhs a-m ir-130bhs a-m ir-589

hs a-m ir-4661hs a-m ir-378ahs a-m ir-200c

hs a-m ir-141hs a-m ir-92a-2hs a-m ir-92a-1

hs a-m ir-671hs a-m ir-423hs a-m ir-320a

hs a-m ir-320b-2hs a-m ir-1301hs a-m ir-7-1

hs a-m ir-28hs a-m ir-21

hs a-m ir-33ahs a-m ir-142hs a-le t-7d

hs a-le t-7 ihs a-m ir-98hs a-le t-7g

hs a-le t-7 f-1hs a-le t-7 f-2hs a-m ir-23a

hs a-m ir-27ahs a-m ir-24-2hs a-m ir-223

hs a-m ir-425hs a-m ir-103a-2hs a-m ir-766

hs a-m ir-221hs a-m ir-222hs a-m ir-378c

hs a-m ir-199bhs a-m ir-199a-2hs a-m ir-199a-1

hs a-m ir-769hs a-m ir-27bhs a-m ir-374b

hs a-m ir-26a-2hs a-m ir-340hs a-m ir-30e

hs a-m ir-374ahs a-m ir-101-2hs a-m ir-101-1

hs a-m ir-30c -2hs a-m ir-30bhs a-m ir-26b

hs a-m ir-2355hs a-m ir-29chs a-m ir-29a

hs a-m ir-29b-2hs a-m ir-29b-1hs a-m ir-421

hs a-m ir-3613hs a-m ir-18ahs a-m ir-19b-2

hs a-m ir-19ahs a-m ir-17hs a-m ir-19b-1

hs a-m ir-20ahs a-m ir-16-2hs a-m ir-16-1

hs a-m ir-624hs a-m ir-15a

hs a-m ir-628hs a-m ir-454hs a-m ir-32

hs a-m ir-590

-4 -2 0 2 4

Value

00

.10

.20

.30

.40

.5

Color Key

and Density Plot

De

nsity

Normal 1 Normal 2 MLL 1 MLL 2 MLL 3

T(8;21) Inv(16)

Pui et al, J Clin Oncol 2011, 29:551-565. PML-RARA

CBF

NK

CV

CV MLL-PTD

mutTP53

0 1 2 3 4 5 6 7 years Blo

od

, 20

12

12

0:

29

63

-29

72

100

80

60

40

20

Page 6: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

2

3

4

1

miRNA-seq (n=637)

hemoglobin

inhibition of apoptosis

RNA processing

immune response

ribosomal genes

RNA-seq(n=158)

Emilia Lim

Page 7: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Unsupervised clustering of DNA methylation probes (n=142)

(Tim Triche Jr and Jason Farrar)

Normal blood cells

Page 8: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

CGI WGS

SNVs

indels

CNVs

junctions

197 tumor samples

matched remission CGI WGS

som

atic

var

ian

t ca

lls

Targeted seq 143 tumor samples

matched remission Targeted seq

som

atic

var

ian

t ca

lls

sam

e

sa

mp

les

507 tumor samples

matched remission

som

atic

var

ian

t ca

lls

Targeted seq

Targeted seq

146 tumor samples Targeted seq

pri

vate

SN

Vs,

ind

els

freq

uen

cy v

alid

atio

n 1

fr

equ

ency

val

idat

ion

2

dis

cove

ry s

et

vari

ant

veri

fica

tio

n

Clinical cytogenetics

SNVs

indels

fusions

SNP6.0 arrays

mRNA-seq

72%

SNVs/junc.s

impacting expression

76%

focal (75% CN-, 85% CN+)

high confidence discovery SNVs high confidence discovery indels

SNVs

indels

SNVs

indels

freq. indels within 3bp

freq. indels within 3bp

freq. exact matches

freq. exact matches

Page 9: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Removed avgNormalizedCvg < 20 Removed standard deviation of LAF > 0.22 Removed ploidyScore < 30 Checked no chrM == OK Removed CNVs in centromeric/telomeric regions Removed 6 CNV regions < 10Kbp Per patient, merged CNV regions within 10Kbp distance Marked chr-arm level CNVs (footprint > 50%) Added-in chr CNV data from CDEs (115 of 197 samples have CNVs) Matched the selected CGI CNVs (475 up, 488 down) to

recurrent SNP6 CNV regions in 192 matched Dx samples:

recur in at least 5 samples (2.5%)

803,917,882bp amplified in 894 segments

533,421,564bp deleted in 1434 segments

402 (85%) match for CN up

367 (75%) match for CN down

Example variant filtering steps - CNVs

confirmed on 2 platforms

not confirmed

Page 10: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

15/15 predicted ELF1 deletions were confirmed by a nanoString tiling array

Expression of ELF1

ELF1

delet

ion

ELF1

WT

0

200

400

600

800

1000

1200

Exp

ressio

n V

alu

e

ELF1

exp

ress

ion

del WT

ELF1 deletions are not part of global aberrations P ~ 0.008

Page 11: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

KMT2A MLLT3 (AF9) NRAS

MBNL1 ZEB2

RAS mutations are mutually exclusive with MLL-MLLT3 fusions (cf. FLT3)

Focal co-deletions of MBNL1 (chr3) and ZEB2 (chr2) (hyper-geometric p-value in 684 samples = 1.9e-14, p in MLL-fusion cases = 0.006)

KRAS FLT3

MBNL1

ZEB2

Example sub-populations enriched for specific targets

Nat Commun. 2015

Page 12: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Co-occurrence patterns (N = 684, p < 0.001)

Page 13: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Mutual exclusivity patterns

found by CoMEt (N = 684, p < 0.001)

Page 14: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Substantial differences in the genomic landscapes of pediatric and adult AML

Pediatric Adult

(TCGA adult AML)

Page 15: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

548 TARGET Samples total sample size TARGET.MLL 120 82 TARGET.T.8.21 102 70 TARGET.inv16 99 67 TARGET.minus7 14 10 TARGET.plus8 32 22 TARGET.plus21 12 8 TARGET.minusY 3 2 TARGET.NK 166 113

131 TCGA samples

TCGA.MLL 11 9 TCGA.t.8.21 7 7 TCGA.inv16 12 7 TCGA.minus7 11 1 TCGA.plus8 9 3 TCGA.plus21 2 1 TCGA.minusY 1 1 TCGA.NK 78 12

Substantial differences in the genomic landscapes of pediatric and adult AML

Average fractions in 10K

subtype-balanced samplings

Pediatric Adult

Page 16: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

TARGET v TCGA TARGET v 398 ECOG patients (Ross Levine, MSKCC)

Independent confirmation

Page 17: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

(A)

(B)

(C)

(D)

(E)

(F)

(G)

Page 18: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Pediatric Acute Myeloid Leukemia (AML)

Failure of a normal developmental process (block in HSC differentiation) +

massive proliferation of immature white blood cells

Blood, 2005, (106):1519-1524

Page 19: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Literature-derived HSC Differentiation Pathway

Junctions, CNAs, or

= No. of samples with

functional SNAs

n

(190 samples)

RUNX1 E2As (E12/E47)

VEGFA

GATA1 GATA2

SPI1 (PU.1)

IKZF1 (IKAROS)

CEBPa

GFI1

EGR1/2::NAB

IDs

CSF3 (G-CSF)

neut.

granulocytes

MF

monocytes

B-cells

miR196 MLL fusions

erythroid

ETO

Low PU.1

High PU.1 E47

miR223

inactivated in AML

miRs9,18a,27a,30c,199a

PTPN11/SHP2

MLL

CBFb

HOXA 5,7,9,10, MEIS1 LMO2, FLT3, NMYC

5

31

31

38

4

3

11

10

27

21

1 1

HSC self-renewal ERG 4

ETV6

ETV6

3

3

WT1 22

Page 20: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

GF signaling

RAS MAPK

epigenetic

*

PI3K/AKT

RB1 * *

*

P53

1

2

41

freq:

Surv

ival

& p

rolif

erat

ion

pat

hw

ays

Page 21: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Integrative omics analyses for

tumor stratification and CAR T cell therapy

1) Stratification of AMLs by co-occurrence and mutual exclusion of events

2) Using multi-modal sample similarity to identify gliomas enriched for CAR T cells

(with Lue Ping Zhang and Eric Holland)

1105 TCGA gliomas

• Single Nucleotide Alterations (SNAs) from exome-sequencing

• Copy Number Alterations (CNAs) from SNP6.0 arrays

• DNA methylation from Infinium 450K arrays

• mRNA-seq

• Clinical data, but

~ 2/3rd of lower grade gliomas were ‘alive’ at data collection

~ 1/5th have no status information

Page 22: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division
Page 23: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Approach: Use many similarity measures

Use many feature (gene) sets

Plot sample similarities in 2D

Co-color & view sample

subsets across all plot

Use automated methods to find informative plots

clin

ical

ex

pre

ssio

n

met

hyl

atio

n

seq

uen

ce

feature sets

ZNF821

Page 24: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

Example available gene sets

(similarity/distance ‘features’)

Page 25: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

http://www.wolfram.com

Example distance measures

Page 26: Integrative omics analyses for tumor stratification and CAR T cell … · 2017-09-22 · Integrative omics analyses for tumor stratification and CAR T cell therapy Hamid Bolouri Division

ISNA ( genei ) =

1 if genei is mutated 0 otherwise

si = sample SNA vector =

ISNA ( gene1 )

ISNA ( gene2 )

.

.

.

ISNA ( gene20K )

SNA similarity (s1, s

2) = s

1 . s

2

ICNA ( genei ) =

-2 if ploidy = 0 -1 if ploidy = 1 0 if ploidy = 2 +1 if ploidy = 3 +2 if ploidy > 3

ci = sample CNA vector =

IcNA ( gene1 )

IcNA ( gene2 )

.

.

.

IcNA ( gene20K )

CNA similarity (c1, c

2) = c

1 . c

2

Genomic sample similarity measures

Joint SNA:CNA similarity = s/sum(s) + c/sum(c)

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Bolouri, Zhao, Holland, PNAS 2016 Gliomas can be subdivided into 8 genomic subtypes

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Bolouri, Zhao, Holland, PNAS 2016 Non-CIMP LGGs are GBM-like genomically and by survival.

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A B

C D

A tight cluster of samples is 84% non-CIMP LGGs with high HER2

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ROR1 is a plausible target in gliomas

Protein Cell 2014, 5(7):496–502

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A set of 329 genes segregates gliomas into high and low ROR1-expression groups

ROR1 mRNA levels Selected ROR1-enriched population

PCA

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My selection

Genomic sample similarity

High-ROR1

Genomic sample similarity

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76% chr7+/chr10-

65% EGFRmut/++ 68% CDKN2A/B-/-

Cluster of 183 short-lived genomically highly similar tumors.

Expression data is available for 105 of these samples.

70 (67%) of 105 samples are selected ROR1-high samples.

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High ROR1 mRNA levels are tumor-specific and associated with glioma mesenchymal subtype

http://www.betastasis.com/glioma/

Adipocytes (also high in maturing B cells)

whole brain

http://biogps.org

3 x median

10 x median

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Our ROR1-based sample selection is highly concordant with

the intersection of TCGA expression cluster ‘LGr4’ with the

‘Mesenchymal’ and ‘Classical’ expression subtypes.

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Our findings are supported by RNA-seq data from an independent UW GBM cohort

TCGA alone TCGA + UW

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81% of genomically-selected tumors (gold) are positive for 1 of 3 CAR T cells

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