Bioinformatics for cancer immunology and immunotherapy

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Bioinformatics for cancer immunology and immunotherapy Zlatko Trajanoski Biocenter, Division for Bioinformatics Innsbruck Medical University Innrain 80, 6020 Innsbruck, Austria Email: zlatko.trajanoski@i-med.ac.at http://icbi.at

Cancer immunology: the golden age The Golden Age, 1530. Lucas Cranach the Elder

Cancer immunology! 1906: Concomitant immunity-mammalian immune system is effective in eliminating cancer 1 Paul Ehrlich, Frankfurt 1990! 1970: Theory of cancer immunosurveillance 2! Past 10 years: renaissance of cancer immunology! Advances in immunology! Development of cancer immunotherapies Science 342: 1432, 2013: Breakthrough of the year 1 Ehrlich P. Experimentelle Karzinom-Studien an Mäusen, Arch Inst Exp Ther 1906;1:65 2 Burnet FM. The concept of immunological surveillance, Prog Exp Tumor Res, 1970; 13:1-27

Classes of tumor antigens recognized by T-cells neo-antigens Romero P, Coulie PG. Adaptive T-cell immunity and tumor antigen recognition. Tumor immunology and immunotherapy, Rees RC (Ed). Oxford University Press

! Approved drugs: Cancer immunotherapy! Cellular immunotherapy: autologous antigen-presenting cells for treating metastatic, hormone-refractory prostate cancer (sipuleucel-t), FDA approved in 2010! Monoclonal antibodies: anti-ctla4 antibody, for treating late-stage melanoma (ipilimumab, Bristol-Myers Squibb), FDA approved in 2011 Sharma et al., Nat Rev Cancer, 2011; 11:805-12

Personalized cancer immunotherapy! Cancer vaccines! Castle et al., Cancer Res 2012: Proof of concept! Van Rooij et al., J Clin Oncol 2013: Relevance in human cancer! Adoptive T-cell therapy with engineered T-cells! Scholler et al., Sci Transl Med 2012! Tran et al., Science 2014 Overwijk et al., J Immunother Cancer, 2013

Personalized cancer immunotherapy! Cancer vaccines! Castle et al., Cancer Res 2012: Proof of concept! Van Rooij et al., J Clin Oncol 2013: Relevance in human cancer! Adoptive T-cell therapy with engineered T-cells! Scholler et al., Sci Transl Med 2012! Tran et al., Science 2014 Overwijk et al., J Immunother Cancer, 2013

Bioinformatics requirements for cancer immunotherapy! Publicly available data sets (GEO, TCGA)! Deep mining to extract relevant information! Analytical pipeline for RNA-Seq data! Quantify tumor-infiltrating lymphocytes (TILs) for patient stratification! Estimate HLA-haplotypes! Analytical pipeline for exome-seq data! Derive somatic mutations! Tools for predicting antigens from mutated peptides! Derive neo-antigens for vaccination

Bioinformatics for personalized cancer immunotherapy GEO profiles TCGA tumor genomics data Expression profiles from purified immune cells RNA-seq Exome-seq SNP arrays Sequenced reads Identification of immune cell type specific genes 1 HLA haplotype estimation (HLAminer 2 ) Somatic mutations Copy number alterations Gene expression TILs (tumor-infiltrating lymphocytes) Antigen prediction (netmhcpan 3 ) Ploidy and clonality estimation (ABSOLUTE 4 ) Clinical information Tools/Methods 1. Bindea G, et al. Immunity 2013; 39: 782-795 2. Warren R L et al. Genome Medicine 2012; 4: 95. 3. Nielsen M et al. PLoS ONE 2007; 2: e796 4. Carter SL et al. Nat Biotech 2012; 30: 413 421 CRC Antigenome/ Tumor-immune cell interaction

Characterizing tumor and immune landscape in CRC 29 studies, ~800 microarrays TCGA cancer genomics data (n=540) Expression profiles from purified immune cells RNA-seq Exome-seq SNP arrays Sequenced reads Identification of immune cell type specific genes 1 HLA haplotype estimation (HLAminer 2 ) Somatic mutations Copy number alterations Gene expression TILs (tumor-infiltrating lymphocytes) Antigen prediction (netmhcpan 3 ) Ploidy and clonality estimation (ABSOLUTE 4 ) Clinical information Tools/Methods 1. Bindea G, et al. Immunity 2013; 39: 782-795 2. Warren R L et al. Genome Medicine 2012; 4: 95. 3. Nielsen M et al. PLoS ONE 2007; 2: e796 4. Carter SL et al. Nat Biotech 2012; 30: 413 421 CRC Antigenome/ Tumor-immune cell interaction Data The Cancer Genome Atlas Network. Nature; 2012; 487: 330-7 16.5 TB microarrays: 25 GB, SNP-arrays 250 GB, exome-seq: 9 TB, RNA-seq: 7.2 TB

Compendium of genes enriched in immune cells 2262 genes enriched in immune cells *Selection criteria: r>0.6, p<0.05 Bindea G, et al. Immunity 2013; 39: 782-795

Characterizing tumor and immune landscape in CRC 29 studies, ~800 microarrays TCGA cancer genomics data (n=540) Expression profiles from purified immune cells RNA-seq Exome-seq SNP arrays Sequenced reads Identification of immune cell type specific genes 1 HLA haplotype estimation (HLAminer 2 ) Somatic mutations Copy number alterations Gene expression TILs (tumor-infiltrating lymphocytes) Antigen prediction (netmhcpan 3 ) Ploidy and clonality estimation (ABSOLUTE 4 ) Clinical information Tools/Methods 1. Bindea G, et al. Immunity 2013; 39: 782-795 2. Warren R L et al. Genome Medicine 2012; 4: 95. 3. Nielsen M et al. PLoS ONE 2007; 2: e796 4. Carter SL et al. Nat Biotech 2012; 30: 413 421 CRC Antigenome/ Tumor-immune cell interaction Data The Cancer Genome Atlas Network. Nature; 2012; 487: 330-7 16.5 TB microarrays: 25 GB, SNP-arrays 250 GB, exome-seq: 9 TB, RNA-seq: 7.2 TB

Summary! TILs enable precise classification of distinct molecular phenotypes in CRC! CRC antigenome is sparse:! Small number of neo-antigens are shared between patients Cancer vaccination strategy requires individualized multiepitope vaccines

Missing?! Predictive markers for cancer immunotherapy with monoclonal antibodies! Only a subset of patients is responsive:! 18%-28% for single drug (anti-pd-1) (Topalian et al., N Engl J Med 2012)! 53% for combined anti-pd-1 and anti-ctla 4 therapy (Wolchok et al., N Engl J Med 2013)! Rationale for selecting candidates for vaccination! Large number of neo-antigens, small number of candidates (<12) for multiepitope vaccine

Personalized medicine

Bioinformatics for cancer immunology and immunotherapy Zlatko Trajanoski Biocenter, Division for Bioinformatics Innsbruck Medical University Innrain 80, 6020 Innsbruck, Austria Email: zlatko.trajanoski@i-med.ac.at http://icbi.at