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Gene signature for immune therapies in cancer

A gene, cancer technology, applied in the field of molecular diagnostic testing, can solve the problem of insufficient indication of responsiveness

Inactive Publication Date: 2018-06-08
ALMAC DIAGNOSTICS LIMITED
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Recent studies suggest that triple-negative status of breast tumors may be indicative of responsiveness to combination therapy including PARP-1 inhibitors, but may not be sufficient to indicate responsiveness to PARP-1 inhibitors alone (O'Shaughnessy et al, 2011)

Method used

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  • Gene signature for immune therapies in cancer
  • Gene signature for immune therapies in cancer
  • Gene signature for immune therapies in cancer

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0580] Tissue processing, hierarchical clustering, subtype identification, and classifier development

[0581] tumor material

[0582] Genes determined to be useful in the methods of the invention (Table 2) were identified by gene expression analysis of a cohort of 107 macrodissected breast tumor FFPE tissue samples derived from Mayo Clinic Rochester. Ethics approval for this study was obtained from the Institutional Review Board and the Office of Research Ethics Northern Ireland.

[0583] This sample population can be further described as follows:

[0584] o 47 samples were wild type for BRCA1 and BRCA2, ie expressed biologically functional BRCA1 and BRCA2 proteins. These samples are referred to below as sporadic controls.

[0585] ○ 31 samples are BRCA1 mutants, that is, they do not express biologically functional BRCA1 protein.

[0586] ○ 29 samples are BRCA2 mutants, that is, they do not express biologically functional BRCA2 protein.

[0587] Gene expression profi...

Embodiment 2

[0658] Computer validation of 44-gene DDDRD classifier model

[0659] The performance of the 44-gene DDDRD classifier model was validated by the area under the ROC (receiver operating characteristic) curve (AUC) in the original Almac breast dataset and three independent datasets. AUC is a statistic calculated on the scale of the disease observed and is a measure of the effectiveness of using a classifier model to predict a phenotype (Wray et al., PLoS Genetics Vol. 6, 1-9). An AUC of 0.5 is typical for a random classifier, and an AUC of 1.0 would represent perfect class separation. Therefore, to determine whether the 44-gene DDRD classifier model could predict response to, and select patients for, standard breast and ovarian cancer treatment drug classes, including DNA damage-initiating agents and DNA repair-targeted therapies, it was assumed that in these datasets After application, the AUC should be higher than 0.5, and the lowest confidence interval should also be higher t...

Embodiment 3

[0692] In vitro validation of the 44-gene DDDRD classifier model

[0693] To assess the underlying biology of the genes included in the 44-gene classifier model, a number of studies were performed in vitro using a panel of breast cell lines.

[0694] method

[0695] Cell Line Maintenance

[0696] The HCC1937-EV and HCC1937-BR cell lines of the HCC1937 parent were generously donated by Professor Paul Harkin, Queen's University College Belfast (QUB). Cell lines were routinely maintained in RPMI-1640 medium supplemented with 50 U penicillin / ml, 50 μg streptomycin / ml, 2 mM glutamine, 1 mM sodium pyruvate, and 20% (v / v) fetal bovine serum (FBS) . The HCC1937-EV and HCC937-BR cell lines also required 0.2 ml / mg geneticin. Incubate the cell line at 37 °C in 5% CO 2 cultured in a humid atmosphere.

[0697] Clonogenic assay - determination of PARP-1 inhibitor / sensitivity

[0698] To measure sensitivity to PARP-1 inhibitor (KU0058948), exponentially growing cells were seeded int...

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Abstract

An immune response subtype of cancer is associated with DNA damage which allows subjects to be stratified for particular therapies including immune therapies which may be combined with DNA damage therapeutics. A method for predicting responsiveness to an antagonist of an inhibitory immune checkpoint and / or an agonist of a stimulatory immune checkpoint comprises determining the expression level ofat least one gene selected from Table 2B, 2A or 1 in a sample from the subject. The determined expression level is used to predict responsiveness to an antagonist of an inhibitory immune checkpoint and / or an agonist of a stimulatory immune checkpoint.

Description

technical field [0001] The present invention relates to molecular diagnostic tests useful for diagnosing cancers from different anatomical sites, which include the use of immune response subtypes associated with DNA damage. The present invention involves the use of a 44-gene classification model to identify such immune responses associated with DNA damage repair deficient molecular subtypes. One application is to stratify response and select patients against therapeutic drug classes including antagonists of inhibitory immune checkpoints and / or agonists of stimulatory immune checkpoints. Another application is the stratification of cancer patients into those who respond to antagonists of inhibitory immune checkpoints and / or agonists of stimulatory immune checkpoints and those who do not. The present invention provides tests that can guide routine treatment selection as well as select patient groups for enrichment strategies during clinical trial evaluation of new therapeutic a...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): C12Q1/6886
CPCC12Q1/6886C12Q2600/106C12Q2600/158G16H50/30
Inventor 提摩西·戴维森祖德·奥唐奈马克斯·比勒舍菲奥努阿拉·帕特森史蒂夫·德哈罗劳拉·A·希尔凯瑟琳·E·基廷维塔利·普劳茨基丹尼斯·保罗·哈金理查德·肯内迪尼古拉斯·戈法尔史蒂文·瓦尔克劳拉·塔格特艾琳·帕克斯
Owner ALMAC DIAGNOSTICS LIMITED