A statistical method for migration history inference reveals alternative patterns of metastatic dissemination, clonality and phyleticity
Confirmed Presenter: Divya Koyyalagunta, Weill Cornell + MSKCC, United States
Room: 517d
Format: In Person
Authors List: Show
- Divya Koyyalagunta, Weill Cornell + MSKCC, United States
- Quaid Morris, MSKCC, United States
Presentation Overview: Show
Although metastasis is the cause of 90% of cancer deaths, little is known about its clonal evolution, genetic drivers, and seeding patterns. Identifying these patterns from DNA sequencing data requires solving a challenging mixed-variable combinatorial optimization problem to reconstruct the history of metastatic migrations. Current methods, based on integer linear programs, are slow, restricted to unrealistic assumptions, and cannot report uncertainty in their reconstructions. Furthermore, a fundamental problem with these methods is their inability to choose between multiple equally or similarly likely metastatic migration histories. To address these challenges, we propose a novel statistical framework for migration history inference, Metient, which uses recent machine learning advancements in discrete variable gradient estimation and metastasis specific priors. Rather than requiring a metastatic seeding dissemination model to be known a priori, Metient aims to answer this question by evaluating all possible migration history hypotheses and choosing the best model as informed by biologically motivated data. On simulated data, Metient outperforms the state-of-the-art, and can sample up to 64 possible solutions in 1% of the time. The migration histories inferred by Metient on 167 patients with four cancer types recover expert-assigned parsimony models in 84% of cases, but find notable differences where more plausible histories are proposed. We find that parallel gains of metastatic potential are much less common than previously proposed, and that polyclonal seeding occurs more in lymph nodes than in distant metastases. Along with significantly improving existing methodology, Metient provides a means to better model metastasis across different cancer types.
A deep learning model of tumor cell architecture elucidates response and resistance to CDK4/6 inhibitors
Confirmed Presenter: Sungjoon Park, University of California, San Diego, United States
Room: 517d
Format: In Person
Authors List: Show
- Sungjoon Park, University of California, San Diego, United States
- Erica Silva, University of California, San Diego, United States
- Akshat Singhal, University of California, San Diego, United States
- Marcus Kelly, University of California, San Diego, United States
- Kate Licon, University of California, San Diego, United States
- Isabella Panagiotou, University of California, San Diego, United States
- Catalina Fogg, University of California, San Diego, United States
- Samson Fong, University of California, San Diego, United States
- John Lee, University of California, San Diego, United States
- Xiaoyu Zhao, University of California, San Diego, United States
- Robin Bachelder, University of California, San Diego, United States
- Barbara Parker, University of California, San Diego, United States
- Kay Yeung, University of California, San Diego, United States
- Trey Ideker, University of California, San Diego, United States
Presentation Overview: Show
Cyclin-dependent kinase 4 and 6 inhibitors (CDK4/6is) have revolutionized breast cancer therapy. However, <50% of patients have an objective response, and nearly all patients develop resistance during therapy. To elucidate the underlying mechanisms, we constructed an interpretable deep learning model of the response to palbociclib, a CDK4/6i, based on a reference map of multiprotein assemblies in cancer. The model identifies eight core assemblies that integrate rare and common alterations across 90 genes to stratify palbociclib-sensitive versus palbociclib-resistant cell lines. Predictions translate to patients and patient-derived xenografts, whereas single-gene biomarkers do not. Most predictive assemblies can be shown by CRISPR–Cas9 genetic disruption to regulate the CDK4/6i response. Validated assemblies relate to cell-cycle control, growth factor signaling and a histone regulatory complex that we show promotes S-phase entry through the activation of the histone modifiers KAT6A and TBL1XR1 and the transcription factor RUNX1. This study enables an integrated assessment of how a tumor’s genetic profile modulates CDK4/6i resistance.