Abstract

PURPOSEPersonalized network inference on diverse clinical and in vitro model systems across cancer types can be used to delineate specific regulatory mechanisms, uncover drug targets and pathways, and develop individualized predictive models in cancer.METHODSWe developed TransPRECISE (personalized cancer-specific integrated network estimation model), a multiscale Bayesian network modeling framework, to analyze the pan-cancer patient and cell line interactome to identify differential and conserved intrapathway activities, to globally assess cell lines as representative models for patients, and to develop drug sensitivity prediction models. We assessed pan-cancer pathway activities for a large cohort of patient samples (> 7,700) from the Cancer Proteome Atlas across ≥ 30 tumor types, a set of 640 cancer cell lines from the MD Anderson Cell Lines Project spanning 16 lineages, and ≥ 250 cell lines’ response to > 400 drugs.RESULTSTransPRECISE captured differential and conserved proteomic network topologies and pathway circuitry between multiple patient and cell line lineages: ovarian and kidney cancers shared high levels of connectivity in the hormone receptor and receptor tyrosine kinase pathways, respectively, between the two model systems. Our tumor stratification approach found distinct clinical subtypes of the patients represented by different sets of cell lines: patients with head and neck tumors were classified into two different subtypes that are represented by head and neck and esophagus cell lines and had different prognostic patterns (456 v 654 days of median overall survival; P = .02). High predictive accuracy was observed for drug sensitivities in cell lines across multiple drugs (median area under the receiver operating characteristic curve > 0.8) using Bayesian additive regression tree models with TransPRECISE pathway scores.CONCLUSIONOur study provides a generalizable analytic framework to assess the translational potential of preclinical model systems and to guide pathway-based personalized medical decision making, integrating genomic and molecular data across model systems.

Highlights

  • Precision medicine aims to improve clinical outcomes by optimizing treatment to each individual patient

  • Differential and conserved rewiring and circuitry of cancer-specific networks Using the de-novo cancer-specific population-level networks, we evaluated intra-pathway edge rewiring across lineages of the two model systems to identify highly conserved and differential edges, and to link patient and cell line tumor types by measuring intra-pathway circuitry

  • Network rewiring across model systems We determined the extent to which protein-protein edges in each of the pathways were shared across tumor sites in the patients and the cell lines

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Summary

Introduction

Precision medicine aims to improve clinical outcomes by optimizing treatment to each individual patient.

Results
Conclusion

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